Condition

• GENERAL APPEARANCE

  Item	Condition
  S.O.S. Taken	No
  Notes - GENERAL APPEARANCE	Machine looks good.
  Cab or Canopy	●●●
  Crankcase Guard / Battery Box	●●●
  Eng. Enclose Hood / Stack	●●●
  Fuel Tank	●●●
  Grab Irons	●●●
  Main Frame	●●●
  Paint	●●●
  Pre-Cleaner Bowl	●●●
  Radiator Grill & Shroud	●●●
  Rear Frame	●●●
  Sheet Metal	●●●
  Steps / Ladder	●●●

• SAFETY ITEMS

  Item	Condition
  ROPS	Yes ROPS is clean.
  Safety Decals In Place	Yes
  Safety Decals Legible	Yes
  Horn	●●●

• OPERATOR STATION

  Item	Condition
  Back Up Alarm	Yes
  Current O&MM	Yes
  ROPS Certification Plate	Yes
  Diesel Exhaust Fluid (DEF) Level	Full
  Fuel Level	Full
  Air Conditioner	●●● Cools normal.
  Dash Console	●●●
  Door Latches	●●●
  Floor Boards	●●●
  Gauges	●●●
  Glass/Mirrors	●●●
  Heater	●●●
  Interior Lights	●●●
  Meter	●●●
  Seat Belt	●●● DEC 23
  Seat Cushion / Arm Rest	●●●
  Switches	●●●
  Windshield Wipers	●●●

• ENGINE

  Item	Condition
  Blow By	Yes Normal
  Compression in Radiator	No
  Emissions Decal	Yes
  Knocking	No
  Oil Leaks	No
  Water in Oil	No
  Anti-Freeze Color	Normal
  Notes - ENGINE	Engine runs smooth with good power.
  Oil Pressure (H/L/N)	Normal
  Smoke (B/D/L/W)	Normal
  Air Cleaners	●●●
  Belts / Pulleys	●●●
  EMISSIONS SYSTEM	●●●
  Engine Supports	●●●
  Exhaust / Muffler	●●●
  Fuel Injection System	●●●
  Governor	●●●
  Operating Condition - ENGINE	●●●
  Turbocharger / Blower	●●●

• COOLING SYSTEM

  Item	Condition
  Leaks - COOLING SYSTEM	No
  Notes - COOLING SYSTEM	Cools normal.
  Coolers	●●●
  Fan	●●●
  Fan Drive	●●●
  Hoses	●●●
  Radiator	●●●
  Water Pump	●●●

• ELECTRICAL, STARTING AND CHARGING SYSTEM

  Item	Condition
  Block Heater	Yes
  Ether Aid	Yes
  Alternator	●●●
  Batteries / Cables	●●●
  Lighting	●●●
  Starter	●●●
  Wiring	●●●

• TRANSMISSION

  Item	Condition
  Leaks - TRANSMISSION	No
  Transmission - Noisy	No
  Notes - TRANSMISSION	Transmission functions normal.
  Case	●●●
  Controls	●●●
  Cooler	●●●
  Lines / Fittings	●●●
  Operating Condition - TRANSMISSION	●●●
  Pump - TRANSMISSION	●●●
  Seals	●●●
  Temp / Pressure Gauges	●●●
  Transmission - Forward Shifts	●●●
  Transmission - Reverse Shifts	●●●
  Universal Joints	●●●

• STEERING

  Item	Condition
  Notes - STEERING	Steering functions normal.
  Steering Linkage	●●●
  Steering Valves / Pumps	●●●

• BRAKE

  Item	Condition
  Notes - BRAKE	Brakes are functional.
  Control Valve	●●●
  Operating Condition - BRAKE	●●●
  Parking Brake	●●●
  Type (Pedal, Lever)	●●●

• HYDRAULICS

  Item	Condition
  Leaks - HYDRAULICS	No
  Notes - HYDRAULICS	Hydraulics function normal.
  Bucket & Hoist Kickout	●●●
  Control Linkage - HYDRAULICS	●●●
  Hoist Cylinder	●●●
  Hose Lines	●●●
  Overall Operating Condition	●●●
  Pumps & Valves	●●●
  Tank	●●●
  Tilt Cylinder	●●●

• UNDERCARRIAGE

  Item	Condition
  Pins & Bushings Turned?	No
  Equalizer Bar	Good
  Link Part Number	254-9699 SYSTEM ONE
  Pivot Shaft	Good
  Track Shoes	22" DG
  Track Frame - Left	●●●
  Track Frame - Right	●●●
  Carrier Rollers Front	Left     Right
  Carrier Rollers Rear	Left     Right
  Idlers Front	Left     Right
  Links	Left     Right
  Pins & Bushings (External)	Left     Right
  Segments	Left     Right
  Track Roller 7	Left     Right
  Track Shoes (Width)	Left     Right

• FINAL DRIVES

  Item	Condition
  Housings, Left	●●●
  Housings, Right	●●●
  Planetaries, Left	●●●
  Planetaries, Right	●●●

• COMMENTS, MISC. REPAIRS, GENERAL REMARKS

  Item	Condition
  comment 1	Machine has Raveling 96 inch forks