Condition

• GENERAL APPEARANCE

  Item	Condition
  Cleaning Required	No
  S.O.S. Taken	No
  Bumper	●●●
  Cab or Canopy	●●●
  Counterweight	●●●
  Crankcase Guard / Battery Box	●●●
  Draw Bar	●●●
  Eng. Enclose Hood / Stack	●●●
  Fenders	●●●
  Fiberglass	●●●
  Fuel Tank	●●●
  Grab Irons	●●●
  Main Frame	●●●
  Paint	●●●
  Plastic	●●●
  Pre-Cleaner Bowl	●●●
  Radiator Grill & Shroud	●●●
  Rear Frame	●●●
  Sheet Metal	●●●
  Steps / Ladder	●●●

• SAFETY ITEMS

  Item	Condition
  ROPS	Yes
  Safety Decals In Place	Yes
  Safety Decals Legible	Yes
  Horn	●●●

• OPERATOR STATION

  Item	Condition
  Back Up Alarm	Yes
  Current O&MM	Yes
  Current Parts Manual	Yes
  Current Safety Manual	Yes
  ROPS Certification Plate	Yes
  Air Conditioner	●●●
  Dash Console	●●●
  Door Latches	●●●
  EMS Panel / Warnings	●●●
  Floor Boards	●●●
  Gauges	●●●
  Glass/Mirrors	●●●
  Heater	●●●
  Interior Lights	●●●
  Meter	●●●
  Seat Belt	●●●
  Seat Cushion / Arm Rest	●●●
  Switches	●●●
  Windshield Wipers	●●●

• ENGINE

  Item	Condition
  Blow By	No
  Compression in Radiator	No
  Emissions Decal	Yes
  Has Engine been rebuilt?	No
  Knocking	No
  Oil Leaks	No
  Water in Oil	No
  Anti-Freeze Color	Red
  Oil Pressure (H/L/N)	N
  Smoke (B/D/L/W)	L
  Air Cleaners	●●●
  Belts / Pulleys	●●●
  Engine Supports	●●●
  Exhaust / Muffler	●●●
  Fuel Injection System	●●●
  Governor	●●●
  Oil Filter Condition (CUT) - ENGINE	●●●
  Operating Condition - ENGINE	●●●
  Turbocharger / Blower	●●●

• COOLING SYSTEM

  Item	Condition
  Leaks - COOLING SYSTEM	No
  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	●●●
  Pre-Heater	●●●
  Starter	●●●
  Wiring	●●●

• TRANSMISSION

  Item	Condition
  Leaks - TRANSMISSION	No
  Transmission - Noisy	No
  Case	●●●
  Controls	●●●
  Cooler	●●●
  Lines / Fittings	●●●
  Oil Filter Condition (CUT) - TRANSMISSION	●●●
  Operating Condition - TRANSMISSION	●●●
  Pump - TRANSMISSION	●●●
  Seals	●●●
  Temp / Pressure Gauges	●●●
  Transmission - Forward Shifts	●●●
  Transmission - Reverse Shifts	●●●
  Universal Joints	●●●

• STEERING

  Item	Condition
  Steering Linkage	●●●
  Steering Motor	●●●
  Steering Valves / Pumps	●●●

• BRAKE

  Item	Condition
  Brake Drums / Rotors	●●●
  Brake Linkage	●●●
  Control Valve	●●●
  Lines - BRAKE	●●●
  Operating Condition - BRAKE	●●●
  Parking Brake	●●●
  Pump - BRAKE	●●●
  Type (Pedal, Lever)	●●●
  Type (Wet, Dry)	●●●

• HYDRAULICS

  Item	Condition
  Leaks - HYDRAULICS	No
  Bucket & Hoist Kickout	●●●
  Bucket Cylinder	●●●
  Control Linkage - HYDRAULICS	●●●
  Filter Condition (CUT)	●●●
  Hoist Cylinder	●●●
  Hose Lines	●●●
  Overall Operating Condition	●●●
  Pumps & Valves	●●●
  Tank	●●●
  Tilt Cylinder	●●●

• BUCKET

  Item	Condition
  Bucket Capacity	N/A
  Bucket S/N	N/A
  Loader Frame	●●●
  Loader Pins & Bushings	●●●
  Segments	●●●

• UNDERCARRIAGE

  Item	Condition
  Pins & Bushings Turned?	Yes
  Track Frame - Left	●●●
  Track Frame - Right	●●●
  Carrier Rollers Front	Left     Right
  Idlers Front	Left     Right
  Idlers Rear	Left     Right
  Links	Left     Right
  Track Roller 1	Left     Right
  Track Roller 2	Left     Right
  Track Roller 3	Left     Right
  Track Roller 4	Left     Right
  Track Roller 5	Left     Right
  Track Roller 6	Left     Right
  Track Shoes (Width)	Left     Right

• FINAL DRIVES

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