Condition

• GENERAL CONDITION

  Item	Condition
  Logged / Active Codes	No
  Machine Starts and is Operable	Yes
  S.O.S. (All Compartments)	Yes
  Tires are Aired Up and Drivable	Yes
  Visible Oil Leaks	No
  Body	●●●
  Frame	●●●
  General	●●●

• GENERAL APPEARANCE

  Item	Condition
  Bumper	●●●
  Cab or Canopy	●●●
  Counterweight	●●●
  Crankcase Guard / Battery Box	●●●
  Decals	●●●
  Differential Supports	●●●
  Eng. Enclose Hood / Stack	●●●
  Fenders	●● Both rear fenders are broken.
  Front Frame	●●●
  Fuel Tank	●●●
  Grab Irons	●●●
  Guards / Screens	●●●
  Paint	●● Machine is rusty.
  Plastic	●●●
  Pre-Cleaner Bowl	●●●
  Radiator Grill & Shroud	●●●
  Rear Frame	●●●
  Sheet Metal	●●●
  Steps / Ladder	●●●

• SAFETY ITEMS

  Item	Condition
  Parking Brake Functioning	Yes
  ROPS Certification Plate	Yes
  Safety Decals In Place	Yes
  Safety Decals Legible	Yes
  Safety Locks / Pins	Yes
  Service Brakes Functioning	Yes
  Back Up Alarm	●●●
  Camera(s)	●●●
  Horn	●●●
  Rig Saver	●●●
  ROPS	●●●
  Seat Belt / Date	●● Functional
  Secondary Exit	●●●

• OPERATOR STATION

  Item	Condition
  Current O&MM	Yes
  Air Conditioner	●●●
  Armrests	●●●
  Cab Filter / Heat Vent Louvres	●●●
  Dash Console	●●●
  Door Latches / Hinges / Seals	●●●
  Floor Boards / Mats	●●●
  Gauges	●●●
  Headliner	●●●
  Heater / Defroster	●●●
  Hour Meter - GAUGES, OPERATION STATION, CONSOLE	●●●
  Hydraulic Controls	●●●
  Interior Lights	●●●
  Interior Plastic / Fabric	●●●
  Mirrors	●●●
  Monitoring Display	●●●
  Pans/Guards	●●●
  Radio	●●●
  Seat Cushions / Suspension / Type	●●●
  Switches	●●●
  Transmission Controls	●●●
  Visor / Sunshade	●●●
  Windows	●●●
  Windshield Wipers	●●●

• ENGINE

  Item	Condition
  Apparent Other Engine Damage	No
  Blow By	No
  Fuel Leaks	No
  Knocking	No
  Oil Leaks	Yes Level 1 oil leak from hydraulic pump seal.
  Service Needed	Yes Last PM was at 7561 hours according to writing on filters.
  Water in Oil	No
  Oil Pressure (H/L/N)	Good
  Smoke Color (B/D/L/W)	Normal
  Belts / Pulleys - ENGINE	●●●
  Engine Oil Level / Condition	●●●
  Engine Supports / Mounts	●●●
  Exhaust / Muffler / Stack	●●●
  Fuel Injection System	●●●
  Governor	●●●
  Intake / Air Filters	●●●
  Operating Condition - ENGINE	●●●
  Other	●●●
  Turbocharger / Blower	●●●

• COOLING SYSTEM

  Item	Condition
  Compression in Radiator	No
  Coolant Leaks	No
  Oil in Anti-Freeze	No
  Standard Radiator	Yes
  Anti-Freeze Level / Color / Condition	●●●
  Belts / Pulleys - COOLING SYSTEM	●●●
  Coolers	●●●
  Fan	●●●
  Fan Drive / Type	●●●
  Fan Shrouds / Guards	●●●
  Hoses / Tubes	●●●
  Radiator	●●●
  Water Pump	●●●

• ELECTRICAL, STARTING AND CHARGING SYSTEM

  Item	Condition
  Block Heater	Yes
  Ether Aid	Yes
  Signal Lights	Yes
  Alternator	●●●
  Batteries / Cables / Master Disconnect	●●●
  Beacon / Strobe	●●●
  Pre-Heater	●●●
  Starter / Type	●●●
  Wiring	●●●
  Work Lights	●● Right rear tail light is out

• TRANSMISSION

  Item	Condition
  Transmission - Noisy	No
  Case	●●●
  Controls - TRANSMISSION	●●●
  Cooler	●●●
  Drive Shaft	●● Center carrier bearing has play.
  Lines / Fittings - TRANSMISSION	●●●
  Oil Filter Condition (CUT) - TRANSMISSION	●●●
  Operating Condition - TRANSMISSION	●●●
  Pump - TRANSMISSION	●●●
  Seals	●● Drain plug seal has level 2 leak.
  Temp / Pressure Gauges	●●●
  Torque Converter - TRANSMISSION	●●●
  Transmission	●●●
  Transmission - Forward Shifts	●●●
  Transmission - Reverse Shifts	●●●
  Universal Joints - TRANSMISSION	●●●

• STEERING

  Item	Condition
  Articulate P & B	●●●
  Hand Metering Unit	●●●
  Lines / Fittings - STEERING	●● Left side steering cylinder hose has level 2 leak.
  Pumps	●●●
  Steering Cylinder	●●●
  Steering Linkage	●● Minor movement
  Steering Valves / Pumps	●●●
  Steering Wheel Tilt / Extend	●●●
  Supplemental Steer	●●●
  Valves	●●●

• BRAKE

  Item	Condition
  Holds In Park	Yes
  Leaks - BRAKE	No
  Accumulator	●●●
  Accumulators	●●●
  Brake Drums / Rotors	●●●
  Brake Linkage	●●●
  Control Valve	●●●
  Hydraulic Pumps	●●●
  Leaks - BRAKE	●●●
  Lines	●●●
  Lines / Tubes	●●●
  Parking Brake - BRAKE	●●●
  Pedal	●●●
  Pump - BRAKE	●●●
  Type (Wet, Dry)	●●●

• HYDRAULICS

  Item	Condition
  Leaks - HYDRAULICS	Yes
  Accumulator Charge - Ride Control	●●●
  Control Linkage	●●●
  Hose Lines	●● Level 2 leaks
  Hoses & Tubes - HYDRAULICS	●●●
  Lift Cylinders	●●●
  Overall Operating Condition	●●●
  Pumps & Valves	●●●
  Tank	●●●
  Tilt Cylinder	●●●

• BUCKET

  Item	Condition
  Standard Lift	Yes
  Bucket S/N - BUCKET	X30389
  Bucket Bottom	●●●
  Bucket Floor	●●●
  Bucket Linkage - BUCKET	●● Bucket linkage has 1/4” of movement
  Bucket P & B	●●●
  Bucket Sides	●●●
  Cutting Edges	●●●
  Loader Frame	●●●
  Loader Pins & Bushings	●●●
  Quick Coupler	●●●

• FINAL DRIVES

  Item	Condition
  Leaks - FINAL DRIVES	No
  Notes - FINAL DRIVES	Took oil sample from both axles.
  Differentials	●●●
  Front Axle	●●●
  Front Final Drives	●●●
  Oscillation	●●●
  Rear Axle	●● Level 1 leak.
  Trunion	●●●
  Wheel Lugs & Rims - FINAL DRIVES	●●●

• TIRES

  Item	Condition
  Spare	No
  Average Life Remaining - TIRES	85% tires are in good condition.
  Tire Size - TIRES	20.5-R25
  Left Front	Life Left 85%% Recapped No Tread Cuts Chunks No Side Cuts Section No
  Left Rear	Life Left 85%% Recapped No Tread Cuts Chunks No Side Cuts Section No
  Right Front	Life Left 85%% Recapped No Tread Cuts Chunks No Side Cuts Section No
  Right Rear	Life Left 85%% Recapped No Tread Cuts Chunks No Side Cuts Section No