Condition

• GENERAL CONDITION

  Item	Condition
  Logged / Active Codes	Yes Camera not connected Code. No affect on operation of machine
  Machine Starts and is Operable	Yes
  Visible Oil Leaks	No
  Body	●●●
  Frame	●●●
  General	●●●

• GENERAL APPEARANCE

  Item	Condition
  Cleaning Required	No
  Bumper	●●●
  Cab or Canopy	●●●
  Crankcase Guard / Battery Box	●●●
  Decals	●●●
  Eng. Enclose Hood / Stack	●● Slight bend in grill bar.
  Fuel Tank	●●●
  Grab Irons	●●●
  Main Frame Welds	●●●
  Paint	●●●
  Plastic	●●●
  Radiator Grill & Shroud	●●●
  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
  Back Up Alarm	● Inoperative
  Camera(s)	● Inoperative
  Dead Engine Lowering Valve	●●●
  Horn	●●●
  ROPS	●●●
  Safety Locks / Pins	●●●
  Seat Belt / Date	●●●
  Secondary Exit	●●●

• OPERATOR STATION

  Item	Condition
  Fuel Level - OPERATOR STATION	50%
  Notes - GAUGES, OPERATOR STATION, CONSOLE	Foot throttle pedal not working well. Dial throttle works fine.
  Current O&MM	Yes
  Sound Proofing	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	●●●
  Visor / Sunshade	●●●
  Windows	●●●
  Windshield Wipers	●●●

• ENGINE

  Item	Condition
  Blow By	No
  Emissions Decal Legible	Yes
  Fuel Leaks	No
  Knocking	No
  Oil Leaks	No
  Service Needed	Yes
  Water in Oil	No
  Oil Pressure (H/L/N)	Normal
  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	●● Should be changed at next PM
  Operating Condition - ENGINE	●●●
  Turbocharger / Blower	●●●

• EMISSIONS

  Item	Condition
  Aftertreatment System Codes	No
  Leaks / Type	No
  Aftertreatment Heat Shields / Guards	●●●
  Diesel Particulate Filter (DPF) Condition / Service Hours	●●●

• 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
  Alternator	●●●
  Batteries / Cables / Master Disconnect	●●●
  Lighting	●● 1 taillight inoperative.
  Pre-Heater	●●●
  Starter	●●●
  Wiring	●●●

• TANDEMS/GEARS/BEARINGS/CHAINS

  Item	Condition
  Housings, Left	●●●
  Housings, Right	●●●
  Lines / Linkages	●●●
  Operating Condition	●●●
  Planetaries / Differential, Left	●●●
  Planetaries / Differential, Right	●●●
  Torsion Axles	●●●
  Travel Controls	●●●
  Travel Motors	●●●
  Travel Pumps	●●●

• HYDRAULICS

  Item	Condition
  Leaks - HYDRAULICS	No
  Hoses / Lines	●●●
  Lift Cylinders	●●●
  Overall Operating Condition - HYDRAULICS	●●●
  Pump & Valves	●●●
  Tank	●●●
  Tilt Cylinder	●●●

• BUCKET

  Item	Condition
  Bucket Bottom	●● Worn and dented.
  Bucket Linkage	●●●
  Bucket Sides	●● Dented
  Cutting Edges	●●●
  Loader Frame	●●●
  Loader Pins & Bushings	●●●
  Quick Coupler	●●●

• UNDERCARRIAGE

  Item	Condition
  Percentage Worn	50%
  Track / Belt Tread Thickness	2 1/4”
  Track / Belt Width	17 3/4”
  Idlers	●●●
  Roller	●●●
  Roller Frame	●●●
  Sprocket	●●●
  Track / Belt Condition	●●●