Condition

• GENERAL CONDITION

  Item	Condition
  Logged / Active Codes	No
  Machine Starts and is Operable	Yes
  Tires are Aired Up and Drivable	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	●●●
  Fuel Tank	●●●
  Grab Irons	●●●
  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	●● Not working
  Dead Engine Lowering Valve	●●●
  Horn	●●●
  ROPS	●●●
  Safety Locks / Pins	●●●
  Seat Belt / Date	●●●
  Secondary Exit	●●●

• OPERATOR STATION

  Item	Condition
  Fuel Level - OPERATOR STATION	55%
  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
  Apparent Other Engine Damage	No
  Blow By	No
  Emissions Decal Legible	Yes
  Fuel Leaks	No
  Knocking	No
  Oil Leaks	No
  Service Needed	No
  Water in Oil	No
  Oil Pressure (H/L/N)	Normal
  Smoke (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	●●●
  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
  Block Heater	Yes
  Alternator	●●●
  Batteries / Cables / Master Disconnect	●●●
  Lighting	●●●
  Pre-Heater	●●●
  Starter	●●●
  Wiring	●●●

• TANDEMS/GEARS/BEARINGS/CHAINS

  Item	Condition
  Front Axle	●●●
  Lines / Linkages	●●●
  Oil Level	●●●
  Operating Condition - TANDEMS/GEARS/BEARINGS/CHAINS	●●●
  Rear Axle	●●●
  Travel Controls	●●●
  Travel Motors	●●●
  Travel Pumps	●●●

• HYDRAULICS

  Item	Condition
  Leaks - HYDRAULICS	No
  Hose Lines	●●●
  Lift Cylinders	●●●
  Operating Condition - HYDRAULICS	●●●
  Pumps & Valves	●●●
  Tank	●●●
  Tilt Cylinder	●●●

• BUCKET

  Item	Condition
  Bucket Bottom	●●●
  Bucket Linkage	●●●
  Bucket Sides	●●●
  Cutting Edges	●●●
  Loader Frame	●●●
  Loader Pins & Bushings	●●●
  Quick Coupler	●●●
  Teeth / Adapters	●●●

• TIRES

  Item	Condition
  Spare	No
  Tire Size - TIRES	10-16.5
  Left Front	Life Left 40%% Recapped No Tread Cuts Chunks No Side Cuts Section No
  Left Rear	Life Left 35% Recapped No Tread Cuts Chunks No Side Cuts Section No
  Right Front	Life Left 40%% Recapped No Tread Cuts Chunks No Side Cuts Section No
  Right Rear	Life Left 35%% Recapped No Tread Cuts Chunks No Side Cuts Section No