Condition

• GENERAL CONDITION

  Item	Condition
  Logged / Active Codes	No
  Machine Starts and is Operable	Yes
  S.O.S. (All Compartments)	No
  VIDS/VIMS Download Available	No
  Visible Oil Leaks	No
  Body	●●●
  Frame	●●●
  General	●●●

• GENERAL APPEARANCE

  Item	Condition
  Cleaning Required	Yes
  Bumper	●●●
  Cab or Canopy	●●●
  Counterweight	●●●
  Crankcase Guard / Battery Box	●●●
  Decals	●●●
  Eng. Enclose Hood / Stack	●●●
  Fenders	●●●
  Fuel Tank	●●●
  Grab Irons	●●●
  Main Frame Welds	●●●
  Paint	●●●
  Plastic	●●●
  Pre-Cleaner Bowl	●●●
  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	●●●
  Camera(s)	●●●
  Dead Engine Lowering Valve	●●●
  Horn	●●●
  ROPS	●●●
  Safety Locks / Pins	●●●
  Seat Belt / Date	●●●
  Secondary Exit	●●●

• OPERATOR STATION

  Item	Condition
  Fuel Level - OPERATOR STATION	47%
  Current O&MM	Yes
  Current Parts Manual	Yes
  Current Safety Manual	Yes
  Sound Proofing	No
  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	●●●
  Windows	●●●
  Windshield Wipers	●●●

• ENGINE

  Item	Condition
  Apparent Other Engine Damage	No
  Blow By	No
  Emissions Decal Legible	Yes
  Fuel Leaks	No
  Has Engine been rebuilt?	No
  Knocking	No
  Oil Leaks	No
  Service Needed	No
  Water in Oil	No
  Oil Pressure (H/L/N)	N
  Smoke Color (B/D/L/W)	N
  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	●●●
  DEF Lines / Wiring	●●●
  Diesel Particulate Filter (DPF) Condition / Service Hours	●●●

• COOLING SYSTEM

  Item	Condition
  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	●●●
  Starter	●●●
  Wiring	●●●

• TANDEMS/GEARS/BEARINGS/CHAINS

  Item	Condition
  Magnetic Plugs Removed & Checked?	Yes
  Front Torsion Bars	●●●
  Housings, Left	●●●
  Housings, Right	●●●
  Lines / Linkages	●●●
  Operating Condition	●●●
  Planetaries / Differential, Left	●●●
  Planetaries / Differential, Right	●●●
  Rear Torsion Bars	●●●
  Torsion Axles	●●●
  Travel Controls	●●●
  Travel Motors	●●●
  Travel Pumps	●●●

• HYDRAULICS

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

• ATTACHMENTS / WORK TOOLS

  Item	Condition
  Overall Operating Condition - ATTACHMENTS / WORK TOOLS	●●●

• BUCKET

  Item	Condition
  Bucket Capacity	.74 yd3
  Bucket S/N	A4215bk30237
  Bucket / Multi Purpose Cylinder	●●●
  Bucket Bottom	●●●
  Bucket Linkage	●●●
  Bucket Sides	●●●
  Cutting Edges	●●●
  Loader Frame	●●●
  Loader Pins & Bushings	●●●
  Quick Coupler	●●●

• UNDERCARRIAGE

  Item	Condition
  Idlers	●●●
  Roller	●●●
  Roller Frame	●●●
  Sprocket	●●●
  Track / Belt Condition	●●●