| GENERAL APPEARANCE |
| Cleaning Required | No |
| S.O.S. Taken | No |
| Bumper | Fair - Right rear corner dented. |
| Cab or Canopy | Good - Cab. |
| Counterweight | Good - Has two sets of rear counterweights added. |
| Crankcase Guard / Battery Box | Good |
| Eng. Enclose Hood / Stack | Good |
| Fuel Tank | Good |
| Grab Irons | Good |
| Main Frame Welds | Good |
| Paint | Good - Normal scratches. |
| Radiator Grill & Shroud | Good |
| Sheet Metal | Good |
| Steps / Ladder | Good |
| SAFETY ITEMS |
| ROPS | Yes |
| Safety Decals In Place | Yes |
| Safety Decals Legible | Yes |
| Horn | Good |
| Parking Brake | Good |
| GAUGES, OPERATOR STATION, CONSOLE |
| Back Up Alarm | No - INOP. |
| Current O&MM | Yes |
| Current Parts Manual | No |
| Current Safety Manual | No |
| Fuel Level | - 1/2 tank. |
| Air Conditioner | Good |
| Dash Console | Good |
| Door Latches | Good |
| EMS Panel / Warnings | Good |
| Floor Boards | Good |
| Gauges | Good |
| Glass/Mirrors | Fair - Front door plexi scratched. |
| Heater | Good |
| Hydraulic Controls | Good |
| Interior Lights | Good |
| Meter | Good |
| Seat Belt | Good |
| Seat Cushion / Arm Rest | Good |
| Switches | Good |
| Windshield Wipers | Poor - Front door has no wiper, or motor. |
| ENGINE |
| Blow By | No |
| Compression in Radiator | No |
| Fluid Levels OK? | Yes |
| Knocking | No |
| Oil Leaks | No |
| Water in Oil | No |
| Anti-Freeze Color | - Clear. |
| Notes - ENGINE | - Any services unknown ? |
| Oil Pressure (H/L/N) | - Normal. |
| Smoke (B/D/L/W) | - Normal. |
| Air Cleaners | Fair |
| Belts / Pulleys | Good |
| Engine Supports | Good |
| Exhaust / Muffler | Good |
| Fuel Injection System | Fair - Foot throttle pedal sticking. |
| Governor | Good - AEC working. |
| Overall Operating Condition - ENGINE | Good |
| Turbocharger / Blower | Good |
| COOLING SYSTEM |
| Leaks - COOLING SYSTEM | No |
| Coolers | Good |
| Fan | Good |
| Fan Drive | Good |
| Hoses | Good |
| Radiator | Good |
| Water Pump | Good |
| ELECTRICAL, STARTING AND CHARGING SYSTEM |
| Block Heater | No |
| Ether Aid | No |
| Notes - ELECTRICAL, STARTING AND CHARGING SYSTEM | - Has working cab radio. |
| Alternator | Good - Charging well. |
| Batteries / Cables | Good - Machine has front tool harness. |
| Lighting | Good - All lights working. |
| Starter | Good - Machine has start code: 2457231. |
| Wiring | Fair - Radio antenna on back of cab is broken. |
| TANDEMS/GEARS/BEARINGS/CHAINS |
| Lines / Linkages | Good |
| Operating Condition | Good - Two speed travel working. |
| Travel Controls | Good |
| Travel Motors | Good |
| Travel Pumps | Good |
| HYDRAULICS |
| Leaks - HYDRAULICS | No |
| Detent Switch | Good - Front bucket float working. |
| Hoses / Lines | Good |
| Lift Cylinders | Good |
| Overall Operating Condition - HYDRAULICS | Good |
| Pump & Valves | Good |
| Tank | Good |
| Tilt Cylinder | Good |
| BUCKET |
| Bucket Capacity | - No bucket @ this time. |
| Bucket Linkage | Good |
| Loader Frame | Good |
| Loader Pins & Bushings | Good |
| Quick Coupler | Fair - Hydraulic coupler. Cross tube is dented. |
| UNDERCARRIAGE |
| Percentage Worn | - 35%. |
| Track / Belt Width | - 13". |
| Idlers | Good |
| Roller | Good |
| Roller Frame | Good |
| Sprocket | Good - Sprockets worn 35%. |
| Track / Belt Condition | Good |
| COMMENTS, MISC. REPAIRS, GENERAL REMARKS |
| comment 1 | - Inspection done 12Feb21 @ 483 hours. |
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