| GENERAL APPEARANCE |
| Cleaning Required | No |
| S.O.S. Taken | No |
| Notes - GENERAL APPEARANCE | - N/a |
| Cab or Canopy | Good |
| Counterweight | Good |
| Fenders | Good |
| Fiberglass | Good |
| Fuel Tank | Good |
| Grab Irons | Good |
| Main Frame Welds | Good |
| Paint | Good |
| Pre-Cleaner Bowl | Good |
| Sheet Metal | Good |
| Steps / Ladder | Good |
| SAFETY ITEMS |
| ROPS | Yes |
| ROPS Certification Plate | Yes |
| Notes - SAFETY ITEMS | - N/a |
| Horn | Good |
| GAUGES, OPERATOR STATION, CONSOLE |
| Current O&MM | No |
| Current Parts Manual | No |
| Current Safety Manual | No |
| Notes - GAUGES, OPERATOR STATION, CONSOLE | - N/a |
| Air Conditioner | Good - Outside temp 9 degrees, unable to verify |
| Dash Console | Good |
| EMS Panel / Warnings | Good |
| Gauges | Good |
| Glass/Mirrors | Good |
| Interior Lights | Good |
| Seat Cushion / Arm Rest | Good |
| Switches | Good |
| Windshield Wipers | Good |
| ENGINE |
| Blow By | No |
| Compression in Radiator | Yes |
| Fluid Levels OK? | Yes |
| Knocking | No |
| Oil Leaks | No |
| Water in Oil | No |
| Notes - ENGINE | - N/a |
| Oil Pressure (H/L/N) | - N |
| Air Cleaners | Fair - Needs to be blown out with air |
| Engine Supports | Good |
| Fuel Injection System | Good |
| Operating Condition - ENGINE | Good |
| Turbocharger / Blower | Good |
| EMISSIONS |
| Diesel Exhaust Fluid (DEF) Level | - 3/4 |
| COOLING SYSTEM |
| Leaks - COOLING SYSTEM | No |
| Notes - COOLING SYSTEM | - N/a |
| Belts / Pulleys - COOLING SYSTEM | Good |
| Coolers | Good |
| Fan | Good |
| Hoses | Good |
| Radiator | Good |
| Water Pump | Good |
| ELECTRICAL, STARTING AND CHARGING SYSTEM |
| Block Heater | No |
| Ether Aid | No |
| Signal Lights | Yes |
| Notes - ELECTRICAL, STARTING AND CHARGING SYSTEM | - N/a |
| Alternator | Good |
| Batteries / Cables | Good |
| Pre-Heater | Good |
| Starter | Good |
| Wiring | Good |
| TRANSMISSION |
| Leaks - TRANSMISSION | No |
| Transmission - Noisy | No |
| Notes - TRANSMISSION | - N/a |
| Case | Good |
| Controls | Good |
| Cooler | Good |
| Lines / Fittings - TRANSMISSION | Good |
| Operating Condition - TRANSMISSION | Good |
| Pump | Good |
| Seals | Good |
| Temp / Pressure Gauges | Good |
| Transmission - Forward Shifts | Good |
| Transmission - Reverse Shifts | Good |
| STEERING |
| Notes - STEERING | - N/a |
| Front Axle - STEERING | Good |
| Hand Metering Unit | Good |
| Lines / Fittings - STEERING | Good |
| Steering Cylinder | Good |
| Steering Linkage | Good |
| Tie Rods / Rod Ends | Good |
| BRAKE |
| Leaks - BRAKE | No |
| Holding What Gear? | - 1st |
| Notes - BRAKE | - N/a |
| HYDRAULICS |
| Leaks - HYDRAULICS | No |
| Notes - HYDRAULICS | - N/a |
| Boom Cylinder | Good |
| Bucket & Hoist Kickout | Good |
| Bucket Cylinder | Good |
| Control Linkage | Good |
| Extended Stick Cylinder | Good |
| Hose Lines | Good |
| Lift Cylinders | Good |
| Out Rigger Cylinder | Good |
| Overall Operating Condition - HYDRAULICS | Good |
| Stick Cylinder | Good |
| Swing Cylinder | Good |
| Tilt Cylinder | Good |
| ATTACHMENTS / WORK TOOLS |
| Asphalt Cutter | No |
| Fork | No |
| Hydraulic Hammer | No |
| Hydraulic Sweeper | No |
| Material Handling | No |
| Vibratory Plate | No |
| Other | - N/a |
| BOOM & STICK |
| Notes - BOOM & STICK | - N/a |
| Boom | Good |
| Boom Pins & Bushings | Good |
| Outriggers | Good |
| Stick | Good |
| Stick Pins & Bushings | Good |
| Swing Lock | Good |
| Swing Pivot | Good |
| Transport Lock | Good |
| FRONT BUCKET |
| Bucket Floor | Good |
| Loader Frame | Good |
| Loader Pins & Bushings | Good |
| Multi Purpose Cylinders | Good |
| Segments | Good |
| REAR BUCKET |
| Notes - REAR BUCKET | - No bucket |
| Bucket Mounts | Good |
| AXLES / FINAL DRIVES |
| Differential Supports | Good |
| Differentials | Good |
| Front Final Drives | Good |
| Rear Axle | Good |
| Rear Final Drives | Good |
| Trunion | Good |
| Universal Joints | Good |
| Wheel Lugs & Rims | Good |
| TIRES |
| Spare | No |
| Average Life Remaining - TIRES | - 75% |
| Notes - TIRES | - N/a |
| Left Front | |
| Left Rear | |
| Right Front | |
| Right Rear | |
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