| GENERAL APPEARANCE |
| Cleaning Required | No |
| S.O.S. Taken | No |
| Cab or Canopy | Good |
| Decals | Good |
| Draw Bar | Good |
| Fenders | Good |
| Grab Irons | Good |
| Hood | Good |
| Paint | Fair - Light faded, surface and scale rust in areas over machine |
| Sheet Metal | Good |
| Steps / Ladder | Good |
| SAFETY ITEMS |
| ROPS | Yes |
| Back Up Alarm | Good - Working |
| Horn | Good |
| Parking Brake - SAFETY ITEMS | Good |
| GAUGES, OPERATOR STATION, CONSOLE |
| Dash Console | Good |
| EMS Panel / Warnings | Good |
| Gauges | Good - Gauges working |
| Glass/Mirrors | Good - Mirror in place |
| Heater | Fair - Working, air deflector missing |
| Seat Cushion / Arm Rest | Fair - Lower backrest covering weathered, cracked |
| ENGINE |
| Blow By | No |
| Compression in Radiator | No |
| Fluid Levels OK? | No |
| Knocking | No |
| Oil Leaks | No |
| Water in Oil | No |
| Notes - ENGINE | - Powered by caterpillar C4.4L 4-cylinder turbo diesel |
| Oil Pressure (H/L/N) | - Operated in normal range |
| Engine Supports | Good |
| Fuel Injection System | Good |
| Operating Condition - ENGINE | Good - Starts and runs good |
| Turbocharger / Blower | Good |
| COOLING SYSTEM |
| Modular Radiator | No |
| Standard Radiator | Yes |
| Belts / Pulleys - COOLING SYSTEM | Good |
| Fan | Good |
| Hoses | Good |
| Radiator | Good |
| ELECTRICAL, STARTING AND CHARGING SYSTEM |
| Block Heater | No |
| Ether Aid | Yes |
| Alternator | Good |
| Batteries / Cables | Good |
| Starter | Good |
| Wiring | Good |
| TRANSMISSION |
| Leaks - TRANSMISSION | No |
| Transmission - Noisy | No |
| Case | Good |
| Controls - TRANSMISSION | Poor - Transmission stuck in 2.0 speed setting, cannot increase or decrease speed, in shop customer to repair, |
| Lines / Fittings - TRANSMISSION | Good |
| Operating Condition - TRANSMISSION | Poor - Transmission stuck in 2.0 speed setting, cannot increase or decrease speed, in shop customer to repair, |
| Pump - TRANSMISSION | Good |
| Temp / Pressure Gauges | Good |
| Transmission - Forward Shifts | Fair |
| Transmission - Reverse Shifts | Fair |
| STEERING |
| Steering Linkage | Good |
| Steering Operating Condition | Good - Steers good tracks straight |
| BRAKE |
| Notes - BRAKE | - Service and parking brake working good |
| HYDRAULICS |
| Angle Cylinder | Good - Both dry |
| Control Linkage - HYDRAULICS | Fair - Angle function slow cycle time, customer in process of repair |
| Hose Lines | Good |
| Lift Cylinders | Good - Both dry |
| Overall Operating Condition | Fair - Angle function slow cycle time, customer in process of repair |
| Tilt Cylinder | Good - Dry |
| BLADE |
| Cutting Edge & Bits | Fair - Has been flipped,has some life left |
| Face / Moldboard | Good - Face has been replated |
| Pins | Fair - Tilt and angle cylinder mounting pins and bushings show aprox 1/4-3/8in play |
| Tower | Good |
| Trunnions | Fair - Has some vertical play in trunion, (has cap shims to remove to adjust) |
| UNDERCARRIAGE |
| Average Life Remaining - UNDERCARRIAGE | - 78% |
| Notes - UNDERCARRIAGE | - system one undercarriage |
| Notes - UNDERCARRIAGE 1 | - 36-link track |
| Pins & Bushings Turned? | No |
| Track Frame - Left | Good |
| Track Frame - Right | Good |
| Carrier Rollers Front | |
| Links | |
| Pins & Bushings (External) | |
| Track Roller 6 | |
| FINAL DRIVES |
| Housings, Left | Good |
| Housings, Right | Good |
| COMMENTS, MISC. REPAIRS, GENERAL REMARKS |
| comment 1 | - System status report loaded to inspection |
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