| GENERAL APPEARANCE |
| Cleaning Required | Yes |
| S.O.S. Taken | No |
| Cab or Canopy | Good |
| Decals | Good |
| Draw Bar | Good |
| Fenders | Good |
| Fuel Tank | Good |
| Grab Irons | Good |
| Hood | 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 |
| Back Up Alarm | Good |
| Horn | Good |
| Parking Brake - SAFETY ITEMS | Good |
| GAUGES, OPERATOR STATION, CONSOLE |
| Current O&MM | Yes |
| Current Safety Manual | Yes |
| Air Conditioner | Poor - A/C DOES NOT BLOW COLD AIR - NEEDS TO BE SERVICED - AIR BLOWS OUT OF VENTS GOOD |
| Dash Console | Good |
| EMS Panel / Warnings | Good |
| Gauges | Good |
| Glass/Mirrors | Good |
| Heater | Good |
| Interior Lights | Good |
| Seat Cushion / Arm Rest | Good - ALL SEAT FUNCTIONS WORK PROPERLY |
| Switches | Good |
| Windshield Wipers | Good |
| ENGINE |
| Blow By | No |
| Fluid Levels OK? | Yes |
| Knocking | No |
| Oil Leaks | No |
| Water in Oil | No |
| Notes - ENGINE | - ENGINE SOUNDS AND RUNS GOOD - NO LEAKS OR ISSUES NOTICED |
| Oil Pressure (H/L/N) | - GOOD |
| Air Cleaners | Good |
| Engine Supports | Good |
| Fuel Injection System | Good |
| Operating Condition - ENGINE | Good |
| Turbocharger / Blower | Good |
| COOLING SYSTEM |
| Leaks - COOLING SYSTEM | No |
| Standard Radiator | Yes |
| Notes - COOLING SYSTEM | - NO ISSUES |
| Belts / Pulleys - COOLING SYSTEM | Good |
| Coolers | Good |
| Fan | Good |
| Hoses | Good |
| Radiator | Good |
| Water Pump | Good |
| ELECTRICAL, STARTING AND CHARGING SYSTEM |
| Notes - ELECTRICAL, STARTING AND CHARGING SYSTEM | - STARTS WITH NO ISSUES |
| Alternator | Good |
| Batteries / Cables | Good |
| Starter | Good |
| Wiring | Good |
| TRANSMISSION |
| Transmission - Noisy | No |
| Notes - TRANSMISSION | - ALL TRAVEL SPEEDS / DIRECTIONS WORK PROPERLY - NO ISSUES |
| Controls - TRANSMISSION | Good |
| Cooler | Good |
| Lines / Fittings - TRANSMISSION | Good |
| Operating Condition - TRANSMISSION | Good |
| Temp / Pressure Gauges | Good |
| Transmission - Forward Shifts | Good |
| Transmission - Reverse Shifts | Good |
| STEERING |
| Notes - STEERING | - TRACK STEERING FUNCTIONS WORK PROPERLY |
| BRAKE |
| Holding What Gear? | - ALL |
| Notes - BRAKE | - BRAKES WORK PROPERLY |
| HYDRAULICS |
| Leaks - HYDRAULICS | No |
| Notes - HYDRAULICS | - ALL HYDRAULIC FUNCTIONS WORK PROPERLY - NO LEAKS OR ISSUES NOTICED |
| Angle Cylinder | Good - LEFT BLADE ANGLE CYLINDER HAS SOME MINOR FLUID / SLUDGE RESIDUE AROUND CYLINDER SEAL |
| Control Linkage - HYDRAULICS | Good |
| Hose Lines | Good |
| Lift Cylinders | Good |
| Overall Operating Condition | Good |
| Tilt Cylinder | Good |
| BLADE |
| Notes - BLADE | - BLADE ASSEMBLY IS GOOD - HAS NORMAL WEAR - OVERALL STILL IN GOOD CONDITION |
| Cutting Edge & Bits | Fair |
| Face / Moldboard | Good |
| Push Arm | Good |
| Tower | Good |
| Trunnions | Good |
| UNDERCARRIAGE |
| Notes - UNDERCARRIAGE | - U/C HAS WEAR - 6 NEWER LINKS ON RIGHT SIDE |
| Segments | - FAIR |
| Pins & Bushings Turned? | No |
| Track Frame - Left | Good |
| Track Frame - Right | Good |
| Carrier Rollers Front | |
| Carrier Rollers Rear | |
| Links | |
| Pins & Bushings (External) | |
| Track Roller 1 | |
| Track Roller 2 | |
| Track Roller 3 | |
| Track Roller 5 | |
| Track Roller 6 | |
| Track Roller 7 | |
| FINAL DRIVES |
| Housings, Left | Good |
| Housings, Right | Good |
| Planetaries / Differential, Left | Good |
| Planetaries / Differential, Right | Good |
| COMMENTS, MISC. REPAIRS, GENERAL REMARKS |
| comment 1 | - MACHINE STARTS AND RUNS, ENGINE SOUNDS AND RUNS GOOD, ALL HYDRAULIC FUNCTIONS WORK PROPERLY, ALL TRACK / TRAVEL FUNCTIONS WORK PROPERLY, ALL BLADE FUNCTIONS WORK PROPERLY, U/C HAS SOME WEAR, A/C DOES NOT BLOW COLD AIR |
| comment 2 | - LIGHTS WORK, HORN AND BACK UP ALARM WORK, NO MAJOR ISSUES NOTICED TO REPORT |
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