| GENERAL APPEARANCE |
| S.O.S. Taken | Yes - During last service |
| Cab or Canopy | Good - Cab |
| Draw Bar | Good |
| Fuel Tank | Good |
| Grab Irons | Good |
| Hood | Good |
| Main Frame Welds | Good |
| Paint | Fair |
| Sheet Metal | Good |
| Steps / Ladder | Good |
| SAFETY ITEMS |
| ROPS | Yes |
| Back Up Alarm | Good |
| Horn | Good |
| Parking Brake - SAFETY ITEMS | Good |
| GAUGES, OPERATOR STATION, CONSOLE |
| Current O&MM | Yes |
| Current Safety Manual | Yes |
| Notes - GAUGES, OPERATOR STATION, CONSOLE | - No rear camera installed |
| Air Conditioner | Good |
| Dash Console | Good |
| EMS Panel / Warnings | Good |
| Gauges | Good |
| Glass/Mirrors | Good |
| Heater | Good |
| Interior Lights | Good |
| Seat Cushion / Arm Rest | Good |
| Switches | Fair - Getting hard to read |
| Windshield Wipers | Fair |
| ENGINE |
| Blow By | No |
| Compression in Radiator | No |
| Fluid Levels OK? | Yes |
| Knocking | No |
| Oil Leaks | No |
| Water in Oil | No |
| Notes - ENGINE | - Engine runs well |
| Oil Pressure (H/L/N) | - Normal |
| 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 | - Overall good |
| 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 & charges well |
| Alternator | Good |
| Batteries / Cables | Good |
| Starter | Good |
| Wiring | Good |
| TRANSMISSION |
| Leaks - TRANSMISSION | No |
| Transmission - Noisy | No |
| Notes - TRANSMISSION | - Operates well |
| Controls - TRANSMISSION | Good |
| Lines / Fittings - TRANSMISSION | Good |
| Operating Condition - TRANSMISSION | Good |
| Pump - TRANSMISSION | Good |
| Seals | Good |
| Temp / Pressure Gauges | Good |
| Transmission - Forward Shifts | Good |
| Transmission - Reverse Shifts | Good |
| STEERING |
| Notes - STEERING | - Overall good |
| Steering Linkage | Good |
| Steering Operating Condition | Good |
| BRAKE |
| Notes - BRAKE | - Overall good |
| HYDRAULICS |
| Leaks - HYDRAULICS | No |
| Notes - HYDRAULICS | - Operates well |
| Angle Cylinder | Good - Guard dented |
| Control Linkage - HYDRAULICS | Good |
| Hose Lines | Good |
| Lift Cylinders | Good |
| Overall Operating Condition | Good |
| Tilt Cylinder | Good |
| BLADE |
| Cutting Edge & Bits | Good |
| Face / Moldboard | Good |
| Pins | Fair - Some wear |
| Spill Rack | Good |
| Tower | Good |
| Trunnions | Fair - Some wear |
| UNDERCARRIAGE |
| Equalizer Bar | - Some wear |
| Notes - UNDERCARRIAGE | - SystemOne U/C |
| Pins & Bushings (External) | - Rotating |
| Pins & Bushings (Internal) | - Sealed & lubricated |
| Pivot Shaft | - Good |
| Pins & Bushings Turned? | No - Rotating |
| Track Frame - Left | Good |
| Track Frame - Right | Good |
| Carrier Rollers Front | |
| Carrier Rollers Rear | |
| Idlers Front | |
| Links | |
| Pins & Bushings (External) | |
| Segments | |
| Track Roller 1 | |
| Track Roller 2 | |
| Track Roller 3 | |
| Track Roller 5 | |
| Track Roller 6 | |
| Track Roller 7 | |
| FINAL DRIVES |
| Notes - FINAL DRIVES | - Overall good |
| Housings, Left | Good |
| Housings, Right | Good |
| Planetaries / Differential, Left | Good |
| Planetaries / Differential, Right | Good |
| COMMENTS, MISC. REPAIRS, GENERAL REMARKS |
| comment 1 | - Inspection performed @ 1847 hrs. |
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