| GENERAL APPEARANCE |
| Cleaning Required | No - done |
| S.O.S. Taken | Yes |
| Bumper | Good |
| Cab or Canopy | Fair - missing headliner and floor mat |
| Counterweight | Good |
| Crankcase Guard / Battery Box | Good |
| Draw Bar | Fair - bent, top tongue has been rewelded |
| Eng. Enclose Hood / Stack | Poor - top of hood broken |
| Fenders | Fair |
| Fuel Tank | Good |
| Grab Irons | Good |
| Main Frame | Good |
| Paint | Fair |
| Pre-Cleaner Bowl | Good |
| Radiator Grill & Shroud | Good |
| Rear Frame | Good |
| Sheet Metal | Fair |
| Steps / Ladder | Fair - steps on roller frame bent |
| SAFETY ITEMS |
| ROPS | Yes |
| Safety Decals In Place | No |
| Safety Decals Legible | No - missing/not legible |
| Horn | Poor - not working |
| GAUGES, OPERATOR STATION, CONSOLE |
| Back Up Alarm | Yes |
| Current O&MM | No |
| Current Parts Manual | No |
| Current Safety Manual | No |
| ROPS Certification Plate | Yes |
| Diesel Exhaust Fluid (DEF) Level | - n/a |
| Fuel Level | - 3/4 |
| Dash Console | Fair |
| Door Latches | Poor - missing/broken latches on compartment doors |
| Floor Boards | Poor - needs floor mat |
| Gauges | Good |
| Glass/Mirrors | Good |
| Heater | Fair - works, vents broken |
| Meter | Good |
| Seat Belt | Fair - works, expired |
| Seat Cushion / Arm Rest | Poor - rh side arm rest missing |
| Switches | Poor - throttle switch does not work |
| Windshield Wipers | Good - n/a |
| ENGINE |
| Blow By | No |
| Compression in Radiator | No |
| EPA Decal | No |
| Knocking | No |
| Oil Leaks | Yes - side of motor, towards front |
| Water in Oil | No |
| Anti-Freeze Color | - green |
| Oil Pressure (H/L/N) | - n |
| Smoke (B/D/L/W) | - none |
| Air Cleaners | Good |
| Belts / Pulleys | Good |
| Engine Supports | Good |
| Exhaust / Muffler | Good - not cat |
| Fuel Injection System | Good |
| Governor | Good |
| Operating Condition - ENGINE | Good |
| Turbocharger / Blower | Good |
| COOLING SYSTEM |
| Leaks - COOLING SYSTEM | No |
| Coolers | Good |
| Fan | Good |
| Fan Drive | Good |
| Hoses | Fair |
| Radiator | Good |
| Water Pump | Good |
| ELECTRICAL, STARTING AND CHARGING SYSTEM |
| Block Heater | No |
| Ether Aid | Yes - has bottle |
| Alternator | Good |
| Batteries / Cables | Good |
| Lighting | Good |
| Pre-Heater | Good |
| Starter | Good |
| Wiring | Fair - multiple broken wires |
| TRANSMISSION |
| Leaks - TRANSMISSION | Yes - side of casing |
| Transmission - Noisy | No |
| Case | Good |
| Controls | Good |
| Cooler | Good |
| Lines / Fittings | Good |
| Operating Condition - TRANSMISSION | Fair |
| Pump - TRANSMISSION | Poor - noisy |
| Seals | Fair |
| Temp / Pressure Gauges | Good |
| Transmission - Forward Shifts | Good |
| Transmission - Reverse Shifts | Good |
| Universal Joints | Fair |
| STEERING |
| Steering Linkage | Good |
| Steering Motor | Good |
| Steering Valves / Pumps | Good |
| BRAKE |
| Brake Linkage | Good |
| Lines - BRAKE | Good |
| Operating Condition - BRAKE | Good |
| Parking Brake | Good |
| Pump - BRAKE | Good |
| Type (Pedal, Lever) | Good |
| HYDRAULICS |
| Leaks - HYDRAULICS | Yes - around pump |
| Bucket & Hoist Kickout | Good |
| Bucket Cylinder | Good |
| Control Linkage - HYDRAULICS | Good |
| Hoist Cylinder | Good |
| Hose Lines | Fair |
| Overall Operating Condition | Good |
| Pumps & Valves | Good |
| Tank | Fair |
| Tilt Cylinder | Good |
| BUCKET |
| Bucket Capacity | - n/a |
| Bucket S/N | - n/a |
| Bucket Bottom | Good |
| Bucket Floor | Good |
| Bucket Linkage - BUCKET | Good |
| Bucket Linkage - BUCKET 1 | Good |
| Bucket Sides | Good |
| Cutting Edges | Fair |
| Loader Frame | Good |
| Loader Pins & Bushings | Poor - bolts broke off of front pins for lift cylinder |
| Segments | Good |
| Teeth / Adapters | Good |
| RIPPER / GRAPPLE / WINCH |
| Notes - RIPPER / GRAPPLE / WINCH | - n/a |
| FINAL DRIVES |
| Differential | Good |
| Housings, Left | Good |
| Housings, Right | Good |
| Planetaries, Left | Good |
| Planetaries, Right | Good |
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