| GENERAL APPEARANCE |
| Cleaning Required | No |
| S.O.S. Taken | No |
| Notes - GENERAL APPEARANCE | - Overall good |
| Cab or Canopy | Good |
| Crankcase Guard / Battery Box | Good |
| Eng. Enclose Hood / Stack | Good |
| Fuel Tank | Good |
| Grab Irons | Good |
| Main Frame | Good |
| Paint | Good |
| Plastic | Good |
| Pre-Cleaner Bowl | Good |
| Radiator Grill & Shroud | Good |
| Rear Frame | Good |
| Sheet Metal | Good |
| Steps / Ladder | Good |
| SAFETY ITEMS |
| ROPS | Yes |
| Safety Decals In Place | Yes |
| Safety Decals Legible | Yes |
| Notes - SAFETY ITEMS | - Overall good |
| Horn | Good |
| 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 | - Full |
| Fuel Level | - Full |
| Air Conditioner | Good |
| Dash Console | Good |
| Door Latches | Good |
| EMS Panel / Warnings | Good |
| Floor Boards | Good |
| Gauges | Good |
| Glass/Mirrors | Good |
| Heater | Good |
| Interior Lights | Good |
| Meter | Good |
| Seat Belt | Good |
| Seat Cushion / Arm Rest | Good |
| Switches | Good |
| Windshield Wipers | Good |
| ENGINE |
| Blow By | No |
| Compression in Radiator | No |
| EPA Decal | Yes |
| Knocking | No |
| Oil Leaks | No |
| Water in Oil | No |
| Anti-Freeze Color | - Red |
| Notes - ENGINE | - Overall good |
| Oil Pressure (H/L/N) | - Normal |
| Smoke (B/D/L/W) | - No |
| Air Cleaners | Good |
| Belts / Pulleys | Good |
| Engine Supports | Good |
| Exhaust / Muffler | Good |
| Fuel Injection System | Good |
| Governor | Good |
| Oil Filter Condition (CUT) - ENGINE | Good |
| Operating Condition - ENGINE | Good |
| Turbocharger / Blower | Good |
| COOLING SYSTEM |
| Leaks - COOLING SYSTEM | No |
| Notes - COOLING SYSTEM | - Overall good |
| Coolers | Good |
| Fan | Good |
| Fan Drive | Good |
| Hoses | Good |
| Radiator | Good |
| Water Pump | Good |
| ELECTRICAL, STARTING AND CHARGING SYSTEM |
| Block Heater | No |
| Ether Aid | No |
| Notes - ELECTRICAL, STARTING AND CHARGING SYSTEM | - Overall good |
| Alternator | Good |
| Batteries / Cables | Good |
| Lighting | Good |
| Pre-Heater | Good |
| Starter | Good |
| Wiring | Good |
| TRANSMISSION |
| Leaks - TRANSMISSION | No |
| Transmission - Noisy | No |
| Notes - TRANSMISSION | - Overall good |
| Controls | Good |
| Cooler | Good |
| Lines / Fittings | Good |
| Oil Filter Condition (CUT) - 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 Motor | Good |
| Steering Valves / Pumps | Good |
| BRAKE |
| Notes - BRAKE | - Overall good |
| Brake Linkage | Good |
| Control Valve | Good |
| Lines - BRAKE | Good |
| Operating Condition - BRAKE | Good |
| Parking Brake | Good |
| Pump - BRAKE | Good |
| Type (Pedal, Lever) | Good |
| Type (Wet, Dry) | Good |
| HYDRAULICS |
| Leaks - HYDRAULICS | No |
| Notes - HYDRAULICS | - Overall good |
| Bucket & Hoist Kickout | Good |
| Bucket Cylinder | Good |
| Control Linkage - HYDRAULICS | Good |
| Filter Condition (CUT) | Good |
| Hoist Cylinder | Good |
| Hose Lines | Good |
| Overall Operating Condition | Good |
| Pumps & Valves | Good |
| Tank | Good |
| Tilt Cylinder | Good |
| BUCKET |
| Bucket S/N | - 7nw16567 |
| Notes - BUCKET | - Overall good |
| Bucket Bottom | Good |
| Bucket Floor | Good |
| Bucket Linkage - BUCKET | Good |
| Bucket Linkage - BUCKET 1 | Good |
| Bucket Sides | Good |
| Loader Frame | Good |
| Loader Pins & Bushings | Good |
| Segments | Good |
| Teeth / Adapters | Good |
| RIPPER / GRAPPLE / WINCH |
| Hydraulic Winch | No |
| Mechanical Winch | No |
| Notes - RIPPER / GRAPPLE / WINCH | - Ripper good |
| Control Linkage - RIPPER / GRAPPLE / WINCH | Good |
| Lines - RIPPER / GRAPPLE / WINCH | Good |
| Pins & Bushings | Good |
| Pump - RIPPER / GRAPPLE / WINCH | Good |
| Shanks / Get | Good |
| UNDERCARRIAGE |
| Pins & Bushings Turned? | No |
| Track Frame - Left | Good |
| Track Frame - Right | Good |
| FINAL DRIVES |
| Notes - FINAL DRIVES | - Overall good |
| Housings, Left | Good |
| Housings, Right | Good |
| Planetaries, Left | Good |
| Planetaries, Right | Good |
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