| GENERAL APPEARANCE |
| Cleaning Required | Yes |
| S.O.S. Taken | Yes - Engine, transmission and hydraulic |
| Cab or Canopy | Good |
| Decals | Fair - Decals are scratched and peeling |
| Fuel Tank | Good |
| Grab Irons | Good |
| Paint | 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 Parts Manual | No |
| Current Safety Manual | Yes |
| Air Conditioner - GAUGES, OPERATOR STATION, CONSOLE | Good |
| Dash Console | Good |
| EMS Panel / Warnings | Good |
| Gauges | Good |
| Glass/Mirrors | Good |
| Heater | Good |
| Interior Lights | Good |
| Seat Cushion / Arm Rest | Good |
| Switches | Good |
| Windshield Wipers | Good |
| ENGINE |
| Blow By | No |
| Compression in Radiator | No |
| Fluid Levels OK? | Yes |
| Knocking | No |
| Oil Leaks | No |
| Water in Oil | No |
| Oil Pressure (H/L/N) | - Normal |
| Engine Supports | Good |
| Fuel Injection System | Good |
| Operating Condition - ENGINE | Good |
| Turbocharger / Blower | Good |
| COOLING SYSTEM |
| Belts / Pulleys - COOLING SYSTEM | Good |
| Coolers | Good |
| Fan | Good |
| Hoses | Good |
| Radiator | Good |
| Water Pump | Good |
| ELECTRICAL, STARTING AND CHARGING SYSTEM |
| Block Heater | Yes |
| Signal Lights | Yes |
| Alternator | Good |
| Batteries / Cables | Good |
| Starter | Good |
| Wiring | Good |
| TRANSMISSION |
| Leaks - TRANSMISSION | No |
| Transmission - Noisy | No |
| Case - TRANSMISSION | Good |
| Controls - TRANSMISSION | Good |
| Cooler | Good |
| Lines / Fittings - TRANSMISSION | Good |
| Operating Condition - TRANSMISSION | Good |
| Pump - TRANSMISSION | Good |
| Seals | Good |
| Transmission - Forward Shifts | Good |
| Transmission - Reverse Shifts | Good |
| STEERING |
| Articulate P & B | Good |
| King Pins | Good |
| Steering Cylinder | Good |
| Steering Linkage | Good |
| Tie Rods / Rod Ends | Good |
| Wheel Lean Cylinder - STEERING | Good |
| BRAKE |
| Accumulators | Good |
| Brake Linkage | Good |
| Control Valve | Good |
| Lines | Good |
| DRIVECHAIN / TANDEMS |
| Wheel Lugs & Rims | Good |
| HYDRAULICS |
| Leaks - HYDRAULICS | No |
| Circle Drive Box | Good |
| Circle Side Shift Cylinder | Good |
| Hydraulic Pump | Good |
| Lift Cylinders | Good |
| Linkage | Good |
| Side Shift Cylinder | Good |
| Tip Cylinder | Good |
| BLADE |
| Circle A Frame | Good |
| Face / Moldboard | Good |
| RIPPER |
| Frame | Good |
| Lines / Fittings - RIPPER | Good |
| TIRES |
| Average Life Remaining - TIRES | - 31.60% |
| Tire Size - TIRES | - 14.00R24 |
| Left Front | |
| Left Rear | |
| Right Front | |
| Right Rear | |
| COMMENTS, MISC. REPAIRS, GENERAL REMARKS |
| comment 1 | - First Inspection |
| comment 2 | - Final Inspection |
| comment 3 | - Wash |
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