| GENERAL APPEARANCE |
| Cleaning Required | Yes |
| Operations and Maintenance Manuals Present | No |
| S.O.S. Taken | No |
| Crankcase Guard / Battery Box | Good |
| Eng. Enclose Hood / Stack | Fair |
| Fuel Tank | Good |
| Grab Irons | Good |
| Main Frame Welds | Good |
| Paint | Fair |
| Plastic | Good |
| Radiator Grill & Shroud | Good |
| SAFETY ITEMS |
| Inspection Sticker Dated | Yes |
| Safety Decals In Place | Yes |
| Safety Decals Legible | Yes |
| Back Up Alarm | Good |
| Horn | Good |
| GAUGES, OPERATOR STATION, CONSOLE |
| Controls Neutral/off | Yes |
| Current Parts Manual | No |
| Current Safety Manual | Yes |
| Dash Console | Fair |
| Drive Brakes | Good |
| Drive Unit | Good |
| Foot Switch | Good |
| Gauges | Fair |
| Meter | Good |
| Swing Brakes | Good |
| Switches | Good |
| ENGINE |
| Anti-Freeze Color | - Normal |
| Notes - ENGINE | - Small oil leak near valve cover |
| Oil Pressure (H/L/N) | - Normal |
| Smoke (B/D/L/W) | - Black / Normal |
| Blow By | No |
| Compression in Radiator | No |
| EPA Decal | Yes |
| Fluid Levels OK? | Yes |
| Knocking | No |
| Oil Leaks | Yes |
| Water in Oil | No |
| Air Cleaner | Good |
| Belts / Pulleys | Good |
| Engine Supports | Good |
| Exhaust / Muffler | Good |
| Fuel Injection System | Good |
| Governor | Good |
| Overall Operating Condition - ENGINE | Good |
| COOLING SYSTEM |
| Leaks - COOLING SYSTEM | No |
| Coolers | Good |
| Fan | Good |
| Hoses | Good |
| Radiator | Good |
| Water Pump | Good |
| ELECTRICAL, STARTING AND CHARGING SYSTEM |
| Alternator | Good |
| Batteries / Cables | Good |
| Pre-Heater | Good |
| Starter | Good |
| Wiring | Good |
| STEERING |
| Front Axle - STEERING | Good |
| Lines / Fittings | Good |
| Pumps | Good |
| Steering Controls | Good |
| Steering Cylinder | Good |
| Steering Linkage | Good |
| Tie Rods / Rod Ends | Good |
| Valves | Good |
| HYDRAULICS |
| Leaks - HYDRAULICS | No |
| Control Linkage | Good |
| Hose fittings | Good |
| Hose Lines | Good |
| Lift Cylinders | Good |
| Overall Operating Condition - HYDRAULICS | Good |
| Pump & Valves | Good |
| Tank | Good |
| BOOM |
| Notes | - Boom needs shimmed and cables adjusted |
| Boom Condition | Poor - Fly section needs replaced as per State College service inspection |
| Boom Pins | Good |
| Pins & Bushings | Fair |
| PLATFORM |
| Lanyard anchors | Yes |
| Lanyard anchors Labeled | No |
| Floor | Poor - Needs cracks repaired |
| Gate / Latch | Fair |
| Guards | Fair |
| Rails | Fair |
| FINAL DRIVES |
| Drive Motors | Good |
| Front Axle - FINAL DRIVES | Good |
| Front Final Drives | Good |
| Rear Axle | Good |
| Rear Final Drives | Good |
| Wheel Lugs & Rims | Good |
| TIRES |
| Spare | No |
| Tires Needed | No |
| Average Life Remaining - TIRES | - 95 |
| Front Tire Size | - 15-19.5 |
| Rear Tire Size | - 15-19.5 |
| Left Front | |
| Left Rear | |
| Right Front | |
| Right Rear | |
| CHASSIS |
| Axle Oscillation | Good |
| TURNTABLE |
| Swing Drive and Gear Secure | Yes |
| Swing Bolts | Good |
| Swing Drive and Gear | Good |
| Turntable bearing | Good |
| Turntable Bearing Lubrication | Good |
| COMMENTS, MISC. REPAIRS, GENERAL REMARKS |
| Repairs Needed | Yes |
| comment 1 | - Needs swivel re sealed |
| comment 2 | - Needs new basket rotator |
| SERVICE |
| Sevice Needed | Good |
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