| GENERAL APPEARANCE |
| S.O.S. Taken | No |
| Cab or Canopy | Good |
| Counterweight | Good |
| Crankcase Guard / Battery Box | Good |
| Eng. Enclose Hood / Stack | Good |
| Fenders | Good |
| Fuel Tank | Good |
| Grab Irons | Good |
| Main Frame Welds | Good |
| Paint | Good |
| Radiator Grill & Shroud | Good |
| Steps / Ladder | Good |
| SAFETY ITEMS |
| Back Up Alarm | Good |
| Brake Hold | Good - all gears |
| Glass / Mirrors | Good |
| Horn | Good |
| Parking Brake | Good |
| ROPS or Non-ROPS | Good |
| Seat Belt | Fair - age |
| GAUGES, OPERATOR STATION, CONSOLE |
| Current O&MM | No |
| Current Parts Manual | No |
| Current Safety Manual | Yes |
| Air Conditioner | Good |
| Dash Console | Good |
| Door Latches | Fair - Hard to open cab door, needs adj |
| EMS Panel / Warnings | Good |
| Floor Boards | Good |
| Gauges | Good |
| Heater | Good |
| Interior Lights | Good |
| Meter | Good - 1025 hrs |
| 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 |
| Anti-Freeze Color | - RED |
| Smoke (B/D/L/W) | - No smoke at start or operation |
| Air Cleaners | Fair |
| Engine Supports | Good |
| Fuel Injection System | Good |
| Governor | Good |
| Turbocharger / Blower | Good |
| COOLING SYSTEM |
| Belts / Pulleys | Good |
| Coolers | Good |
| Fan | Good |
| Hoses | Good |
| Radiator | Good |
| Water Pump | Good |
| ELECTRICAL, STARTING AND CHARGING SYSTEM |
| Alternator | Good |
| Batteries / Cables | Fair - terminal has corrosion |
| Lighting | Good - LEDs all work |
| Pre-Heater | Good |
| Starter | Good |
| Wiring | Good |
| TRANSMISSION |
| Transmission - Noisy | No |
| Case | Good |
| Controls | Good |
| Seals | Good |
| Temp / Pressure Gauges | Good |
| Torque Converter | Good |
| Transmission - Forward | Good |
| Transmission - Reverse | Good |
| Transmission - Type | Good - Power shuttle |
| Universal Joints | Good |
| STEERING |
| Notes - STEERING | - all steering function work |
| Articulate P & B | Good |
| Front Axle | Good |
| Pivot P & B Trunnions | Good |
| Steering Cylinder | Good |
| Steering Linkage | Good |
| Steering Valves / Pumps | Good |
| Suspension Cylinders | Good |
| Tie Rods / Rod Ends | Good |
| BRAKE |
| Brake Drums / Rotors | Good |
| Control Valve | Good |
| Lines | Good |
| Master Cylinder | Good |
| Type (Pedal, Lever) | Good |
| Type (Wet, Dry) | Good - wet |
| HYDRAULICS |
| Carriage Cylinder | Good |
| Frame Cylinder | Good |
| Hose Lines | Good |
| Lift Cylinders | Good |
| Linkage | Good |
| Pumps & Valves | Good |
| Stabilizer Cylinders | Good |
| Tank | Good |
| Trunnions | Good |
| BOOM |
| Boom Length (Actual Length) | - 40 |
| Notes | - adj shims |
| Boom Condition | Good |
| Boom Pins | Good |
| Pins & Bushings | Good |
| TIRES |
| Average Life Remaining - TIRES | - 5-10% |
| Tire Size - TIRES | - 15.5-25 |
| Left Front | |
| Left Rear | |
| Right Front | |
| Right Rear | |
| COMMENTS, MISC. REPAIRS, GENERAL REMARKS |
| comment 1 | - Pics |
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