Yes : ✔ No : ✖ Good : ●●● Fair : ●● Poor : ● |
| GENERAL CONDITION |
| Machine Starts and is Operable | ✔ |
| S.O.S. (All Compartments) | ✖ |
| Tires are Aired Up and Drivable | ✔ |
| VIDS/VIMS Download Available | ✖ |
| GENERAL APPEARANCE |
| Cab or Canopy | ●● |
| Counterweight | ●●● |
| Crankcase Guard / Battery Box | ●●● |
| Decals | ●● |
| Eng. Enclose Hood / Stack | ●●● |
| Fenders | ●● |
| Fuel Tank | ●●● |
| Grab Irons | ●●● |
| Paint | ●● |
| Radiator Grill & Shroud | ●●● |
| Sheet Metal | ●● |
| Steps / Ladder | ●● |
| SAFETY ITEMS |
| ROPS Certification Plate | ✔ |
| Safety Decals In Place | ✖ |
| Safety Decals Legible | ✖ |
| OPERATOR STATION |
| Dash Console | ●● |
| Gauges | ●● |
| Interior Lights | ● |
| Switches | ●● |
| Windows | ●● |
| Windshield Wipers | ●●● |
| ENGINE |
| Apparent Other Engine Damage | ✖ |
| Blow By | ✔ |
| Fuel Leaks | ✖ |
| Knocking | ✖ |
| Oil Leaks | ✔ |
| Water in Oil | ✖ |
| COOLING SYSTEM |
| Belts / Pulleys - COOLING SYSTEM | ●●● |
| Fan | ●●● |
| Radiator | ●● |
| Water Pump | ●●● |
| ELECTRICAL, STARTING AND CHARGING SYSTEM |
| Alternator | ●●● |
| Pre-Heater | ●●● |
| Wiring | ●●● |
| TRANSMISSION |
| Mag Screens Checked | ✖ |
| Transmission - Noisy | ✖ |
| STEERING |
| Articulate P & B | ●● |
| Hand Metering Unit | ●● |
| Lines / Fittings - STEERING | ●●● |
| Steering Cylinder | ●●● |
| Steering Linkage | ●●● |
| Steering Valves / Pumps | ●●● |
| Steering Wheel Tilt / Extend | ●● |
| BRAKE |
| Holds In Park | ✔ |
| Leaks - BRAKE | ✖ |
| HYDRAULICS |
| Bucket & Hoist Kickout | ●● |
| Control Linkage | ●●● |
| Hose Lines | ●● |
| Hoses & Tubes - HYDRAULICS | ●●● |
| Lift Cylinders | ●● |
| Overall Operating Condition | ●●● |
| Pumps & Valves | ●●● |
| Tank | ●●● |
| Tilt Cylinder | ●●● |
| BUCKET |
| High Lift | ✖ |
| Standard Lift | ✔ |
| FINAL DRIVES |
| Leaks - FINAL DRIVES | ✖ |
| TIRES |
| Spare | ✖ |