Yes : ✔ No : ✖ Good : ●●● Fair : ●● Poor : ● |
| GENERAL CONDITION |
| S.O.S. (All Compartments) | ✖ |
| GENERAL APPEARANCE |
| Cleaning Required | ✔ |
| SAFETY ITEMS |
| ROPS Certification Plate | ✔ |
| OPERATOR STATION |
| Current O&MM | ✖ |
| ENGINE |
| Blow By | ✔ |
| Fuel Leaks | ✖ |
| Knocking | ✖ |
| Oil Leaks | ✔ |
| Water in Oil | ✖ |
| COOLING SYSTEM |
| Coolers | ●●● |
| Fan | ●●● |
| Radiator | ●●● |
| Water Pump | ●●● |
| ELECTRICAL, STARTING AND CHARGING SYSTEM |
| Block Heater | ✔ |
| Ether Aid | ✔ |
| TRANSMISSION |
| Case | ●● |
| Drive Shaft | ●●● |
| Leaks - TRANSMISSION | ●● |
| Operating Condition - TRANSMISSION | ●●● |
| Transmission - Forward Shifts | ●●● |
| Transmission - Reverse Shifts | ●●● |
| STEERING |
| Steering Cylinder | ●●● |
| Steering Linkage | ●● |
| Steering Wheel Tilt / Extend | ●●● |
| BRAKE |
| Brake Drums / Rotors | ●●● |
| Parking Brake - BRAKE | ●●● |
| HYDRAULICS |
| Accumulator Charge - Ride Control | ●●● |
| Bucket & Hoist Kickout | ●●● |
| Control Linkage | ●●● |
| Hose Lines | ●● |
| Lift Cylinders | ●●● |
| Overall Operating Condition | ●●● |
| Tank | ●● |
| Tilt Cylinder | ●●● |
| ATTACHMENTS / WORK TOOLS |
| Operating Condition - ATTACHMENTS / WORK TOOLS | ●●● |
| BUCKET |
| Notes - BUCKET | • 3RD VALVE, LINES TO END OF LOADER FRAME |
| FINAL DRIVES |
| Wheel Lugs & Rims - FINAL DRIVES | ●●● |
| TIRES |
| Tire Size - TIRES | BRIDGESTONE VJT 23.5 R25 |
| COMMENTS, MISC. REPAIRS, GENERAL REMARKS |
| comment 1 | CUSTOMER RECENTLY REPLACED DPF 3/18/26 HRS |
| comment 2 | INSPECTED 7/6/26 @ 11095.2 HRS |