Yes : ✔ No : ✖ Good : ●●● Fair : ●● Poor : ● |
| GENERAL APPEARANCE |
| Cleaning Required | ✔ |
| S.O.S. Taken | ✖ |
| Cleaning Required | ✔ |
| S.O.S. Taken | ✖ |
| SAFETY ITEMS |
| ROPS | ✔ |
| Safety Decals In Place | ✔ |
| Safety Decals Legible | ✔ |
| ROPS | ✔ |
| Safety Decals In Place | ✔ |
| Safety Decals Legible | ✔ |
| OPERATOR STATION |
| Back Up Alarm | ✔ |
| Current O&MM | ✔ |
| Current Parts Manual | ✖ |
| Current Safety Manual | ✔ |
| ROPS Certification Plate | ✔ |
| Back Up Alarm | ✔ |
| Current O&MM | ✔ |
| Current Parts Manual | ✖ |
| Current Safety Manual | ✔ |
| ROPS Certification Plate | ✔ |
| ENGINE |
| Blow By | ✖ |
| Compression in Radiator | ✖ |
| Emissions Decal | ✔ |
| Fluid Levels OK? | ✔ |
| Knocking | ✖ |
| Oil Leaks | ✖ |
| Water in Oil | ✖ |
| Blow By | ✖ |
| Compression in Radiator | ✖ |
| Emissions Decal | ✔ |
| Fluid Levels OK? | ✔ |
| Knocking | ✖ |
| Oil Leaks | ✖ |
| Water in Oil | ✖ |
| COOLING SYSTEM |
| Leaks - COOLING SYSTEM | ✖ |
| Leaks - COOLING SYSTEM | ✖ |
| ELECTRICAL, STARTING AND CHARGING SYSTEM |
| Block Heater | ✖ |
| Block Heater | ✖ |
| HYDRAULICS |
| Lift Cylinders | ●●● |
| Tank | ●●● |
| Tilt Cylinder | ●●● |
| Lift Cylinders | ●●● |
| Tank | ●●● |
| Tilt Cylinder | ●●● |
| ATTACHMENTS / WORK TOOLS |
| Other | Grapple |
| Other | Grapple |
| BUCKET |
| Loader Frame | ●●● |
| Loader Pins & Bushings | ●●● |
| Quick Coupler | ●●● |
| Loader Frame | ●●● |
| Loader Pins & Bushings | ●●● |
| Quick Coupler | ●●● |
| COMMENTS, MISC. REPAIRS, GENERAL REMARKS |
| comment 1 | Seized grease zerk on lift linkage |
| comment 2 | Cab light inop |
| comment 3 | Cup holder broken |
| comment 1 | Seized grease zerk on lift linkage |
| comment 2 | Cab light inop |
| comment 3 | Cup holder broken |
| GAUGES, OPERATOR STATION, CONSOLE |
| Fuel Level - OPERATOR STATION | 1/4 |
| Fuel Level - OPERATOR STATION | 1/4 |