GENERAL CONDITION
Machine Starts and is OperableYes
Tires are Aired Up and DrivableYes
GENERAL APPEARANCE
Cab or Canopy
Counterweight
Eng. Enclose Hood / Stack
Fenders
Fuel Tank
Grab Irons
Paint
Sheet Metal
Steps / Ladder
SAFETY ITEMS
Back Up Alarm FunctioningNo
Brakes FunctioningYes
Brake Hold
Glass / Mirrors
Parking Brake - SAFETY ITEMS
OPERATOR STATION
Back Up AlarmNo
Air Conditioner
Dash Console
Floor Boards
Heater
Meter
Seat Cushion / Arm Rest
ENGINE
Blow ByNo
Fluid Levels OK?Yes
KnockingNo
Oil LeaksYes
Notes - ENGINEHead gasket leaking
Exhaust / Muffler
Operating Condition - ENGINE
ELECTRICAL, STARTING AND CHARGING SYSTEM
Batteries / Cables
Lighting
Starter
TRANSMISSION
Leaks - TRANSMISSIONNo
Transmission - NoisyNo
Drive Shaft
Operating Condition - TRANSMISSION
Torque Converter - TRANSMISSION
Transmission
Transmission - Forward Shifts
Transmission - Reverse Shifts
STEERING
Articulate P & B
Steering Linkage
BRAKE
Holds In ParkYes
Leaks - BRAKENo
Brake Drums / Rotors
Parking Brake - BRAKE
HYDRAULICS
Leaks - HYDRAULICSNo
Bucket & Hoist Kickout
Bucket Cylinder
Lift Cylinders
Overall Operating Condition
Pumps & Valves
Tilt Cylinder
BUCKET
High LiftNo
Standard LiftYes
Bucket Bottom
Bucket P & B
Bucket Sides
Cutting Edges
FINAL DRIVES
Leaks - FINAL DRIVESNo
Differentials
Front Axle
Rear Axle
TIRES
Average Life Remaining - TIRES20%