|
YEAR: DATE OF INSPECTION:
|
|
MAKE:
|
|
MODEL: INSPECTOR:
|
|
SERIAL NUMBER:
|
|
HOUR METER READING: LOCATION:
|
|
TOTAL HOURS:
|
|
INSTALLED EQUIPMENT
|
|
EROPS / OROPS
|
TIRE SIZE
|
TIRE AVG COND
|
|
RIDE CONTROL
|
STANDARD STEER
|
COMMAND STEER
|
|
AUTO SHIFT
|
LIMITED SLIP
|
SUPP STEER
|
|
TRANS TYPE
|
WEIGHT MONITOR
|
AXLE COOLERS
|
|
SINGLE LEVER
|
HIGH LIFT
|
COUNTER WEIGHT
|
|
THIRD VALVE
|
BUCKET TYPE
|
BUCKET SIZE
|
|
FORKS
|
LIGHTING SYSTEM
|
TRANS TYPE
|
|
WASTE ARRANG
|
FORESTRY ARRANG
|
DEMO ARRANG
|
|
GUARDING
|
HIGH AMBIENT
|
AUTOLUBE
|
|
OTHER:
|
CONDITION (E) EXCELLENT (V) VERY GOOD (G) GOOD (F) FAIR (P) POOR
|
OPERATORS COMPARTMENT
|
E
|
VG
|
G
|
F
|
P
|
NOTES
|
|
ROPS STRUCTURE INTEGRITY
|
|
|
|
|
|
|
|
CAB CONDITION OVERALL
|
|
|
|
|
|
|
|
STEERING WHEEL / COLUMN
|
|
|
|
|
|
|
|
SEAT CONDITION/ OPERATION
|
|
|
|
|
|
|
|
SEAT BELT / ARMREST
|
|
|
|
|
|
|
|
INSTRUMENT GUAGES
|
|
|
|
|
|
|
|
INTERIOR LIGHTS
|
|
|
|
|
|
|
|
BACK UP ALARM
|
|
|
|
|
|
|
|
GLASS / WINDOWS OPERATION
|
|
|
|
|
|
|
|
D00RS (OPERATION/ HANDLES)
|
|
|
|
|
|
|
|
WIPERS
|
|
|
|
|
|
|
|
FLOOR MAT / HEADLINER
|
|
|
|
|
|
|
|
HEATER / A/C
|
|
|
|
|
|
|
|
FANS / VENTS
|
|
|
|
|
|
|
|
CAB CONTROLS
|
|
|
|
|
|
|
|
HORN/ STEREO
|
|
|
|
|
|
|
|
OPERATORS MANUAL
|
|
|
|
|
|
|
|
OVERALL ASSESSMENT: ADDITIONAL NOTES:
|
|
COSMETIC / EXTERIOR
|
E
|
VG
|
G
|
F
|
P
|
NOTES
|
|
LADDERS / PLATFORMS
|
|
|
|
|
|
|
|
STEPS / GRAB IRON
|
|
|
|
|
|
|
|
FENDERS
|
|
|
|
|
|
|
|
HOOD CONDITION (OPEN/CLOSE)
|
|
|
|
|
|
|
|
PAINT / DECALS
|
|
|
|
|
|
|
|
COUNTERWEIGHT
|
|
|
|
|
|
|
|
RADIATOR SHROUD
|
|
|
|
|
|
|
|
UNDERNEATH
|
|
|
|
|
|
|
|
INSPECTION/ ENGINE DOORS
|
|
|
|
|
|
|
|
FRONT/ REAR LIGHTS
|
|
|
|
|
|
|
|
CRANK CASE GUARD
|
|
|
|
|
|
|
|
SHEET METAL
|
|
|
|
|
|
|
|
DOOR LATCHES
|
|
|
|
|
|
|
|
OVERALL ASSESSMENT: ADDITIONAL NOTES:
|
CONDITION (E) EXCELLENT (V) VERY GOOD (G) GOOD (F) FAIR (P) POOR
|
STRUCTURAL
|
E
|
VG
|
G
|
F
|
P
|
NOTES
|
|
STRUCTURAL DAMAGE
|
|
|
|
|
|
|
|
MAIN FRAME CRACKS
|
|
|
|
|
|
|
|
STEERING CYLINDER PINS
|
|
|
|
|
|
|
|
LIFT CYLINDER PINS
|
|
|
|
|
|
|
|
BUCKET PINS
|
|
|
|
|
|
|
|
Z BAR CONDITION
|
|
|
|
|
|
|
|
LOADER FRAME CRACKS
|
|
|
|
|
|
|
|
ARTICULATION JOINT
|
|
|
|
|
|
|
|
TRUNION OSCILLATION
|
|
|
|
|
|
|
|
OVERALL ASSESSMENT: ADDITIONAL NOTES:
|
|
BUCKET/ ATTACHMENTS
|
E
|
VG
|
G
|
F
|
P
|
NOTES
|
|
BUCKET MAKE
|
|
|
|
|
|
|
|
BUCKET TYPE
|
|
|
|
|
|
|
|
BUCKET SIZE
|
|
|
|
|
|
|
|
OVERALL CONDITION
|
|
|
|
|
|
|
|
FLOOR
|
|
|
|
|
|
|
|
EDGE
|
|
|
|
|
|
|
|
BUCKET SIDE
|
|
|
|
|
|
|
|
CUTING EDGE / TOOTH CONDITION
|
|
|
|
|
|
|
|
QC MAKE
|
|
|
|
|
|
|
|
QC TYPE
|
|
|
|
|
|
|
|
QC OPERATION/CONDITION
|
|
|
|
|
|
|
|
ATTACH MAKE
|
|
|
|
|
|
|
|
ATTACH TYPE (IF APPLICABLE)
|
|
|
|
|
|
|
|
ATTACH SIZE
|
|
|
|
|
|
|
|
ATTACHMENT CONDITION
|
|
|
|
|
|
|
|
OVERALL ASSESSMENT: ADDITIONAL NOTES:
|
CONDITION (E) EXCELLENT (V) VERY GOOD (G) GOOD (F) FAIR (P) POOR
|
HYDRAULICS
|
E
|
VG
|
G
|
F
|
P
|
NOTES
|
|
OIL LEVEL
|
|
|
|
|
|
|
|
PUMP NOISE / LEAKS
|
|
|
|
|
|
|
|
AUX VALVES/ LINES
|
|
|
|
|
|
|
|
TANK
|
|
|
|
|
|
|
|
VALVES
|
|
|
|
|
|
|
|
STEERING/ HMU
|
|
|
|
|
|
|
|
LINE/ HOSE CONDITION
|
|
|
|
|
|
|
|
BUCKET/ LIFT KICKOUTS
|
|
|
|
|
|
|
|
CAB CONTROLS
|
|
|
|
|
|
|
|
TILT CYLINDERS
|
|
|
|
|
|
|
|
STEERING / LIFT CYLINDERS
|
|
|
|
|
|
|
|
HIGH FLOW/ HYDS
|
|
|
|
|
|
|
|
AUX HYD/ QC
|
|
|
|
|
|
|
|
ACCUMLATOR CHARGE
|
|
|
|
|
|
|
|
RIDE CONTROL
|
|
|
|
|
|
|
|
OVERALL ASSESSMENT: ADDITIONAL NOTES:
|
|
POWERTRAIN
|
E
|
VG
|
G
|
F
|
P
|
NOTES
|
|
ENGINE MAKE / MODEL
|
|
|
|
|
|
|
|
EPA TIER
|
|
|
|
|
|
|
|
ENGINE SN
|
|
|
|
|
|
|
|
SMOKE / BLOW BY
|
|
|
|
|
|
|
|
ENGINE OIL LEVEL / CONDITION
|
|
|
|
|
|
|
|
ENGINE OIL LEAKS
|
|
|
|
|
|
|
|
RADIATOR CAP
|
|
|
|
|
|
|
|
COOLANT LEVEL/CONDITION
|
|
|
|
|
|
|
|
BELTS/ HOSES
|
|
|
|
|
|
|
|
TURBO
|
|
|
|
|
|
|
|
EITHER
|
|
|
|
|
|
|
|
TRANSMISSION TYPE
|
|
|
|
|
|
|
|
TRANSMISSION OPERATION
|
|
|
|
|
|
|
|
TRANSMISSION OIL / LEAKS
|
|
|
|
|
|
|
|
TRANS SHIFT CONTROLS/ LINKAGE
|
|
|
|
|
|
|
|
TORQUE CONVERTOR OPERATION
|
|
|
|
|
|
|
|
FINAL DRIVES/ DRIVE LINES
|
|
|
|
|
|
|
|
BRAKES
|
|
|
|
|
|
|
|
PARK BRAKE
|
|
|
|
|
|
|
|
DIFFERENTIAL LOCK
|
|
|
|
|
|
|
|
FRONT/REAR DIFF OPERATION
|
|
|
|
|
|
|
|
OVERALL ASSESSMENT: ADDITIONAL NOTES:
|
|
TIRES
|
TIRE MAKE / MODEL
|
% REMAINIING
|
NOTES
|
|
LEFT FRONT
|
|
|
|
|
RIGHT FRONT
|
|
|
|
|
LEFT REAR
|
|
|
|
|
RIGHT REAR
|
|
|
|
|
TIRE SIZE
|
|
|
OVERALL ASSESSMENT: ADDITIONAL NOTES:
|
ACCEPTED INSPECTION TERMS:
Dry = No oil loss at seals Seep = Oil slowly accumulating Wet = Fresh Oil Sitting on Seal LEAK = Needs immediate repair / replacement
Tight = Joint moves as new Movement = Joint shows normal use Play = Joint will need eventual attention Loose = Joint needs immediate repair / replacement
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