Loader Inspection

Vehicle info

• Conducted on

  Date

• Prepared by

• Make model vin

• Service required?

Exterior items inspection

• Door latches

  Safe

  At Risk

  N/A

• Grab handles

  Safe

  At Risk

  N/A

• Engine oil

  Level ok

  Needs more

  too full

• Transmission oil

  Level ok

  Needs more

  too full

• Front axle

  Safe

  At Risk

  N/A

• Rear axle

  Safe

  At Risk

  N/A

• Axle damage

  Media

• Air filter

  Safe

  At Risk

  N/A

• Fan belts

  Safe

  At Risk

  N/A

• Tires

  Safe

  At Risk

  N/A

• Hydraulic cylinders and rods

  Yes

  No

  N/A

• Is the machine greased?

  Yes

  No

  N/A

• Battery

  ok

  low

  corroded

• Lights

  Functions

  Does NOT function

• Light damage

  Media

• Drive line

  Safe

  At Risk

  N/A

• Pins / bushings

  Safe

  At Risk

  N/A

Interior Inspection Items

• Hours

• Auto Shift

  Functions

  Does NOT function

• Seat belts

  Safe

  At Risk

  N/A

• Do the brakes operate safely?

  Yes

  No

  N/A

• Parking brake

  Functions

  Does NOT function

• Wipers

  Functions

  Does NOT function

• Backup alarm

  Functions

  Does NOT function

• Windows

  Safe

  At Risk

  N/A

• EMS/Gauges

  Functions

  Does NOT function

• A/C and heater

  Functions

  Does NOT function

• Comments or detail

• Pictures of damage

  Media

• You certify this inspection was completed to the best of your knowledge and experience.

  Sign