Information

  • Document No.

  • Year - Make - Model - S/N

  • Customer

  • Conducted on

  • Evaluator

  • Location

OVERALL

  • General Equipment Pictures: Left, Right, Front, and Back

Engine:

GRADING SCALE: 5 - Excellent Condition. New or recently replaced parts. 4 - Operates Well. Shows less than average wear. 3 - Operates. Is in average condition for age and hours. Minimal repairs. 2 - Operates but needs repair 1 - Repairs necessary prior to use

  • Engine Hours:

  • Fluid Level:

  • Fluid Condition:

  • Perform Oil Sample:

  • Engine Noise:

  • Engine Smoke:

  • Visible Leaks?

  • Condition of Gauge Instruments:

  • Condition of Belts and Pulleys?

  • Idle and Throttle Quality

  • Engine Mounts and Slides:

  • Any Missing Parts:

Safety Equipment:

  • Seat Belt:

  • Operator Presence Switch:

  • Safety Switch:

  • Red Safety Bars/ E-Stops::

  • Work Lights:

  • Strike Alert / Ground Wire:

  • Decals In Place / Legible:

  • Any Missing Parts:

Body Panels:

  • Paint:

  • Panels Dents:

  • Rust:

  • Frame:

  • Any Missing Parts:

Operation Function:

  • Rollers:

  • Drilling Fluid Shutoff Ball Valve Operational:

  • Throttle Control Front & Rear:

  • Front Vice Cylinder:

  • Front Vice Pins And Frame:

  • Rear Vice Cylinder:

  • Rear Vice Pins & Frame:

  • Rear Vice Rotate Slides:

  • Vice Jaw Wear:

  • Rear Rotate Cylinder Condition:

  • Right Stake Down Up/ Down:

  • Stake Down Rotation:

  • Pins & O Rings:

  • Left Stake Down Up/ Down:

  • Stake Down Rotation:

  • Gearbox Rotation At Full RPM:

  • Gearbox Rotation LOW/MED/HIGH Functional?

  • Pins & O Rings:

  • Console Pivots:

  • Rotation Lever, Self Center :

  • Thrust Lever, Self Center:

  • Rod Loader Arms In / Out:

  • Water Pump On/Off:

  • Water Pump GPM Up/Down:

  • Chain & Chain Pins:

  • Chain Adjustments: 4/4 = Fully Adjusted

  • Wear Pads (Drive Chuck):

  • Rack And Pinion:

  • Pinion Gears:

  • Any Missing Parts:

Track And Frame:

  • Right Track Forward/ Reverse:

  • Track Chain Rollers:

  • Check Track Sprockets:

  • Left Track Forward/ Reverse:

  • Track Chain Rollers:

  • Check Track Sprockets:

  • Rollers:

  • Rubber Pads:

  • Track Adjustments:

  • Rear Outrigger Up/Down:

  • Track Extension:

  • Track Pivot:

  • Tilt Cylinder:

  • Track Conditon:

  • Any Missing Parts:

Under Carriage:

  • Track Frame Cracks, Repairs:

  • Rollers / Idlers:

  • Sprockets:

  • Any Missing Parts:

Rod And Rod Box:

  • Number Of Rods:

  • Size:

  • Number Of Bent Rods:

  • Check Threads W/Gauge:

  • Thread Condition:

  • Check Shoulder W/Gauge:

  • Shoulder Condition?

  • Rod Wipers/ Holder Damage:

  • Rod Box:

  • Rod Box Condition:

  • Top Pins / Bottom Pins:

  • Rod Box Cover:

  • Condition:

  • Any Missing Parts:

Tooling / Locator:

  • Drill Head:

  • Condition:

  • Starter Rod:

  • Condition:

  • Hex Collar:

  • Condition:

  • Duck Bills:

  • Condition:

  • Reamers:

  • Condition:

  • Reamer Sizes In Inches:

  • Wash Wand:

  • Condition:

  • Locator:

  • S/N#

  • Remote:

  • SN#

  • Condition:

  • Probe:

  • S/N#

  • Condition:

  • Probes Heat Indicator:

  • Cones:

Cab:

  • A/C:

  • Heater:

  • Glass:

  • Wipers:

  • Doors:

  • Multi-Function Display:

Hydraulic System:

  • Hydraulic Fluid Level and Condition:

  • Condition:

  • Pump Pressure / Flow By PSI:

  • Visible Leaks:

  • Hoses and Fittings:

  • Operation of Controls:

  • Hydraulic Tank and Caps:

  • Perform Oil Sample:

Mixing System:

  • Serial #:

  • Model:

MX Engine:

  • Hydraulic Fluid Level:

  • Condition:

  • Engine Noise:

  • Engine Smoke:

  • Visible Leaks:

  • Idle And Throttle Quality:

  • Engine Mounts:

  • Missing Parts:

Tank:

  • Condition Of Tank:

  • Hoses:

  • Caps:

  • Ball Valves:

  • Hopper:

  • Any Missing Parts:

Pump:

  • Condition Of Tank:

  • Pump Noise:

  • Visible Leaks:

  • Packings:

  • Any Missing Parts:

Truck:

  • Serial:

  • Model:

  • Milage:

Body:

  • Cab And Body:

  • Paint:

  • Panel Dents:

  • Rust:

  • Any Missing Parts:

Trailer:

  • Serial:

  • Model:

Body:

  • Paint / Rust:

  • Damage:

  • Tire:

  • Lights:

  • Add media

  • Brakes:

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