Information
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Document No.
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Year - Make - Model - S/N
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Customer
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Conducted on
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Evaluator
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Location
OVERALL
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General Equipment Photos: 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
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Engine Hours:
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Fluid Level:
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Fluid Condition:
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Perform Oil Sample:
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Engine Noise:
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Engine Smoke:
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Visible Leaks?
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Condition of Gauge Instruments:
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Condition of Belts?
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Condition of Pulleys?
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Idle and Throttle Quality
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Engine Mounts and Slides Condition:
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Any Missing Parts:
Safety Equipment
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Seat Belt:
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Seat Beat Condition:
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Rops:
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Back Up Alarm / Horn:
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Safety Switch:
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Red Safety Bars/ E-stops:
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Parking Brake:
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Strobe Lights:
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Strobe Lights Operational?
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Work Lights:
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Work Lights Operational?
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Any Missing Parts:
Body Panels:
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Paint:
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Panels Dents:
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Rust:
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Frame:
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Canopy:
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Any Missing Parts:
Digging System:
GENERAL
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Hoses:
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Cylinder:
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Pivot Pins Wear / Play:
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Combo?
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TYPE OF DIGGING SYSTEM?
- TRENCHER
- PLOW
- ROCKWHEEL
- OTHER
TRENCHER
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Sliding Offset Trencher?
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Condition:
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Restraint Bar / Covers:
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Crumber Present?
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Condition:
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Model Chain:
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Number Pins:
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Type Of Teeth:
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Cutting WIdth:
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Teeth Condition:
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Chain Condition:
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End Idler Size:
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Idler Bearings:
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Boom Wear:
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Spoil Augers:
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Auger Bearings:
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Rubber Sheilds:
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Conveyor Belt:
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Conveyor Belt Rollers:
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Operation Of Conveyor:
PLOW
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Plow Blades and Shaker Box:
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Plow Frame:
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Self Center Springs:
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Plow Blade Type:
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Plow Blade Size:
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Plow Blade Conditon:
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Sod Cutter:
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Sod Cutter Knife:
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Tamping Feet/ Wheels:
ROCKWHEEL
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Operation Of Rock Wheel:
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Rock Wheel Segment / Size:
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Rock Wheel Size:
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Rock Wheel Clean Outs:
OTHER
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Boring Motor:
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Universal U Joint:
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Rods, Rod T-Bar:
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Any Missing Parts:
Backhoe
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Backhoe Present?
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Backhoe Bucket Size:
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Bucket Teeth:
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Add media
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Pivot Pins:
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Cylinders:
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Hoses:
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Bushings:
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Grease:
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Outriggers:
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Outriggers Cylinders:
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Controls:
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Remotes:
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Backfill Blade:
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Weight Kit:
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Total Weight:
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Reel Carrier:
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Cylinders:
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Hoses:
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Bearings:
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Any Missing Parts:
Ground Drive System:
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Dropbox:
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Pumps:
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Clutch:
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Braking System Foot:
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Braking System Hand:
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Auto Creep:
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Condition:
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Transmission / Gear Box:
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Hydrostatic / Mechanical Clutch:
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Hoses / Fittings:
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Pump Pressure / Flow:
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Any Missing Parts:
Under Carriage:
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Track Conditon:
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Rollers / Idlers:
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Sprockets:
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Track Adjustments: (4/4 = fully adjusted)
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Tire Condition:
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Tire Size In Inches:
Closed Cab / Open Cab:
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A/C Present:
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Operational?
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Heater Present?
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Operational?
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Radio Present?
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Operational
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Glass Present?
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Condition
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Wipers Present?
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Doors Present?
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Condition:
Hydraulic System:
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Hydraulic Fluid Level:
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Condition:
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Visible Leaks:
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Hoses and Fittings:
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Operation of Controls:
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Hydraulic Tank and Caps:
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Perform Oil Sample:
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Notes:
