General Information
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Job # / Location
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Conducted on
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Prepared by
Equipment information
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General Equipment
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Add media
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Equipment #
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Hour Meter
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Paint Condition
- 91-100% New
- 81-90% Normal Wear / Rebuilt
- 71-80% Avg Wear
- 61-70% Avg Wear
- 51-60% Avg Wear
- 41-50% Requires Rebuilding
- 31-40% Requires Rebuilding
- 21-30% Salvage Marginal
- 11-20% Beyond Economic Repair
- 0-10% Junk
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Sheet Metal / Structure
- 91-100% New
- 81-90% Normal Wear / Rebuilt
- 71-80% Avg Wear
- 61-70% Avg Wear
- 51-60% Avg Wear
- 41-50% Requires Rebuilding
- 31-40% Requires Rebuilding
- 21-30% Salvage Marginal
- 11-20% Beyond Economic Repair
- 0-10% Junk
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General Appearance
- 91-100% New
- 81-90% Normal Wear / Rebuilt
- 71-80% Avg Wear
- 61-70% Avg Wear
- 51-60% Avg Wear
- 41-50% Requires Rebuilding
- 31-40% Requires Rebuilding
- 21-30% Salvage Marginal
- 11-20% Beyond Economic Repair
- 0-10% Junk
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Engine complete as per engine checklist
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Air cleaner indicator
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Amot shutdown system tested
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Aux Hyd valve installed and tested
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Attachment quick disconnect operational
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High/low travel valve installed and tested
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Remote oil filter
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Remote dipstick
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Remote fill
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fire extinguisher bracket installed
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All exhaust system bolts sealed
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Lights and backup / travel alarm operational
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Horn
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Tachometer, oil press, exh temp, oil temp, water temp, air press, fuel gauge
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Exh cooling system filled with propylene glycol
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Hyd tank at proper level
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Engine oil level
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Lifting eyes painted red
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Grease points painted red
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Start safety hydraulic lockout functions properly.
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Operators seat and safety restraints in good serviceable condition.
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Cab properly secured
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Air pressure set at 120 psi and system holding air
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Throttle lever tension adjusted
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Unit inspected for leaks
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Additional Comments