EQUIPMENT NUMBER: REG#: DATE:

MAKE: MODEL: ODOMETER:

ITEM
CONDITION
REMARKS
OK NOT OK
OPERATORS CAB
Condition of step, Door !nd"e
T#ree point $e!t%e"t
&inds#ie"d, C!% G"!ss
&inds#ie"d &iper, &!s#er
Air Conditioner
$peedo'eter
A(dio, )is(!" A"!r's
Indi*!tors, G!(+es , $-it*#es
Mirrors, Re!r, Left, Ri+#t, &in*#
ELECTRICAL SYSTEM
e!d"i+#ts, Lo- . i+# Be!'
$i+n!" . !/!rd Li+#ts, 0ront Re!r
T!i" Li+#ts, Br!1e Li+#ts
orn
B!*1 Up Li+#ts . A"!r'
Re2o"2in+ 0"!s#in+ Li+#t, C!% Mo(nted
ENGINE
Oi" Le!1s
Coo"!nt Le!1s
0!n, G(!rds, Be"ts
E3#!(st $'o1e
$i"en*er
R!di!tor, No Le!1s, G!s1et4
FUEL TANK
C!p, G!s1et
Mo(ntin+ Br!*1ets, $tr!ps
0(e" Lines, Conne*tions
OPERATOR STATION
T#rott"e Contro" Ped!"
Br!1e Ped!"
En+ine M!n(!" $#(toff
0oot Ped!" In*#in+ Contro"
5dr!("i* Contro"s
DRIVE TRAIN
C"(t*#, 0ree P"!5, $"ipp!+e, Noise
Oper!tes in !"" Ge!rs, R!n+es
Tr!ns'ission P('p, Oi" Le!1s, Noise
Dri2e A3"e o(sin+, (%s, Oi" Le!1s
Differenti!", Oi" Le!1, Noise
Dri2e $#!ft, Uni2ers!" 6oints4
STEERING SYSTEM
5dr!("i* P('p, Noise, Oi" Le!1s
$teerin+ C5"inders, Oi" Le!1s
oses, T(%es, Conne*tions, Oi" Le!1s
BRAKE SYSTEM
0ront Br!1e Dr('s, Linin+s
Br!1e C5"inders, Br!1e Lines, Ad7(sters
P!r1in+ Br!1e
FRONT AXLE
Center Pin, Be!rin+
$pind"es, Kin+ pins
HYDRAULIC SYSTEM
Contro" )!"2es, Oi" Le!1s
5dr!("i* t!n1, oi" "e!1s, *!p, se!"s
T!n1 'o(ntin+s, str!ps
oses, T(%es, Conne*tions, Oi" Le!1s
Lift C5"inders, Oi" Le!1s
Ti"t C5"inders, Oi" Le!1s
$ide $#ift C5"inders, Oi" Le!1s
MAST ASSEMBLY
Inner $e*tion, Ro""ers
Lift C#!ins, B!*1rest, 0or1 C!rri!+e
0or1s, Cr!*1s, Bent $e*tions, in+e Pins
SAFETY
Lo!d C#!rt
0ire E3tin+(is#er
0irst Aid Bo3
ENVIRONMENTAL
E'er+en*5 $pi"" Kit
TIRES
0ront Tires
Re!r Tires
&#ee"s, Ri's, Lo*1 Rin+s
Mo(ntin+ $t(ds, C"!'ps N(ts
COMMENT$
N!'e $i+n!t(re