Used Equipment General Report

ID#: _________

page 1 of 2

CUSTOMER__________________________

LOCATION__________________

Date__________

MAKE ______________________________

MODEL____________________

S/N___________

INSPECTOR___________________________

HOURS____________________

YEAR__________

ENGINE MANUFACTURER:____________________________HP_________________
FUEL/POWER

Gas
FACTORY ENG?

Natural Diesel
Yes __No__

Turbo Diesel
REBUILT? Yes__No___

Dual Fuel

LP Only

REPLACED? Yes__ No__

Electric
WHEN?________

PLEASE CIRCLE ONE

ENGINE CONDITION
Bad

Like New

STARTING

________________________________________

10

COOLING SYSTEM

________________________________________

10

EXHAUST SYSTEM

________________________________________

10

LEAKS

________________________________________

10

SMOKE

________________________________________

10

NOISE

________________________________________

10

COOLANT LEVELS - 20 OR BELOW

Yes___ No____

TRANSMISSION

Auto

DRIVE TYPE

2 Wheel Drive

CONDITION

Standard

Power Shift

4 Wheel Drive

2-Speed
STEERING:

Shifts In All Gears

2 Wheel

4 Wheel

________________________________________

10

CHARGING

________________________________________

10

BATTERY CONDITION

________________________________________

10

HARNESS

________________________________________

10

CONTROL BOXES

________________________________________

10

LIGHTS/GAUGES

________________________________________

10

______________________________________

10

LINES/HOSES

________________________________________

10

CYLINDERS

________________________________________

10

PUMP

________________________________________

10

ELECTRICAL SYSTEM

HYDRAULIC SYSTEM
LEAKS

ID#: _________

page 2 of 2
PLEASE CIRCLE ONE

BRAKES

Bad

Like New

CONDITION

________________________________________

10

EMERGENCY BRAKE

________________________________________

10

LEAKS?
TIRES:

Yes

No

AIR FILL

LOCATION OF LEAKS__________________________________________________

FILLED:

FOAM

WATER CALCIUM SOLID PNEUMATIC

FRONT LEFT

________

Remaining

FRONT RIGHT

________

REAR LEFT

________

Remaining

REAR RIGHT

________

Remaining
Remaining

NOTE ANY MIS-MATCHED TIRES, MAJOR CUTS, OR OTHER DAMAGE_____________________________

APPEARANCE
PAINT CONDITION

_____________________________________

8 9

10

SHEET METAL CONDITION

_____________________________________

8 9

10

LIST LOCATION OF DAMAGE OR MISSING PARTS:___________________________________________________

ANY STRUCTURAL DAMAGE
ANY CRACKS?

Yes No

BENDS?

Yes No

WELDS?

Yes No

COMMENTS/LOCATION:_________________________________________________________________________
BOOM / MAST / CARRIAGE
ROLLERS, PADS, GUIDES, OR HOSES

_________________________

10

CHAINS (IF EQUIPPED)

__________________________

10

MARK ALL THAT APPLY

AUXILIARY HYD._______ OPT. SIDE TILT CARRIAGE?________ CARRIAGE WIDTH________ SIDE SHIFT?_____
HEIGHT________
ROTATOR:

STAGES________

Yes No

HYD.

FORK LENGTH________

MANUAL

BENT?________

EXT. DECK

BASKET SIZE__________

ANY CYLINDER LEAKS?_______________CYLINDER DAMAGE?_________________BOOM DAMAGE ________

ANY OTHER DAMAGE OR CONCERNS?____________________________________________________________
______________________________________________________________________________________________
ANY OTHER OPTIONS?

Yes No

OVERALL CONDITION RATING

IS MACHINE RENT-READY?

If yes, please list:__________________________________________

_________________________________

Yes No

10

LAST SERVICE DATE_______________________________