Report No.

Inspector Name
Service Report
:BULLDOZERS & DOZER SHOVELS

Delivery
Delivery

Delivery
Service

Service

Service

Service
Machine Model Type Serial No. Engine Model Serial No. W41

Used
Add.
New
Pre-

2nd

3rd
1st
CODE P N 1 2 3 X U
Date of Service SMR Customer Name Distributor Code Distributor Name

Country Code Location

Attachment(s)
Make Model Serial No. Make Model Serial No. Applications

NOTE: Below are the items related to operation, maintenance and lubrication of this machine to be performed
at Pre-Delivery, Delivery, Periodic and Add Service.
The Operation & Maintenance Manual details all items to maximize machine availability. Some items may not apply to certain models.
x Item to be Serviced G: Good Condition B: Bad Condition C: Correction Made
S : Service
D : Discuss (Guide to customer) Revisit Revisit

Check

Check
Delivery Delivery
BULLDOZERS & DOZER SHOVELS

Pre-delivery Pre-delivery
Item S S D S D Item S S D S D
1 Visual Check 7 Operation
x x x x x
(Damage, loose bolts, rust, leakage, wiring) Multi Monitor(Every switches, Gauges, Lights, Indicators
x x x x
2 Lubrication or Service Chart Installed x x and level monitors)
3 MARKS & PLATES INSTALLED Unusual Machine Noise x x x
x x
(safety, operation, lubricating, etc) Warning Horn, Lights & Window Wipers x x x x
4 Attachment(s) Installed x x Backup Alarm x x x x
5 Fluid Compartment Check Brake & Decelerator Controls x x x x
OPERATION

Fuel Tank x x x Parking & Work equipment lock lever x x x x

Battery Electrolyte x x x x PCCS Lever function - if equipped x x x x
FLUID COMPARTMENT CHECK

Radiator Coolant Level/Anti-freeze Protection x x x x Transmission neutral lock & shift control - if equipped x x x x
Engine Oil Pan(s) x x x x Blade or Bucket & Ripper - if equipped x x x x
Damper case x x x x Engine Low Idle RPM Record__________ x x 3rd x
Power Train oil pan (incl. T/M, T/C and bevel gear case) x x x x Engine High Idle RPM Record__________ x x 3rd x
Final Drive Cases x x x x T/C Stall RPM Record__________ x x 3rd x
Track Rollers and Idlers x x x x Equip. Hyd. Relief Pressure Record__________ x x 3rd x
Pivot Bearing oil level - if equipped x x x x Procedure for using multi-monitor and KOMTRAX x x x x
Main clutch &/or transfer case (power train unit) x x x x 8 Guidance
Steering clutch case (power train unit) x x x x Safe Operation & Maintenance x x x
Hydraulic Tank x x x x Procedure for Starting & Stopping Engine x x
6 Service 10, 50 & 100 Hour Maintenance Service x
GUIDANCE

Fuel Tank & Filter Sediment x x x x 250 Hour Maintenance Service x 1st 1st

Drive Belt Tension(s)- Fan, Alternator, etc. x x x 500 Hour Maintenance Service x 2nd 1&2

Air Cleaner Element(s) & Connections x x x 1000 Hour Maintenance Service x 3rd 2&3

Radiator Core & Cooling System Connections x x x 2000, 4000, 8000, 15000 Hour Maintenance Service x
Engine Oil Filter(s), Fuel Filter(s) & Breather x x x Warranty & Service Rules x
SERVICE

Hydraulic Oil Filter Element(s) & Tank Breather x x x Service Tools & Publications x
Inspect Entire Machine for Broken Welds, Cracks, Spare Parts Ordering Procedure x
x x x x
and Distortions 9 Other
Track Tensions x x x Operation & Maintenance Manual Review x x
Wear of Undercarriage, Blade or Bucket Cutting Edge Parts Book Review x x
OTHERS

x x x
and/or Teeth & Ripper points Safety Manual Review x x
Undercarriage Torques - Shoes, Links, Sprockets, etc. x x x Spare Parts Ordering Procedure x x
KOMTRAX/VHMS Function - if applicable x x ROPS installed condition - if applicable Serial No:_________x x

Machine Maintenance Programs

Offer and explain the programs listed below. List details in "Specify" if the machine is already enrolled in a particular program.
Advantage Extended Coverage Specify PM PRO Specify
Repair and Maintenance Contract Specify KOWA Specify

This machine has been serviced and is in satisfactory condition. Adequate information has been given on its operation, care
and maintenance. The Operation & Maintenance Manual has been received. All literature and explanations that pertain to safe
machine operation have been received and understood.
Customer Comments:

Inspector Comments:

Customer Signature: Inspector Signature:

Form No. SEKC250101 Date: Mar 2008