loaders - wheeled machinery inspection...

VALUATION OF USED EQUIPMENT

LOADERS - WHEELED

MACHINERY INSPECTION FORM

INSPECTED BY

DATE

SAFETY INSTRUCTIONS

READ BEFORE INSPECTING MACHINERY

Have you considered the "Take 5" principles before startingthis appraisal? Yes

No

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Have you used the "Take 5" risk matrix to help you identify thelikelihood and consequences of any incident relating to the identified risks?

Yes

No

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If you were unable to complete any part of this appraisal safely, please leave your comments:

GENERAL INFORMATION

all fields marked (*) are mandatory

Year of Manufacture

Year of Sale to current Customer

Is machine in full operating condition? *

No

Yes

If not - comments

If not - comments

6

Who operated machine for inspection?

Location of machine when inspected *

Primary application of machine (select 1) Agriculture

Civil Construction

Demolition

Forestry

General Construction

Landscaping/Horiculture

Local Government

Materials Handling/Industrial

Mining

Other

Plant hire/rental

Quarrying

State/Federal Government

Inspection Date *

Into Stock Date *

Was machine fully operated for inspection? *

Cabin/canopy N/A Cabin Canopy

Type Make *

Type Model *

Machine Serial No *

Actual SMR Reading *

Estimated SMR *

SMR into stock *

No

Yes

Machine to be traded on

Business Name *

Primary application of machine (select 1) Abrasive

Corrosive

Hard

Impact (Rock)

Moderate

Moderate Hard

Soft

Owner Industry * Contractor

Equipment Dealer

Owner Miner

Owner Operator

Plant Hire

Owner or Contact Name *

Owner or Contact address *

State * ACT

NEW CALEDONIA

NEW ZEALAND

NSW

NT

QLD

SA

TAS

WA

VIC

N/A

Used

New

Trade Make

Trade Model

What is the nearest Komatsu branch where the machine will be delivered

General Comments

SAFETY ITEMS

Will owner provide service & maintenance records to KAL should KAL trade this machine? N o Yes

Is English Operator's Manual available?

Will machine be traded with this manual?

N o Yes

N o Yes

Is English Parts Manual available?

Will machine be traded with this manual?

N o Yes

N o Yes

N o

N o Yes

N o

Is there any damage on Steps or Handrails? Yes

Is machine's horn operational? N o Yes

Are all operator controls clearly labelled in English as to their purpose & method of operation?

N o Yes

Are all operator levers and foot controls non slip and free from damage? N o Yes

Does this machine have at least 2 functional rearview mirrors (on each side of machine)? N o Yes

N o Is this machine traded with fire extinguishers? Yes

Is the operator seat damaged?

Is the operator seat belt damaged? Yes

N o Are cabin windows cracked, damaged or perspex? Yes

N o Is this machine fitted with fully functional air conditioner ? Yes

Is this machine fitted with fully functional and serviceable windscreen wipers? N o Yes

Is this machine fitted with a lifting point?

Is this lifting point a closed eye?

N o Yes

N o Yes

Is this lifting point deformed or damaged? Yes No

Is this machine fitted with a tow point? N o Yes

If so, are there clear towing instructions near this tow point? N o Yes

N o

Yes

Does this machine have operational working lights (i.e. front and rear lighting to the work

area, lighting to the operator controls and work areas)? N o Yes

Is this machine fitted with a working amber rotating beacon/strobe safety beacon? N o Yes

Do the engine fan, alternator belts, pulleys and gears have guards fitted? N o Yes

Does this machine have a cover over the batteries? N o Yes

Is this machine in original condition - free from any modifications or upgrades? N o Yes

Is this machine free from any structural damage? E.g. Cracks in frames/chassis (current or repaired), bends or damage to structural components.

N o Yes

Assessor Comments

Is the cabin fitted with ROPS plate? Yes

Is ROPS structure damaged (drill holes, damage, weld…)? No

Is this machine fitted with a fully functional reverse alarm? N o Yes

Does the tipping body have approved mechanical safety support/s fitted? N o Yes

Is there an exhaust guard fitted to this machine? N o Yes

GENERAL APPEARANCE

Visible welds or repairs N o Yes

Paint condition Poor Fair Good Excellent

Panel condition Poor Fair Good Excellent

Hoods & Grilles Poor Fair Good Excellent

Cabin/canopy - door & latches Poor Fair Good Excellent

Vandal Covers fitted & supplied with machine? N o Yes

Cabin instrumentation/gauges Poor Fair Good Excellent

Decking Poor Fair Good Excellent

Fuel/hydraulic tanks Poor Fair Good Excellent

Upholstery Poor Fair Good Excellent

Assessor Comments

TYRES

Front right

Size & Ply % Worn Damage Rim damage

Nogfedc

Cutsgfedc

Puncturesgfedc

Holesgfedc

Beadgfedc

Nogfedc

Yesgfedc

Front left


Nogfedc

Cutsgfedc

Puncturesgfedc

Holesgfedc

Beadgfedc

Nogfedc

Yesgfedc

Rear right


Nogfedc

Cutsgfedc

Puncturesgfedc

Holesgfedc

Beadgfedc

Nogfedc

Yesgfedc

Rear left


Nogfedc

Cutsgfedc

Puncturesgfedc

Holesgfedc

Beadgfedc

Nogfedc

Yesgfedc

Spare


Nogfedc

Cutsgfedc

Puncturesgfedc

Holesgfedc

Beadgfedc

Nogfedc

Yesgfedc

Assessor Comments 55

66

ENGINE ITEMS

Model

Serial Number

Starts easily N o Yes

Oil pressure light goes out N o Yes

Turbo charger noise N o Yes

Turbo timer fitted N o Yes

Radiator condition N/A Poor Fair Good Excellent

Radiator coolant - oil present N o Yes

Radiator coolant - conditioner present N o Yes

Cooler/s N/A Poor Fair Good Excellent

A/C Condenser N/A Poor Fair Good Excellent

A/C Compressor N/A Poor Fair Good Excellent

Fan and belts N/A Poor Fair Good Excellent

Fuel system N/A Poor Fair Good Excellent

Exhaust pipe/manifold N/A Poor Fair Good Excellent

Water pump N/A Poor Fair Good Excellent

Cylinder heads leaks N o Yes

General Oil and/or Water leaks N o Yes

Exhaust smoke colour N/A Clear White Blue Black

Exhaust smoke type N/A Only on start up Continuous

Is machine fitted with EPA compliance tag? N o Yes

Unusual/excessive smoke N o Yes

Engine breather condition Light Medium Heavy

Unusual noises N o Yes

Cracks or welds (current or repairs) N o Yes

Air cleaner condition (dirty/clean) Clean Dirty

Other damage N o Yes

Assessor Comments

ELECTRICAL ITEMS

Electrical systemN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

AlternatorN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

Warning lightsN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

BatteriesN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

Work lightsN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

Battery Isolation switch fittedNogfedc Yesgfedc

Emergency stop buttons fittedNogfedc Yesgfedc


66

HYDRAULICS ITEMS

General machine hydraulicperformance

N/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

HosesN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

Cylinder rodsN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

Cylinder sealsN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

ValvesN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

PumpsN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

MotorsN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

Hydraulic tankN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

ControlsN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

3rd valve and piping fittedNogfedc Yesgfedc

Piping to suitN/Agfedc 4 in 1 Bucketgfedc Bladegfedc Couplergfedc High dump bucketgfedc Grabgfedc Othergfedc


66

CHASSIS ITEMS

Main frame conditionPoorgfedc Fairgfedc Goodgfedc Excellentgfedc

Belly plate conditionPoorgfedc Fairgfedc Goodgfedc Excellentgfedc

Chassis - bent, damaged, welded, repairedYesgfedc Nogfedc

Load frame conditionN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

Load frame linkage typeZ Bar typegfedc PZ typegfedc Parallel typegfedc Mono boomgfedc Othergfedc

Bell crank/crowd linkage conditionN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

Bucket lift cylinders conditionN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

Bucket lift cylinders pins & bushes conditionN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

Crowd cylinder/s conditionN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

Crowd cylinder/s pins & bushes conditionN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

Bucket pins & bushes conditionN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

Steering - fully functionalNogfedc Yesgfedc

Steering cylinders conditionN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

Steering cylinders pins & bushes conditionN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

Articulation joint conditionN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

Brakes - fully functionalNogfedc Yesgfedc

Brakes conditionPoorgfedc Fairgfedc Goodgfedc Excellentgfedc

Park (hand) brake - fully functionalNogfedc Yesgfedc

Drive typeTransmissiongfedc Hydrostaticgfedc

Transmission/Hydrostatic drive - fully functionalNogfedc Yesgfedc

Transmission/Hydrostatic drive - unusual noisesor delays

Nogfedc Yesgfedc

Transmission housing - damage/leaksNogfedc Yesgfedc

Torque converter - fully functionalNogfedc Yesgfedc

Torque converter - abnormal temperature ornoises

Nogfedc Yesgfedc

Torque converter housing - damage/leaksNogfedc Yesgfedc

Front axle - damage/leaksNogfedc Yesgfedc

Rear axle - damage/leaksNogfedc Yesgfedc

Differential typesConventionalgfedc Limited Slipgfedc

Front differential - leaks/unusual noiseNogfedc Yesgfedc

Rear differential - leaks/unusual noiseNogfedc Yesgfedc

Final drives - leaksNogfedc Yesgfedc

Drive shafts conditionN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc


66

ATTACHMENTS TO BE TRADED

Bucket (will be traded)

Bucket make

Bucket type GP bucket L/M bucket Rock Bucket 4 in 1 bucket Grab Forks Blade Other

Serial Number

Bucket lip type N/A Straight Spade nose

Bucket capacity

Bucket condition

Bucket damage (welds, holes,

dents)

N/A Poor Fair Good Excellent

N o Yes

GET

GET type

GET condition

Additional GET wear

protection

Additional GET wear

protection - condition

(will be traded)

N/A Bolt on edge Weld on edge Bolt on teeth Weld on teeth

N/A Good Excellent

N o Yes


Quick coupler

Quick coupler type

Quick coupler condition

(will be traded)

N/A Hydraulic Mechanical


Other front attachment

Other front attachment

Other front attachment - condition

(will be traded)

N o Yes


Vandal covers

Poor Fair


Attachment 1 (will be traded)

Make

Type N/A

Auger

Forestry Attachment

GP Bucket

Grab

Hammer

Mud Bucket

Other

Ripper Tyne

Rock Bucket

Skeleton Bucket

Thumb

Tilt Bucket

Serial Number

Size (mm)

Teeth Weld on edge Bolt on edge Other

Identification tag fitted and

legible

Attachment condition

Ground Engagement Tool (GET)

GET condition

N o Yes


N/A


Attachment 2 (will be traded)

Make

Type N/A

Auger

Forestry Attachment

GP Bucket

Grab

Hammer

Mud Bucket

Other

Ripper Tyne

Rock Bucket

Skeleton Bucket

Thumb

Tilt Bucket

Serial Number

Size (mm)

Teeth Weld on edge Bolt on edge Other

Identification tag fitted and

legible

Attachment condition

Ground Engagement Tool (GET)

GET condition

N o Yes


N/A


Assessor Comments

OPTIONS

Centralised Greasing system

Make

ConditionN/Agfedc Poorgfedc Fairgfedc Goodgfedc Excellentgfedc

Scales system

Make


GPS system

KomtraxNogfedc Yesgfedc

Other - details

Laser system

Make


Other Options

Details


66

REQUIRED PHOTOS

Front right

Front left

Rear right

Rear left

Front tyre right

Front tyre left

Rear tyre right

Rear tyre left

Bucket front

Bucket rear

Seat

Console/monitor

Engine

Hydraulic pump

Main valve

Serial number plate

ROPS/ FOPS plate

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