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Safety & Maintenance <br /> J L000 der <br /> Operator/Inspector 1 ' !� tt Week of /J)-/ "A? <br /> Unit Number Machine Hours <br /> What are you inspecting? I IMon Tue , Wed Thu Fri Evaluator Comments <br /> FROM THE GROUND ' <br /> Tires,Wheels, Lug Nuts, Stem Caps i <br /> Bucket Cutting Edge,Moldboard i <br /> Bucket Lift and Tilt Cylinders, Lines,Hoses <br /> Loader Frame,Arms ✓ <br /> Underneath Machine �' F <br /> Transmission,Transfer Case <br /> Steps and Handholds ti <br /> Fuel Tank t/ <br /> Differential and Final Drive Oil ✓ <br /> Air Tank if equipped w/air brakes ? <br /> Axles—Final Drives, Differentials,Brakes, i <br /> Duo-cone Seals <br /> H draulicTank <br /> Transmission Oil_ �- v <br /> Lights, Front and Rear <br /> Battery Compartment <br /> ENGINE COMPARTMENT I <br /> Engine Oil <br /> Engine Coolant /1 <br /> Radiator v <br /> All Hoses <br /> Fuel Filters/Water Separator <br /> All Belts I t� <br /> Air Filter ✓i v <br /> Overall Engine Compartment <br /> ON THE MACHINE, OUTSIDE THE CAB <br /> Handholds <br /> ROPS <br /> Fire Extinguisher/System i v <br /> Windshield,Windows t/ ✓ <br /> Windshield Wipers/Washers i <br /> Doors Y ✓ <br /> INSIDE THE CAB <br /> Seat <br /> Seat Belt&Mounting !/i v <br /> Horn, Backup Alarm,Lights v <br /> Mirrors 1 <br /> Cab Air Filter ✓ <br /> Gauges, Indicators, Switches,Controls ✓ I <br /> Parking Brake Operation !� <br /> Signature -� <br />