CRAWLER HYDRAULIC EXCAVATORS

GENERAL INFORMATION DATE: INSPECTOR:

MANUFACTURER: LOCATION: City: BOOM LENGTH: mmMODEL: Region (Country): ARM LENGTH: mmSERIAL NUMBER: (yy/mm) SMR reading BUCKET TYPE:ENGINE MODEL: BUCKET CAPACITY: mmENGINE Ser. No. SHOE WIDTH: mmTYPE OF USAGE: CAB:

1) EXTERIOR & CAB A B C D E Yes No1 MAIN FRAME (superstructure) CRACKED OR WELDED2 CAB / CAB DOORS & LATCHES DENTS OR DAMAGE3 WINDSHIELD & GLASS CRACKED OR BROKEN4 HOOD & GRILLS ANY DAMAGE5 PAINT CONDITION6 SEAT & CUSHIONS ALL ADJUSTMENTS FREE7 HEATER/AIR CONDITIONER ALL WORK8 TANKS (Fuel & Oils) ANY DAMAGE or LEAKS

Total:

2) UNDERCARRIAGE A B C D E Yes No1 UNDERCARRIAGE MEASUREMENTS (performed) WIDTH SINGLE BAR TRIPLE BAR C.A. 2 TRACK ADJ DAMAGED OR LEAKS3 TRACK SHOES DAMAGED OR MISSING4 LINKS LUBE DAMAGED OR CRACKED5 TRACK ROLLERS N° SEALS LEAKING6 SPROCKETS SEGMENTS7 IDLER ASSEMBLY CAN BE REBUILT8 CARRIER ROLLERS N° SEALS LEAKING9 TRACK FRAMES CRACKED OR WELDED

10 TRACK GUARDS CRACKED OR WELDED11 RUBBER TRACKS STEEL CORDS EXPOSED

Total:

3) ENGINE A B C D E Yes No1 PERFORMANCE FUNCTIONAL TEST (performed)2 STARTS EASY Yes No OIL OR WATER LEAKS

Yes No UNUSUAL NOISES / SMOKECRACKED OR WELDED

3 TURBO CHARGER LEAKS OR UNUSUAL NOISES4 RADIATOR ANY DAMAGE or LEAKS

Total: BLOW BY

4) ELECTRIC SYSTEM A B C D E Yes No1 WARNING LIGHTS-GAUGES-MONITOR ALL WORK2 BATTERIES NEED CHARGING OR REPL.3 WORK LIGHTS ALL WORK

Total: ROTATING BEACON

5) HYDRAULICS A B C D E Yes No1 PERFORMANCE FUNCTIONAL TEST (performed)2 HOSES LEAKS3 CYLINDER ROD CONDITION DAMAGED4 CYLINDERS LEAKS or DRIFTS5 VALVES LEAKS6 PUMPS LEAKS7 MOTORS LEAKS

Total:

6) WORKING ATTACHMENTS A B C D E Yes No1 BLADE CRACKED OR WELDED2 BUCKET PLATED3 BUCKET TEETH / CUTTING EDGE

Total:

7) EXCAVATOR ASSY A B C D E Yes No1 BOOM & ARM CRACKED OR WELDED2 SWING MECHANISM SMOOTH3 SWING BEARING WORN4 BUCKET LINKAGE CRACKED OR WELDED5 BOOM PIN/BUSHING CLEARANCE WITHIN SPECS6 ARM PIN/BUSHING CLEARANCE WITHIN SPECS7 BUCKET PIN/BUSHING CLEARANCE WITHIN SPECS8 BOOM/ARM PIN SIDE CLEARANCE WITHIN SPECS9 BOOM - ARM ALIGNMENT STRAIGHT

Total:

8) OPTIONS A B C D E OPTIONS A B C D E1 52 63 74 8

9) SAFETY ITEMS & COMPLIANCE Yes Yes Yes1 MOTION/BACK-UP ALARM 8 POWER CUT OFF DEVICE 15 DOORS - CATWALKS ANTISLIP2 HORN 9 SAFETY LEVER LOCK 16 STEPS & HANDRAILS3 MODIFICATIONS TO OPERATOR SEAT 10 CONTROL PATERN DECALS ETC. 17 KEEP CLEAR DECALS4 SEAT BELT 11 CHECK LEVER FOR CORRECT PATTERN 18 CRUSH HAZARD5 MODIFICATIONS TO CONTROL LEVERS 12 WARNING DECALS (Read O&M manual) 19 FAN FINGER GUARDS6 NEUTRAL START SWITCH 13 MIRRORS 20 NOISE DECAL INSIDE CAB (LpA)7 CONTROLS RETURN TO NEUTRAL 14 FOPS 21 NOISE DECAL OUTSIDE CAB (LwA)

A B C D E O & M MANUAL CE PLATE CE Certific. EU EMISSION PLATE

Others

A B C D E PHOTOS Right Rear DEALER QUALIFIED SERVICE

SUMMARY OF COMPONENTS RATINGS Right Front Left Rear KOWA Mach. History

Left Front Controls PM CLINIC Maint. Contract

MACHINE RATING Undercarriage Complete KUC R & M Contract Signature:

Key set

ESTIMATEDAT TRADE IN

Remarks

Remarks

% of new

Remarks% of new

Remarks

AC

Remarks

FOPSSTDYEAR OF MFGTRADE IN DATE

% of new

OWNER NAME

ACTUAL readingYEAR OF SALE

Ref no.

Remarks

NOISE PL.

OVERALL RATING COMPLIANCES:

Remarks

Remarks

% of new

% of new

% of new

% of new

RETAIL VALUE AS INSPECTED:

Remarks Remarks Remarks

Remarks

6/19/2006Komatsu

PC200-7206906

SAA6D102E26305207

-

U-2527 Remarketing

M.S.O

Florida.

02/01 6773hrs.

Raul Remigi U-2527

X XX X Minor dents and rust.X XX XXX XX XX X

0 0 8 0 0

X X 600mm XX XX XX X Somefrozen links.X X Some are leaking.14X 50 XX XX X4X XX X

n/a0 0 10 0 0

X XXX

XXXX

X XX X

o.k0 0 4 0 0

X XX XX X

0 0 3 0 0

X X o.kX XX XX XX XX XX X

0 0 7 0 0

XX New

0 0 2 0 0

X XX XX XX XX XX XX X minor play.X XX X

0 0 9 0 0

X

X

XXX

XXXX

XX

-

Not installed.X X

XX

X XX

0 0 44 0 0

Remarks & Photo

GENERAL REMARKS

5

Record of Photos

Photos for Special Remarks

10

20

SPROCKET LEFT

SEAT

MODEL S/N0 (FRONT)

15

9

19 MAIN VALVE

SPROCKET RIGHT

18 HYD. PUMP16 17CONSOLE MONITOR ENGINE

6

11

REAR LEFT

PIN,BUSH RIGHT

7 8IDLER RIGHT IDLER LEFT

FRONT LEFT (close up)

1 2 3 4

4FRONT RIGHT (Large) FRONT RIGHT (close up) FRONT LEFT (Large)

21 22 23 24 -

6 7 8 9 10

51 2 3 REAR RIGHT

PIN,BUSH LEFT BUCKET FRONT BUCKET REAR12 13 14

25MODEL S/N0 PLATE (CE) EPA PLATE - -

Good working C machine, rust throughout machine.