Inspection Form
   
 
Construction Equipment & Forklifts
DEALERSHIP INFORMATION MACHINE INFORMATION
Dealership:
JAMES RIVER COMPANIES, LLC
Manufacturer
Buffalo
Dealer Number:
11989
Model
555-012
Location:
11053 LEADBETTER ROAD, ASHLAND
VA
Year
2005
Telephone:
8043586776
Serial No./PIN
20055551566
Paint Quality:
Like New 
Standard Equipment that is Damaged or Missing:
 
A. Engine, Cooling and Fuel Systems:
Block, cyl head, valve cover, oil pan & gaskets: N/A
Comments:
Engine running test for power, leaks, unusual noises or smoke: N/A
Comments:
B. Power Train:
Clutch, pedal & controls operation: N/A
Comments:
PTO Clutch & Brake Operation: N/A
Comments:
Transmission & Controls Operation: N/A
Comments:
Rear Axles, Housing, Seals & Bearings: OK
Comments:
C. Electrical Systems:
Battery, cables & wiring harness: N/A
Comments:
Starter Switch, Motor & Neutral Safety System: N/A
Comments:
Lights, Warning Lights & Turn Signals: N/A
Comments:
D. Operators Station:
Seat Condition & Operation: N/A
Comments:
Cab, glass, upholstery & moldings condition: N/A
Comments:
Heater & A/C Systems and Operation: N/A
Comments:
Door, Latch, and Hinges Condition & Operation: N/A
Comments:
E. Miscellaneous:
Chassis, frame, weights & hardware: OK
Comments:
Sheet Metal & Paint Condition & Appearance: OK
Comments:
Wheel & Tire Condition & Appearance: OK
Comments:
F. Frame & Transport Components:
Main Frame: OK
Comments:
G. Safety Equipment:
Oil, Fuel & Coolant Leaks: N/A
Comments:
All safety shields, covers & shrouds: OK
Comments:
SMV, Safety Decals & Warning Devices: N/A
Comments:
Steps, Handrails, Fenders & Guards: N/A
Comments:
Overall Machine Rating:
(1 - 10)
1 = Non Functional, Scrap Only
5 = Average Condition, repairs may be needed
10 = As New

9
Examined By: SRN
Date: 10-6-08