Operator/Inspector___________________         Date__________________                    Time_______________  
Serial Number_________________________________   Machine Hours_____________________ 

What are you inspecting? 	 	What are you looking for? 	 	Evaluator Comments 	
 For more information, please refer to the Operation and Maintenance Manual or any other applicable manuals and instructions for this product.  If you have questions, please contact your local Caterpillar dealer. 
FROM THE GROUND  	
Tires, Wheels, Lug Nuts, Stem Caps  	  	Inflation, Leaks, Damage, Wear  	  	   	
Drive Motor & Planetary (s) 	  	Leaks 	  	   	
Mixing Chamber 	 	Wear, Damage, Leaks 	 	 	
Emulsion Spray System / Nozzles 	  	Leaks / Cleanliness 	  	  	
Water Spray System / Nozzles 	  	Leaks / Cleanliness 	 	 	
Water Spray Pump Oil 	 	Fluid Level 	 	 	
Steering Cylinders / Rod Ends 	 	Damage, Wear / Leaks 	 	 	
Rotor Drum & Cutter Bits 	 	Wear, Damage 	 	 	
Rotor Drive Differential Oil 	 	Fluid Level 	 	 	
Rotor Bearing Reservoir Oil 	 	Fluid Level 	 	 	
Rotor Transmission Oil 	 	Fluid Level 	 	 	
Engine Air Precleaner 	 	Cleanliness 	 	 	
Radiator / Hydraulic Oil Cooler 	  	Fin Blockage, Leaks  	 	 	
Rotor Transmission/Rotor Axle Cooler (RM300 only) 	 	Fin Blockage, Leaks 	 	 	
Hydraulic Tank 	  	Fluid Level, Damage, Leaks  	  	  	
Lights: Front, Rear 	  	Function, Damage to Lens, Housing, or Wiring  	  	  	
Battery Compartment  	  	Cleanliness, Loose Nuts & Bolts  	  	  	
Steps and Handholds  	  	Condition, Cleanliness  	  	  	
All Covers and Guards 	 	Damage, Securely Attached 	 	 	
Underneath Machine  	  	Leaks, Damage  	  	  	
 ENGINE COMPARTMENT 	
Engine Oil  	  	Fluid Level 	  	  	
Engine Coolant  	  	Fluid Level  	  	  	
Air Filter  	  	Service Indicator  	  	  	
All Hoses  	  	Cracks, Wear Spots, Leaks  	  	  	
All Belts  	  	Tension, Wear, Cracks  	  	  	
Overall Engine Compartment  	  	Trash or Dirt Buildup, Leaks  	  	  	
   ON THE MACHINE, OUTSIDE THE CAB  	 	
Handholds  	  	Condition and Cleanliness  	  	  	
ROPS / FOPS 	  	Damage, Loose Mounting Bolts  	  	  	
Fire Extinguisher  	  	Charge, Damage  	  	  	
Windshield, Windows  	  	Broken Glass, Cleanliness  	  	  	
Windshield Wipers / Washers  	  	Wear, Damage / Fluid Level  	  	  	
Doors  	  	Open properly, broken glass  	  	  	
 OPERATOR STATION  	
Horn, Backup Alarm, Lights  	  	Proper Function  	  	  	
Seat  	  	Adjustment-Height, Weight, Able to Reach Pedals  	 	 	
Seat Belt & Mounting  	  	Damage, Wear, Adjustment, Age  	 	  	
Cab Air Filter  	  	Dirt, Dust  	 	  	
Mirrors 	  	Damage  	  	  	
Gauges, Indicators, Switches, Controls  	  	Damage, function  	  	  	
Overall Cab  	  	Cleanliness