Predelivery/Revisit

Inspection Report
TYPE

STORE
NO.

DLR. CODE

WORK ORDER NO. &

SEGMENT NO.

EMPLOYEE I.D.

DATE

DO NOT MAIL TO CATERPILLAR IF

INFORMATION HAS BEEN ENTERED
THROUGH DEALER TERMINAL.

MODEL

SERIAL NO.

Check if
Non-CAT

SERVICE METER
UNITS
H

INSPECTOR NAME

K
H = HOURS, M = MILES, K = KILOMETERS

Enter
"4" for Predelivery
"1" for Revisit.

ENGINE

ATTACHMENT

ATTACHMENT

ATTACHMENT

MODEL OR
NAME
SERIAL
NO.

PART NUMBER
CAUSING PROBLEM

= PIQ

if QTY. PROBLEM
CODE
Non-CAT

DO NOT USE FOR IND. ENG.

RESPONSE
NEEDED

PROBLEM
DESCRIPTION
CODES

DO NOT USE FOR IND. ENG.

ABCDEF-

Structural
Surface
Leaks
Factory Assembly
System Malfunction
Transport Damage

H
J
L
M
P
Q

GROUP/SUBGROUP
NUMBER

if
Non-CAT

EXPLANATION OF PROBLEM

7588

P R E D E L I V E R Y

7591

1 S T

R E V I S I T

7592

2 N D

R E V I S I T

Adjustment
Bad Paint
Wrong Fluid Level
Wrong Fluid
Loose/Lost Fasteners
Unsatisfactory Weld

R - Wrong/Lost Part,
Tool or Literature
Y - Interference
Operational
Problem
X (Give explanation)

INSTRUCTIONS FOR THIS REPORT FORM:

1. Write all information into top of form. Make X" in one of the boxes in front of lines 1 through 3. (correct type of inspection)
2. If you find a problem, write part no., group no., problem description code, and explanation. Use correct parts book to do this.
3. For general defects, use substitute group numbers in list below.
Substitute
Prob.
Explanation of Problem
General Defects
Group Number
Desc.
Give quantity and compartment name.
7560
L
Fluid level
(Examples:) blue smoke.
1000
X
Engine operation
(Examples:) hard shifting.
3000
X
Transmission operation
(Examples:) rough steering.
4000
X
Brakes & steering operation
(Examples:) slow hydraulics.
5000
X
Implement controls operation
(Examples:) bucket does not empty.
6000
X
Implement operations
7000
Cab Enclosure & Frame
(Examples:) too thin.
7559
J
Paint
7557
Decal/plates
7753
Write correct problem description code and explanation
Attachment tools
0375
Literature

01-088991-03 (2501)

H
Job # 575949 A
Proof # 1
January 27, 2002

Black

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