DISTRIBUTOR/DEALER DEALER ACC. CODE MACHINE MODEL MACHINE SERIAL No. ATTACHMENTS HOURMETER READING ENGINE SERIAL NUMBER DELIVERY DATE TODAY'S DATE INSTALLED: HRS Bucket, Dipper Length, Transmission / Axle & major component details etc. Mfr & Model / Part No. / Description:| Mfr & Model / Part No. / Description: Mfr & Model / Part No. / Description:| Mir & Model / Part No. / Description! Serial No. Serial No. Serial No. Serial No. Mir & Model / Part No. / Description: Mfr & Model / Part No. / Description:| Mir & Model / Part No. / Description Mfr & Model / Part No. / Description] Serial No. ‘Senal No. Serial No. Serial No. Customer Name (Please Print) .... Full Mailing Address Postcode.
Telephone (INC STD) ....s.sseecsseessreesseeesercersearereeceeee Installation on this machine has been completed, including the following items. Check (VW) when each item is completed. O 1. Operator Handbook delivered with machine and operator controls and warning labels explained to user. Cy 2. Maintenance section of handbook, service intervals, fluid level checks and adjustments explained to user. - (1 3. Parts book delivered with machine. a 4, All items on delivery checklist have been completed. ey 5. Importance of initial 100 hour service explained and date agreed dd/mm/yy Operator's Signature Print Name Print, NBIC!
scsesersareresasovoroonevennses White Copy — Dealer Green Copy - JCB Warranty Delivery Checklist At Delivery point with customer (owner, operator): Make sure any necessary Field Service Instructions (FSIs) have been completed. (Make sure al) necessary Certificates and literature are available. Q Yellow Copy ~ User Continued on Reverse Side At Dealership OQ Pink Copy — Dealer Branch OQ Explain Parts Book. (2 Explain all warning labels on machine Q Show location of all serial numbers on machine. Alldecals are installed. All a ht It ir llecd/available, Complete the Installation Form with the customer / user. Submit the form to the appropriate person. 9804/8709 Lubrication and Maintenanée es .
* Explain Maintenance requirements, fuel and lubricant specifications. 2 Instruct how to use Service Schedule pages of Operator Handibook. 2 Show all lubrication points on the machine and attachments. Issue 3 09/02