JLG Industries, Inc.

VP - VPSP - DVL - DVSP - SSV - MSP - MVL Vertical Lift

1 JLG Drive
McConnellsburg, PA 17233-9533 New Machine Inspection and End of Warranty Report
JLG Account Holder Name & Address Product Owner/User Name & Address
Serial Number: Customer No. : Owner User
Machine Model:
Hourmeter Reading:

INSPECTION TYPE: New Machine End of Warranty

Check each item below. (Refer to Operators & Safety, Service & Maintenance Manuals for specific information regarding inspection procedures and criteria.) Indicate in the appropriate space as each item has been
performed. If the item is found to be not acceptable, describe each discrepancy in the comments space at the bottom of the form. Use additional paper if necessary. Immediate action must be taken to correct all
discrepancies. The Owner shall not place the machine in service until all discrepancies have been corrected.

Y=Yes (Passed) N=No (Failed) C=Corrected NA=Not Applicable Y N C NA Y=Yes (Passed) N=No (Failed) C=Corrected NA=Not Applicable Y N C NA
PLATFORM AND MAST ASSEMBLY GENERAL
1. Switches and controls operate properly. 1. All instruction & safety placards installed, secure & legible.
2. Capacity decals in place, secure and legible. 2. Check all nuts and bolts for tightness.
3. Emergency stop switch operates properly (shuts off controls and pump motor). 3. All electrical connections tight.
4. Platform installed and secure, gate(s) installed and close properly. 4. All pins installed and secured properly.
5. Sequencing cables properly adjusted. 5. All manuals received (per manual packing list), if no, reorder immediately.
6. Mast chains/cables inspected. 6. Paint & overall appearance.
7. Mast operates properly and smoothly. 7. Machine received as ordered.
8. If machine ownership has changed complete attached Owner Update form and return to JLG.

BASE ASSEMBLY
Comments:
1. Electrical connections tight and insulated properly.
2. All hydraulic hoses, fittings and components tight and free of leaks.
3. All fluid levels correct; hydraulic tank and batteries.
4. Bubble level secure and undamaged. (VP/VPSP Models Only)
5. Hydraulic oil breather clean; hydraulic tank cap tight and vent open.
6. Hydraulic pump operates properly.
7. Control valves operate properly.
8. Ground controls override platform controls.
9. Manual descent valve operates properly.
10. Brake release operates properly.
11. Drive wheels and casters properly installed and secure.
12. PHP system operates properly.

The undersigned certifies that this machine has been inspected, per each area of inspection, and any and all discrepancies have been brought to the attention of the Owner/User, and that all discrepancies have been corrected prior to any
further use of this machine.

JLG Account Holder: / / Owner/User: / /

Authorized Signature Printed Signature Date Authorized Signature Printed Signature Date

White Copy to JLG Industries, Inc.; Canary Copy to JLG Account Holder; Pink Copy to Owner/User; Owner Update Form send to JLG Industries, Inc. as required Form No. - 3124177 - (CGF460) - 2/23/2006