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 Conveyor Application Worksheet

Markets Served

Food Processing

Material Handling
  Application Data Form

Applications

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General Information
Your Name:
Title:
Company:
Address:
 
City, ST.
Postal Code:
Country:
E-Mail Address:
Phone:
Fax:
Date:
 
Application Data Required
1. Driver (Motor) Nameplate Information:

Horsepower

Motor RPM

Motor Amps

Conveyor Speed in FPM

Motor Voltage

Phase

 
2. Application Specific:
Number of Starts & Stops per Hour (Duty Cycle)
   
Conveyor Pulley Diameter
   
Connection to Motor

If other please explain:
   
Connection to Conveyor Frame

If other please explain:
   
Motion Requirements

If other please explain:
   
Type of material to be conveyed
   
Washdown Required
Yes No
Describe Washdown Chemical Content and Temperature
   
Describe Application Environment
(i.e. dirty, dusty, clean, hot, cold, free air movement, confined space)
   
Mounting Preference
If other please explain
   
Conveyor Mounting
If other, please explain
   
Angle from Horizontal

Use this space to note any relevant application data:

 

 

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