General Questionnaire

Quotation Type

Budgetary (project Funding)

Firm (funded project)

Customer Information

Company Name
Street Address
City
Contact Name
Email
Province
Postal Code
Phone
Cell

Cart Specifications

Max Load Weight (including Trolley)

Is the Load to be Moved on

Castors

Rails

Other

Comment

What is the Wheel Configuration?

2x Fixed, 2x Swivel

4x Swivel

4x Swivel (with Directional Lock)

2x Fixed Castors, 2 Support Legs

4x Fixed

1x Swivel, 2x Fixed, 1x Swivel

2x Swivel, 2x Fixed, 2x Swivel

Other - Please attach a photo

What Type of Connection Point? Please Send Picture or Drawing

Will the Machine Need to Travel Up or Down any Slopes with a Load?

Yes

Comments

Where will the Machine be Used?

Inside

Outside

Comments

Do You Require a Stainless Steel Machine?

Yes

Comments

Will the Machine be Operating in an Explosive or Potentially Explosive Environment?

Yes

Comments

What do You Want to Improve?

Efficiency

Safety

Comments

Environment

Are any of the following applicable for your environment?

Temperature

Explosive

Radiation

Clean Room

Stainless Steel

Will the Machine Need to Travel Up or Down any Slopes with a Load?

Yes

Comments

Please Provide the Degree Angle or the Dimensions of the Slope

Angle

OR Max Height (ft)

Max Length (ft)

Will the Machine Need to Travel Up or Down any Slopes without a Load?

Yes

Comments

Please Provide the Degree Angle or the Dimensions of the Slope

Angle

OR Max Height (ft)

Max Length (ft)

Will the Floor be:

Clean

Wet

Dusty

Greasy/Oily

Obstacles

Will the Machine Need to Move over Obstacles?

Yes

Which Obstacles?

Kerbs

Speed Bumps

Raised Rails

Recessed Rail/Gaps in Floor

Where will the Machine be Used?

Inside

Outside

Comments

Usage

How is the Load to be Moved?

Push

Pull

Steer

What is the Approximate Distance Travelled per Move With Load?

What is the Approximate Distance Travelled per Move Without Load?

How Many Days in a Week will the Machine be Used?

How Many Times per Shift will the Machine be used?

How Many Times per Hour will the Machine be used?

When can the Machine be charged?

2-10 Times per Shift

Overnight

How Long can the Battery be Charged During These Periods?

10-20 Mins

21-60 Mins

61-150 Mins

Overnight

Do you Require Advice on a Cart Design?

Yes

How many carts do you have?

Are they all the same?

Yes

Cart Details

Dimensions of the Load:

Length (in)

Width (in)

Height (in)

Are there any Obstructions on the Underside of the trolley?

Yes

If Yes, Please Provide the Dimensions of Obstruction

Length (in)

Width (in)

Height (in)

Wheel Material:

Polyurethane

Nylon

Steel

Rails

Rubber (Pneumatic)

Other (Please Specify)

Wheel Condition:

New/Nearly New

Moderately Worn

Worn

Poor

Cart Details Continued

What Are You Connecting To?

I Beam

U-Channel

Round

Half-Round

Square

Rectangle

Angle

Other

Please Send in Photo

If connecting to the Square or Rectangle, Please Provide Dimensions

Length (in)

Width (in)

Height (in)

Is There Unrestricted Access to the Connection Point?

Yes

Load Testing

	Strain Read 1	Strain Read 2	Strain Read 3	Strain Read 4	Strain Read 5
Strain Readings (lb)
Strain Readings (N)

Language