Casters Needs Worksheet

    Your Name (required)

    Title

    Company

    Your Email (required)

    Phone Number

    Fax Number

    Please describe your application or problem (required)

    Floor Surfaces and Conditions
    AsphaltBrickConcreteStreetHardwoodCarpetGravel

    Floor Surface Irregularities
    Metal ScrapsWaterThreadsFiberglassOil

    Chemicals (Specify)

    Thresholds (Specify)

    Other (Describe)

    Adverse Conditions:

    Excessive Heat (Farenheit)

    How Long (Minutes)

    Excessive Cold (Farenheit)

    How Long (Minutes)

    Load Capacity And Equipment Evaluation:

    Maximum load on unit (lbs)

    Number of casters per unit

    Weight of unit

    Number of units

    Total load capacity

    Overall Size Of Unit:

    Length

    Width

    Height

    Will unit transport or carry people?
    YesNo

    Will unit be subject to shock loading?
    YesNo

    Will unit be power towed? />
    YesNo

    If so, what speed?

    Special Requirements:

    Caster height limitations (inches)

    Top plate size (length) X (width)

    Mounting hole spacing (length) X (width)

    Wheel brakes required?
    YesNo

    Sanitary (NSF) application?
    YesNo

    Swivel lock?
    YesNo

    Will unit be power towed? />
    YesNo

    If so, please specify

    Threaded Stem:

    Size (length)

    Threads per inch

    Tubular Mount:

    Guage of tubing (ga)

    Inside diameter

    Have Salesperson Call (required)
    YesNo