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