Dillerop Material Handling - Conveyor Sales, Installation & Service
 








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Please complete the following as thoroughly as possible.  Where questions are not applicable please note with N/A.   

Customer Data
 
Customer Name: Date:
Address: Phone:
City: Postal / Zip Code:
Province / State: Phone:
Country: Fax:
Contact: Division:
Title: Phone:

Product to be handled:
Process being considered:
Monetary Budget: Projected Start Date:
 

Load Data

 
Length Width Height Weight Type of Load Contents

Will loads accumulate on the conveyor? 

*Please provide a dimensional sketch of the load (carton, tote, pallet, bundles, drums, boxes, containers, etc.) if possible.

Route Data

 
Load frequency (loads per hour)
Production time
Number of hours conveyor will be used daily?
Will the conveyor speed vary or be fixed?
Will the conveyor be started and stopped with full loads?
If yes, approximately how many times per hour?
Will the conveyor be operated in both directions?
Does the load require reorientation at any point?
Number of operator stations
Will the conveyor be used as an incline or decline?
 

Model


Type of conveyors being considered? 
  
Length:
Width (B/F):
Overall Width:
Roller centers (in.)  Roller diameter 1.4"   1.9"
Belt Width (in.) Wheels per ft.
Speed:  Fixed   Variable    If variable, approximate range of speeds 

Motor
HP
Voltage
Phase

Conveyor Height:       
If incline/decline: Min.    Max 

Is noseover required?  Yes   No      Is power feeder required?  Yes   No

Does the conveyor require guardrails?       One-side     Both sides 

Additional Information:

 

    

 

 

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