Roll Handling Form

Customer Information

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Dealer:
Dealer Name:
Company:
Contact:
Title:
Email:
Email where RFQ copy will be sent:
Phone:	Ext.:

Fax:
Mobile:
Address:
Address Cont:
City:
State:	Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
Zip Code:

Quotation Type

Order of Magnitude:		Budget Pricing:		Firm Pricing:

Notes/Comments

Notes:

 

1. Roll Handling:

Size:
Outside ø:	(Min)   (Max)
Core ø:	(Min)   (Max)
Width:	(Min)   (Max)
Weight:	(Min)   (Max)

2. Pickup & Pallet:

Roll Pickup:
Floor:
Pallet:
Other:
Core Vertical:
Core Horizontal:
Pallet Size:
Size:	X
Number of rolls/layer:
Number of layers:

3. Drop Off:

Roll Drop Off:	Core Vertical  Core Horizontal Spindle  Shaft  Cradle
Floor to Centerline of Drop Off:	(Min)   (Max)

4. Shaft:

Shaft Inserted to Core before Pickup:	Yes   No
Shaft Inserted After Pickup:	Yes   No

5. Type of Roll Handling Requested:

Please check appropriate box:
12100-Expand-O-Turn™ (Core Pickup vertical-Roll Drop-off Horizontal) 12150-Fixed "V" Block 12250-"V" Block w/Turntable 12116-Adjustable Core Probe 12201-Cross Roll Handling-Fixed or Adjustable Forks	12120-Squeese-O-Turn™ (Outside ø gripping-Roll Pickup Vertical-Roll Drop-off Horizontal-Shaft or Cross Roll Handling) 12220-Beveled Forks 12110-Fixed Core Probe 13200-Sliding Forks

6. Quantity:

Estimated quantity of lifters required?
Painted:
Stainless Steel/Anodized:

7. Per Day Numbers:

Number of shifts/day?
Load Movements/day?

8. Floor Surface:

What is the floor surface & environment lifter is to operate in?
EEx d Requirement:
Aisle Restrictions?
Clearance for outriggers?

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CREATING THE BALANCE
" Through the application of ergonomic principles to your workplace, we can help you create a balance between human capabilities and task demands. This balance will provide a safe and healthy environment for your employees".