Clean Scrape and Primary/Secondary Data sheet for quoting.

• Site conducted

• Conducted on

  Date

• Prepared by

  Sign
• Location
  Address

• Conveyor Identification

• Client

• Client contact number and Email

• A= Belt Width mm

• B=Pulley Diameter mm

• C= Inner chute width mm

• D= Thickness of chute wall mm

• E=Outer chute width mm

• Belt speed meters per second M/S

• Overfill Protection

  Yes

  No

  N/A

• Mechanical Splices

  Yes

  No

  N/A

• Reversing Conveyor

  Yes

  No

  N/A

• Belt condition

  Good

  Fair

  Poor

  N/A

• Conveyed Material

• Grain Size(min-Max) mm

• Characteristics

  Wet

  Dry

  Sticky

  Abrasive

• PH-Value

• Moisture %

• Temperature Degrease Centigrade

• Drawing numbers supplied by client

To be filled out by supplier

• Cleaner type

• Cleaner tensioning system

  Spring

  Pneumatic

  Twist Tensioning

  Far Side tension adjuster

• Offer Number

• Date

  Date

• Persons making recomendations

• Notes /Recomendations