Date

Address  *

Is installation operating or contemplated

Is Conveyor used for any special process

Intended usage requirements (application of belt)

Material Processed on the Conveyor

Distance between centres of Main Pulleys

Take up (in feet of Belt)

Diameter of Driving end pulley

Diameter of Driven end pulley

How is the belt supported on loaded side

If Rollers, diameter of roller

Gauging

Will belt run between guides

Spacing of Guides

Is conveyor horizontal

If not, at what angle

Dimensions of Belt: Length

Width

Specification of the belt viz. spiral pitch

cross wire pitch

Diameter of the spiral wire

Diameter of the cross wire

Material of construction as per your record

Whether the drive roller is logged or not.

Chemicals Characteristics of material conveyed

Atmosphere under the belt has to operate

Temperature under the belt has to operate

Maximum load per Sq.Ft. of belt

Speed of Belt

Maximum load on the whole conveyor at any given time

Size of load conveyed : Max.

Min

What is the construction of previous belt

Gauge

Opening

Specification

Was the previous belt satisfactory? Any other remarks

Statutory and regulatory requirements (if any)

Diameter of the drive drum

Charge end drive or discharge end drive