Checkweigher/Conveyor-Scale Questionnaire

Company: ______Contact: ______
Address: ______Phone: ______

City, St, Zip: ______e-mail: ______

Equipment needed (choose one):____ Conveyor Scale_____ Checkweigher ____ not really sure

What is your over-arching goal? ______

Do you need NTEP, or Legal for Trade? ______

When do you need a quote? ______

Product Specifications

What is the product/package?______

Uniform Packages:___Yes ___ No

Controlled Spacing:___Yes ___ No

Box/Package / A = Length / B = Width / C=Height / Minimum spacing between products / Frequency (pkgs/min) / Weight / Desired
Accuracy (+/-)

Product images are VERY helpful - can you provide us some? ___Yes ___No

Can you provide us images, or video,of your current layout/process? ___Yes ___No

Spacing and Layout Requirements

Length available for system: ______Desired Top-of-Belt Height: ______

Supply Conveyor Belt Width: ______Takeaway Conveyor Belt Width: ______

Supply Conveyor Belt Speed: ______Takeaway Conveyor Belt Speed: ______

To calculate belt speeds, see methods on page 2.

Fax to (712) 722-0900, or email to your salesman

Purpose of Equipment:

___ Verify Weight

___ Acquisition of production data

___ Count package quantity

___ Classification of weights

___ Adjustment of upstream filling machine

Other: ______

Environment:

Washdown Environment: ____ Yes ____ No

Dust inside room: ____ Yes ____ No

Temperature Range: ______

Installation Location (choose one):

___ Ground Level

___ 2nd Floor

___ Mezzanine

Ambient Airflow Present: ____ Yes ____ No

Vibration Present: ____ Yes ____ No

Cleaning Protocol (choose one):

___ None

___ Blowdown

___ Wet Rag

___ Mild Water Pressure

___ NEMA-4X

Chemicals used: ______

Available Power (choose all available):

___ 120V/60Hz

___ 220V/60Hz 1Ph

___ 220V/60Hz 3Ph

___ 208V/60Hz 3Ph

___ 480V/60Hz 3Ph

Communication Needed:

___ RS-232 Distance: ______

___ Ethernet 10/100

___ Ethernet IP *

Other: ______

*If you chose Ethernet IP, what device are you connecting with? ______
Brand? ______
Do you have in-house support that can program the PLC to read and write to registries? ___ Yes ___No

Options (choose all that are needed):

___ Pacing Conveyor

___ Guide Rails

___ Draft Shield

___ Divert

___ Lamps (3-zone ___ or 5-zone ___)

___ Audible Alarm

Other: ______

Fax to (712) 722-0900, or email to your salesman

Belt Speed Calculation Methods

1)[(product length) + (product spacing)] x (frequency) = belt speed

2)Put a mark on the belt of a conveyor and time how long it takes to make one revolution and measure the length of the conveyor: time to make 1 rev = ______conveyor length = ______

Additional Comments:

Fax to (712) 722-0900, or email to your salesman