RFQ and Caster Application Environment

1. Please describe your application, or what you want the casters to do:

2. How many casters do you require?

Swivel: pcs; Rigid: pcs; With Brake: pcs

3. Describe the floor surface or condition:

- Asphalt Brick Hardwood Carpet Tile Gravel Other

4. Floor surface debris or irregularities:

- Metal scrapes/shavings Wet/watery Oil/slippery Sand/gravel debris Fibre or threads Fibreglass Other

5. Harsh environmental conditions:

Excessive Heat: Celcius Fahrenheit for minutes.
Excessive Cold: Celcius Fahrenheit for minutes.

6. Describe the load on the casters, or equipment being used:

Maximum load on caster: kg lbs
Number of casters on unit:
Total load of unit: kg lbs
Will unit be pushed/pulled? - YES NO What frequency? How far?
Will unit be power towed? - YES NO At what speed? KPH MPH

7. Caster specifications:

Overall height of caster:
Size of wheel: Tread width on wheel:
Is brake required? - YES NO If yes, what style? - Side Lock Total Lock Wheel Tread Lock
Wheel Material: - Performa Rubber Polyurethane Solid Elastomer Polypropylene Phenolic Cast Iron Forged Steel V-Groove Poly on cast Other

8. Caster mounting specification:

Bolt Hole Pattern length: width:
Threaded stem size: length:
Tubular mount gauge of tubing: Inside diameter:
Hollow kingbolt (bolthole) diameter:

Other characteristics of caster (e.g., thread guards, swivel seal, stainless steel, etc.),
or caster application problem to be solved:

Please submit the following REQUIRED information with this form:

*Name:

*Title:

*Company:

*Address:

*City:

*Province:

*Postal Code:

*Telephone: - - Ext:

*Fax: - - Ext:

*e-mail: