All * Marked Items Are Mandatory For a Quotation
HYDRAULIC CYLINDER QUESTIONNAIRE FOR QUOTATION
*1. Customer Name:
*2. Customer Address:
3. Contact Person:
4. Designation:
5. Tellephone. No.
6. Fax No.
7. E-Mail Address:
8. Equipment/Project:
9. Model:
*10. Application:
*11. Requirement:
Select Requirement Type
Regular
One Time
*12. Quantity:
13. Target Price:
SPECIFICATION
1. CYLINDER TYPE:
Select Cylinder Type........
Single Acting
Double Acting
*2. NO OF STAGES (Stage 1 being biggest & Last stage being Smallest)
*3. PUSH FORCE (Each stage):
(Kgf)
PULL FORCE (Each stage):
(Kgf)
*4. BORE DIA (Each stage):
(mm)
ROD DIA (Each stage):
(mm)
*5. STROKE (Each stage/Total):
CLOSE CENTER LENGTH(Pin To Pin Distance):
(mm)
END TO END LENGTH (In retracted condition):
(mm)
6. PLATING THICKNESS (Each Stage):
PISTON ROD:
(mm)
BORE (If any):
(mm)
*7. WORKING PRESSURE:- EXTENSION:
(Kgf/cm2)
RETRACTION:
(Kgf/cm2)
8. TEST PRESSURE:- EXTENSION:
(Kgf/cm2)
RETRACTION:
(Kgf/cm2)
9. MAXIMUM PISTON SPEED (Each Stage):
EXTENSION:
(m/sec)
RETRACTION:
(m/sec)
*10. WORKING MEDIUM:
WORKING TEMP. RANGE:
(oC)
11. TEST REQUIREMENTS (TEST STANDARDS) If Any:
12. CUSHIONING:
Select Cushioning..............
Rod end
Cap end
Both End, Std
Special
Not Required
13. INSTALLATION/ORIENTATION:
Select Instal./Orientation..
Horizontal
Vertical
Angular
*14. MOUNTING TYPE & DIMENSIONS:
CYLINDER END:- TYPE:
Select Cylin. End Type....
Rear Flange
Front Flange
Foot
Clevis - Bush
Clevis - SPH. BRG
Trunnion
Special Type
ROD END:- TYPE:
Select Rod End Type......
Clevis - Bush
Clevis - SPH. BRG
Trunnion
Threaded
Flange
Plane
Special Type
DIMENSIONS:
DIMENSIONS:
15. EXTERNAL PROFILE (Any constrain in O/D size or otherwise):
16. MATERIAL SPECIFICATION (If any):
Tube
Rod
Gland
Ram Base
Other
17. SEALING PREFERENCE (Each Stage) (Type/Make) :
(If any)
18. DUTY:
Select Duty Period.............
Light
Medium
Heavy
DUTY CYCLE:
(no of cycle/hour or day)
19. SIDE LOAD:
Yes
No
20. LOAD HOLDING:
Select Load Holding.........
Extension
Retraction
Heavy
Duration:
(minute or hour)
21. VALVES:
Select Valves......................
Hose failure Valve
Counter balance Valve
Check Valve
Other
Attached Drawing
22. ENVIRONMENTAL CONDITION:
Select Environment Con...
Dusty
Humid
Corrosive
Others
23. FREQUENCY OF OPERATION:
Select Freq. of Operation.
Continuous
Intermittent
*24. PORT:
CAP END:- SIZE:
ROD END:- SIZE:
DETAILS:
DETAILS:
LOCATION:
LOCATION:
25. AIR BREATHER:
Yes
No
26. OTHERS (Pl. Specify):
SUPPLY CONDITION
1. Inspection & Testing: To Be Done By:
Select Inspection & Testing
Ut
Customer
Third Party
2. Inspection Agency (If Any):
*3. Painting - Primer or any other (specify):
4. Safety Requirements:
5. Regulatory Requirements:
6. Additional Requirements:
7. Free Issue Items, if any, to be provided by customer (specify):
8. Remarks:
FOR INTERNAL USE OF UT LIMITED
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