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Application Assistance Forms
Heavy Move Application Sheet
Name:
*
Company Name:
*
Address:
*
City:
*
State:
*
Zipcode:
*
Email:
*
Phone #:
*
Fax #:
This Project is::
*
- Select -
URGENT!
Current
Within 3 months
In the next year
Sometime in the future
Project Name or Reference:
What is the object/structure you wish to move?:
What is the objects weight?:
Objects Height ?:
Objects Width ?:
Objects Length ?:
What is the floor to load clearance?:
Where is the object's center of gravity?:
How many contact points does the object have?:
Where are the contact points located on the object?:
What is the function/purpose of the move?:
- None -
Temporary Measure
Semi-Permanent Installation
Repair/Maintenance
Permanent installation
OEM
Other
Is there a safety factor required?:
What is the distance of each move?:
What is the cycle or frequency of movement?:
What will be the approximate speed of movement?:
What will be the actual surface for the move be? :
- None -
Steel ( Specify: I-Beam, Channel, Crane Rail, Flat Bar, Steel Plate - plus size & type if known)
Concrete ( include psi or kg/cm2 )
Other ( give specifics )
What will be the sub-support of the rolling surface? ( this is very important if the object's weight is over 100 tons.) :
What will be the path of movement? :
- None -
Straight
Turns
Verticle
X-Y (multidirectional)
Circular, with Rotational Movement
Circular, with Horizontal fixed Radius
What, if any, will be the grade or slope present during the move? :
Where will the move take place?:
- None -
Inside
Outside
Other
What enviromental or other factors could affect the move? :
- None -
Dirt
Debris
Rain Water
Salt Water
Heat
High Winds
Cracks
Extreme Bouyancy
Caustic Enviroment
Other - Specify
Other Information:
What is the accuracy required for final placement of the object? :
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