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Your Name *

Your Email *

Phone Number: *

Company Name *

General Pallet Info

Pallet Size:

 CHEP Export Other

Pallet Construction:

 Wood Plastic Other

Pallet Condition:

 New Used

Pallets Per Hour:

Slip / Layer Sheet

Slip / Layer Sheet:

 Yes No

Between Layers:

 Yes No

Top Cover:

 Yes No

Bottom Sheet:

 Yes No


 Cardboard Paper Other

Stretch Wrapper:


 Yes No

Roping Option:

 Yes No

Fully Automatic:

 Yes No

Top Sheet:

 Yes No

*Provide Provisions for Adding an Auto Wrapper sometime in the future

 Yes No

Product Details

Please include product name, type (carton, bag, etc.) size, weight, rate, pattern, # of layers, etc.
If available, please attach product matrix spreadsheet and layer pattern drawing

Combined units/minute?

Current rate:

Future Rate:

How many product types can be produced at the same time?

Does each robot and/or system have to palletise all products?

 Yes No N/A

Product Infeeds

How many infeed lanes?

(a) Are infeeds dedicated to one product?

 Yes No

(b) Will products be random on infeed?

 Yes No

(c) Is barcode reading required?

 Yes No

(d) Is a weigh scale required?

 Yes No

Does product have to be diverted from one lane to another?

 Yes No

Where does accumulation occur (currently) in conveying system?
Prior to divert :

 Yes No

Prior to product pick up:

 Yes No

What is the maximum number of products to be accumulated?
In each lane?:


How do cases arrive?:

 Short side first Long side first


Is product labeling or printing required?

 Yes No

Is pallet labeling required?

 Yes No


Any special plant requirements?


How many shifts per day?

How many hours per shift?

How many days per week?

What is the installation date?
Please format date (2019-12-31)

What is the production start date?
Please format date (2019-12-31)

Pallet Conveyors

Will conveyors be in a clean environment?

 Yes No

Is the product hazardous?

 Inflammable Corrosive

Are any areas Wash Down?

 Yes No

Any special handling requirements?

 Yes No

Equipment Paint Finish

Do you require a special color?

If so, please provide paint specification:

Do you require special paint type or treatment?

If so, please provide paint treatment specification:


Do you have an Electrical Standards Document?

Do you have a Mechanical Standards Document?

Do you have any Equipment Supplier preferences?

If yes to any of above, please provide details or attach documents:


Any special site requirements?

Any space limitations?

What is the ceiling height?

Is site floor clear of obstacles?

Is 415v 30 amp available?

If not, what is available?

Is a plant/site CAD drawing available?

If possible, please include a plant/site layout drawing so system can be designed to suit:

Any special instructions not listed above:

Please type the code shown:

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