Motor Control Panel Questionaire Customer Name: _______________________________ DATE REQ FOR COMPLETED QUOTE:_____________ RFQ #:______________________________ YES (X) QUESTIONS - PLEASE ANSWER ALL LISTED QUESTIONS 1)Application Details: NO (X) Yes/No check boxes with space to detail if needed/required! DETAILS HERE: AREA CLASSIFICATION Hazardous? Non-Hazardous? TOTAL POWER RATING INPUT VOLTAGE? 208V 220/230-240 400-440 460-480 575-600 PHASE ? SINGLE (1) PHASE THREE (3) PHASE CYCLE(S) HERTZ? 50 HZ 60HZ ENCLOSURE REQUIREMENTS Enclosure Limitations? Yes? No? DETAILS HERE: INSTALLATION ENVIRONMENT Indoor ? Outdoor? Outdoor with direct sunlight? Washdown Required? Hazardous Class? N/A? Div#? Group #? ENCLOSURE NEMA RATING NEMA 12 (ventilation reduces to NEMA1)? NEMA3R Ventilated? NEMA 4X NEMA 4 X STAINLESS STEEL? AMBIENT TEMPERATURES Degrees F Minimum Degrees F Maximum CORROSIVE ENVIRONMENT Yes? NO? DETAILS HERE: DETAILS HERE: DETAILS HERE: DETAILS HERE: TECHNICAL SPECIFICATION(S) SIZING Motor HP & RPM? Motor FLA (Full Load Amps)? Service Factor? APPLICATION /ENVIRONMENT: Replacing standard NEMA sizes (Yes/No) Full Voltage? Wye-Delta? Part Winding? Non-Reversing? Reversing? SPECIFY MAXIMUM # of Starts Per Hour DETAILS HERE: DETAILS HERE: DETAILS HERE: SPECIFY NEMA SIZE HERE: DETAILS HERE: CONTROL CIRCUIT: Common Control (Same as Power to Motor )? Control Circuit Transformer (Specify secondary voltage )? DETAILS HERE: DETAILS HERE: Transformer with extra capacity VA ( Please specify here )? DETAILS HERE: COVER MOUNTED 22MM DEVICES (if yes enter Quantities) Start /Stop push buttons? HOA (Hand/Off/Auto) Selector Switch? ON/OFF Selector Switch? Motor Run Light? Other? AGENCY APPROVALS None? UL 508? Other? MAIN POWER DISCONNECT/SHORT CIRCUIT PROTECTION Yes? No? Molded Case Circuit Breaker w/through door disconnect? Non-Fusible Disconnect? Fusible Disconnect? Special Requirements? QUANTITY HERE: QUANTITY/DETAILS HOW TO BE USED HERE: QUANTITY/DETAILS HOW TO BE USED HERE: QUANTITY HERE: DETAILS HERE: DETAILS HERE: DETAILS HERE: SPECIAL FEATURES On/Off Switch? Load Fusing? Load Circuit Breakers? Enclosure Heater? Enclosure Floor Stand? Pilot Lights? (Please specify) Audible Alarm? Dry Contact Output? OTHER SPECIAL REQUIREMENTS? Additional Notes Here: DETAILS HERE: DETAILS HERE: DETAILS HERE: DETAILS HERE:
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