ApplicationDataForm-(ADF)

INSTRUCTIONS

Complete the Applications Data Form (ADF) with as much information as possible, using the Applications & Selections Guide as a reference.
If installation or layout drawings are available please mail or fax to SEPAC Inc

COMPANY NAME

DATE

DIVISION OF

STREET

CITY

STATE

ZIP

ENGINEER

PHONE

PURCHASING

PHONE

1.COMMERCIAL DATA AND TIMING

LAYOUT DRAWING NEEDED BY?

PROTOTYPE(S) NEEDED BY?

QTY?

DESCRIBING PROTOTYPE TESTING TO BE DONE

PRODUCTION REQUIREMENTS AND TIMING?

TARGET PRICE FOR START UP VOLUME?

TARGET PRICE FOR PRODUCTION VOLUME?

WHAT OTHER SOURCES ARE BEING CONSIDERED?

WHAT IS THE ANNUAL VOLUME PROJECTION FOR...

YEAR 1?

YEAR 2?

YEAR 3?

YEAR 4?

YEAR 5?

DESCRIBE BUYING PATTERN/SEASONAL VARIATIONS

Page 1 of 3

2.APPLICATION DESCRIPTION

BRIEFLY DESCRIBE THE APPLICATION AND FUNCTION REQUIRED (send layout)

CLUTCH

CLUTCH/COUPLING

BRAKE

CLUTCH/BRAKE

ACTUATION:

SPRING?

ELECTRICAL?

AIR?

HYDRAULIC?

MECHANICAL?

IF SPRING ENGAGED, IS MANUAL RELEASE REQUIRED?

IS AN OVERLOAD FUNCTION REQUIRED?

IS POSITIVE ENGAGEMENT
FOR REGISTRATION NEEDED?

IS SINGLE OR MULTIPLE POSITION
ENGAGEMENT NEEDED?

HOW MANY POSITIONS?

IS THIS A NEW
APPLICATION?

EXISTING:

MAKE

MODEL (send drawing)

ARE THERE ANY PROBLEMS WITH PRESENT UNIT?

TORQUE (LB-FT)

STATIC?

STARTING?

PEAK?

DRIVING SOURCE?

HP?

DRIVEN MEMBER?

SYSTEM TORQUE? (LB-FT)

SYSTEM INERTIA? (LB-FT²)

SPEED AT ENGAGEMENT?
(RPM)

CAN YOU ENGAGE AT
ZERO SPEED?

MAXIMUM SPEED?
(RPM)

ACCELERATION/DECELERATION TIME?

TO WHAT SPEED?

INTERMITTENT OR CONTINUOUS DUTY? (send graph of cycle)

CYCLE RATE:

TIME ON (SEC)

TIME OFF (SEC)

LIFE? (CYCLES)

CYCLES PER MINUTE?

ENERGY TO DISSIPATE? (BTU/MINUTE)

PAGE 2 OF 3

3.ENVIRONMENT

DESCRIBE

AMBIENT TEMPERATURE

MAX? (DEG C)

MIN? (DEG C)

VOLTAGE AVAILABLE:

AC?

DC?

NORMAL VOLTAGE?

MIN VOLTAGE?

MAX VOLTAGE?

MAX CURRENT AVAILABLE? (AMPS)

4.INSTALLATION CONSIDERATIONS

SPACE LIMITATIONS:

MAX DIA?

MAX LENGTH?

SHAFT SIZE?

HORIZONTAL OR VERTICAL MOUNTING?

IF VERTICAL WHICH END IS UP?

EXPLAIN ANY SPECIAL REQUIREMENTS (special connectors, lead length, etc.)

5.CONTROL OPTIONS

DO YOU NEED A POWER SUPPLY?

ARE YOU GOING TO INTERFACE WITH
A PLC OR COMPUTER?

IS OVERENERGIZATION FEASIBLE?

IS ARC SUPPRESSION NECESSARY?

DO YOU NEED ENGAGEMENT OR DISENGAGEMENT SENSORS?

6.MISCELLANEOUS CONSIDERATIONS

WHAT LEVEL OF IDLE TORQUE
IS PERMISSIBLE? (LB-FT)

IS IDLE TORQUE DESIRABLE?

WILL UNIT BE DISENGAGED
UNDER LOAD?

AT WHAT SPEED?

AT WHAT LOAD?

HOW MUCH BACKLASH IS PERMISSIBLE? (DEGREES MAXIMUM)

ARE THERE ANY OTHER FEATURES YOU FEEL WOULD BE NEEDED?

Submitted by

Title

Date

Phone

Fax

E-mail Address

PAGE 3 OF 3

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