McKissick® Custom Bridge Crane Blocks
Customer Name: |
Date: |
Address: |
City: |
State, Zip: |
Phone: |
Fax: |
E-Mail: |
Customer Contact Name: |
Quantity: |
SHEAVE INFORMATION |
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Sheave Dimeter:____________ |
Wire Rope Size:____________ |
Number of Sheaves:____________ |
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BEARING TYPE |
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□ Bronze Bushing |
□ Roller Bearing |
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□ Tapered Roller Bearing |
□ Other |
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BLOCK INFORMATION |
Dimensions: |
A:____________ |
B:____________ |
C:____________ |
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Working Load Limit:____________ |
CMAA Rating: ____________ |
LOWER FITTING TYPE |
□ Single Point Hook |
□ Duplex Hook |
□ Swivel Hook Latch |
□ Other |
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APPLICATION INROFMATION |
Overhaul Weight Requirements: ____________ |
Lead Line Speed: ____________ |
Environment:____________ |
SPECIAL REQUIREMENTS |
Special Testing: _____________________________________________________________________________ |
Finish:____________________________________________________________________________________ |
Third Part inspection / Approval: ________________________________________________________________ |
(If 3rd part Inspection or Approvals is required) |
□ Four Position Locking Mechanism |
Otcher (Specify) ____________________________________________________________________________ |
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