APPLICATION QUESTIONNAIRE GENERAL MATERIAL HANDLING EOAT

Application Questionnaire GENERIAL MATERIAL HANDLING EOAT

Name *

Last Name *

Company *

Email *

Phone

**Please enter “??” for any fields that you are unsure of. **Please enter “N/A” for any field that is not applicable.

Number of End of Arm Tools:

Operation being performed:

Constraints (Environment, Obstacles, Unavailable Utilities, etc.):

**Please enter “??” for any fields that you are unsure of. **Please enter “N/A” for any field that is not applicable.

Manipulator/Robot Make and Model:

Estimated utilization percentage of load capacity:

Acceleration Rate (G’s):

**Please enter “??” for any fields that you are unsure of. **Please enter “N/A” for any field that is not applicable.

Dimensions

Dimensions (L):

Dimensions (W):

Dimensions (H):

Weight

Weight:

Material:

Please include any photos and additional notes

Maximum file size: 20MB

Additional notes: