Name of the Company:
Postal Address:
Name of Contact Person:
Mobile No:
Designation:
Land Line No:
Mail ID :
Type of Application:
Only IndoorsOnly Out Doorsboth Indoor & Outdoor Duty
No of Hours of Usage Per Shift:
No of Shifts Per Day:
Max Weight of Load Being Handled at Ground Level:
Max Weight of Load Being Handled at Last Loading Level:
Width of Load:
Reference
Depth of Load:
Type of Racking Installed:
SelectiveDrive-In SystemDouble-DeepPallet Over PalletAny Other
Type of Pallets Being Used:
ReversibleNon-ReversibleBoth
Last Loading Level
Aisle Width Available
Lowest Door Height of Warehouse Where Forklift / Reach Truck has to Enter
Distances Forklift / Reach Truck has to Travel
Frequency of Storage / Retrieval of Pallets Per Shift
Slopes / Gradients / Ramps to be climbed 1 in 121 in 101 in 81 in 61 in 51 in 4N/A
Flooring Conditions:
Cement FlooringUn-Even FlooringDouble-DeepPolyurethane Flooring
Marine Container Stuffing & Destuffing:
RequiredNot RequiredN/A
Battery Charging Area:
AvailableNot Available
Any Hazardous / Inflammable / Explosive Materials to be Handled :
YesNo
