
	Application analysis - determines the type of Forklift required. Fill in the blanks and we will supply you information on the type of equipment best suited to your application. 1. Load Information Maximum Weight: lbs. Height of Load: in Load Center: in Type of Load Pallet Stacking Frame Various Size: Length x Width x in 2. Lift Height Required Lift Height: in 3. Attachment (if required) No Side Shift Box Clamp Paper Roll Clamp Upender Other Attachment: 4. Warehouse Rack System (Work Aisle in wide) Drive-in Rack Block Stacking Roll Handling 5. Environment Percentage of Indoor & Outdoor utilization ? Outdoor : % Indoor: % Room ventilation Well ventilated Poor ventilation 6. Application Environment Normal Wet Dust Acid, Salt, Caustic High Temperature + F Low Temperature - F 7. Floor / Traction Smooth, level floor Solid floor with uneven surfaces (Railroad Tracks, Woodblock floor, pot holes, etc.) Minor uneven surface (patches, floor joints) Outdoor parking lot Loose gravel, wood or dirt, glass or metal pieces Floor load may not exceed lbs/in² 8. Room Height Lowest useable room elevation, where loads will be stacked - clear height in 9. Door ways and passages Minimum door width or opening / height: Width in, Height in 10. Inclines If yes: % , Length: ft How often with the incline be negotiated? Seldom Sometimes Often Always mostly with a load Always mostly without a load 11. Travel Distances Indicate the average travel distance per work cycle? ft 12. Usage Number of hours vehicle will be in service? Daily hrs. Weekly hrs. Monthly hrs. Company: Contact Name: Street: City: State: Zip: Phone: Fax: Email: Thank you for your response. This form can be printed and sent via fax to PMH at (407) 678-0273 or simply email us your request at pmh@pmh-co.com in order to send this form via internet connection, click on the send button.