MRP ONLINE SITE SURVEY FORM

I - GENERAL

Contact Person Name *

Mobile No :* Email ID :*
Company Name : Address :
Country : State :
City :
Approximate Budget :

II - SITE INFORMATION

Equipment/Job Name *

Process Description/Nature of work *

Previously tried alternative methods & Result:  

Damage areas ?
Surface show excessive wear / undulation cm Area Sq.CM

Surface Condition:

Age Of Equipment:* Month/Years
Surface Temperature * C/F Continuous Intermittent
Surface Stresses Applicable Not Applicable
Pressure Abrasion Impact
Details

Surface Load

Rotary / Dynamic * RPM
Static * Tons/Kgs
Surface Substrate: Ferrous Non Ferrous
Surface Condition: Dry Wet Damp Oily
List of chemicals, if any (Acids/Altaris/Salt/Solvents/Gas/Hydrocarbons etc.) Applicable Not Applicable
i) Immersion Splash Spillage Intermittent Accidental
ii) Name Concentration % Temp C PH value

Surface Preparation Preference:

Acid Etching Hand Grind Sand Blast
Shot / Grit Blast Scarify Others
Does installation require any Partial / Full shudown ? Yes No Not Applicable
If yes, what are the plans? *
Available Time * Hours/Days for Surface preparation/Application/curing/Inspection

Approximate Budget

Can customer provide following

Free of cost Chargeable basis Electricity
Water Shelter for materials Compressed Air
Boarding at Canteen Facility Labour /Bachelor / Dormitory Accommodation
Work Permit Gate Pass Insurance
Safety Procedures Labour / Bachelor /Dormitory Accommodation
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