Application Questionnaire

Personal Details
Title:
Name:
Company:
Telephone Number:
Address:
Application specifics
Application:			Project:
Experimental Prototype Production Special Machine Other
Quantity:	Original Manufacturer Resale Own Use Replacement
Static Radial:			Dynamic Radial:
Static Thrust:			Dynamic Thrust:
Static Moment:			Dynamic Moment:
Vibration or Shock:			Describe:
Factor of Safety:	is included in the loads above/ is not included in the loads above
Speed RPM (max):			Speed RPM (Mean):
Oscillation angle:	°		Oscillation Frequency:
Kaydon Precision Class:	or:
Permissible Eccentricity (inner):			Permissible Eccentricity (outer):
Permissible Face Run-Out (inner):			Permissible Face Run-Out (outer):
Permissible Looseness (radial):			Permissible Looseness (axial):
Life (Hours):	Min:		Avg:	Other:
Temperature:	Normal Operating:	°f	Min: °f	Max: °f
	Differential Between Shaft and Housing:			°f
Proposed Lubricant:			and method:
Preferred Bearing Size:	Bore:		Outside Dia:		Width:
	Max. Bore:		Max. Outside Dia:		Max. Width:
Preferred Bearing Type:
Material (Shaft):			Material (Housing):
Allowable Bearing Torque:
Sealing Requirements:
Protective Coating Requirements:
Other Requirements:
Remarks: