CONTAINER FILLING CHECK LIST In order that we can work out a budget price for your filling machine we need to know the following information for each container filling machine required. Please circle your answer where there is a multiple choice. Thank you. 1] CONTAINER(S) Size:- Capacity_________ Depth______________ Material(s) in contact with liquid ____________________________________________ Are they New / Reusable / Reconditioned Full open top / Top fill / Side fill Bung size _________ Bung position: Central / Offset 2] LIQUID(S) TO BE FILLED Name(s) _____________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ If these are proprietary names it would assist us if you could provide supplier's data sheets. This will help us to select the correct materials of construction. Concentration _________________________________________________________ Viscosity___________ If unknown circle the closest: water / milk / single cream / double cream / soft margarine / peanut butter pH? 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Specific Gravity - highest ________________ lowest _________________ Temperature at which you will be filling. _____________________ Are the liquids Foaming / Non-foaming / Both 3] Throughput required: containers/hour ______________________________________ 4] Number of containers on each pallet _____________________________________ 5] Accuracy of fill required: within ± 0.5% / 0.5 to 2% / other (please specify) ______________________________________________________________________ 6] Is the filling area classed as a Hazardous area? _________________________ 7] MATERIALS OF CONSTRUCTION: Wetted parts Pipe : 316 stainless? uPVC? Other? _______________________ Hose : PTFE? PVC? Other ________________________________ Any other comments?____________________________________________________ ______________________________________________________________________ 8] Is the liquid available with pumped flow / good gravity head?___________________ 9] What services are available? air / electrics / steam / air extraction system please provide details ___________________________________________________ 10] Is the product for sale by: volume / weight / other?_____________ 11] Have you preference for filling by: volume / mass / weight? 12] Is this new or replacement equipment ? _____________________________________ 13] Which do you consider most important for your filling operations? Accuracy / Productivity / Safety Other _________________________________ 14] Are there any other limitations or relevant factors - for example: budgetary limitations or space availability? please specify__________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Company name _____________________ Address ______________________________________________________________ ______________________________________________________________________ Post code __________________ Name and position of respondent __________________________________ Telephone __________________ Fax _________________ Date __________________ Ref: Checklist Sept 94/LK