Company:

Person in charge for the information:

Telephone:

Fax:

Email:

1.Write below the quantity that the company has of each brand of compressor according to the power of the motor.

EXEMPLO: If there are two 15 HP Wayne compressors, write the algorithm 2 in the box that corresponds to the quantity in the crossing of “Wayne line” to the "column 15" in the power.

2. What is the working pressure in the beginning of the compressed air network?

Kgf/cm²
psi

3. Indicate the available electric appliances in the company’s facilities.

220/1/60

220/3/60

380/3/60

440/3/60

110/1/60

4. Does the company have treated industrial water to cool the equipments?

Yes

No

5. Does the company have a covered and aired place to install an air cooled equipment?

Yes

No

6. What is the main product manufactured by the company?

Does the compressed air have contact with that product?

Yes

No

7. Do you have any type of equipment to treat the compressed air?

Yes

No

8. Indicate below which are the main problems with compressed air:

Low pressure in the consumption points

Leaks

Water in the air

Oil in the air

Solid particles in the air

Purgers that clog or leak

Pressure oscillation