Specification Questionnaire

Use this questionnaire to describe the bench that you need. We will then analyze it and give you a quote for the product that will work best for you. Fill out as much, or as little information and submit.

Fields marked with a red asterisk " * " are required.

• Company *
• First Name *
• Last Name *
• Phone *
• Ext.
• Email Address *

1. Description:

• What is the output or usage of this workstation? (Product description, material, description including size, shape & weight)
  

2. Employee Information:

• Number of shifts that use this workstation
• Number of workstation users per shift
• Hours of operation used daily

3. Task Information

• Summarize task description and work flow; specific goals to be met at each workstation.
  
• How is work to be performed:
  • Seated
  • Standing
  • Both
• Tool holders required:
  • Small hand tools. How many?
  • Soldering iron
  • Air or electric screwdriver (specify):
    • Air
    • Electric
    • Other (specify)
• Equipment to be used with workbench:
  • Computers:
    • CPU
    • Monitor
      • None
      • CRT
      • LCD
    • Mouse
    • Keyboard
  • Test equipment (specify):
    • Size (L x H x D): in
    • Weight: lbs
    • Position:
      • Don't Know
      • Eye Level
      • Worksurface Level
  • From where is equipment accessed:
    • Top
    • Side
    • Front
    • Back
  • Special electrical requirements or other notes:
    

4. Workstation Specifications

• Worksurface dimensions:
  • Length = in
  • Depth = in
  • Height = in
• Uprights:
  • None
  • Height = in
  • Ceiling Height = in
• How large is typical assembly on which work is performed?
  • Size (L x H x D): in
  • Weight: lbs
  • Shape:
• ESD requirements?
  • No
  • Yes
• Cleanroom requirements?
  • No
  • Yes
• Bench style preference:
  • None
  • Dimension 4® - Modular Workstation System
  • Pro Series - Adjustable Height, Cantelever Leg Workstations
  • Workmaster® - Pedestal and Vertical Leg Workstations
  • LAN Stations - Modular Workstations for Digital Productions
  • AirClean® - Laminar Air Flow Workbenches
  • Other (specify)
• Worksurface height adjustability:
  • Manual (tools required)
  • Hand crank
  • Motorized
• If hand crank or motorized, is it preferred that the upper structure (accessories) adjust with the surface, or remain stationary?
  • Don't Know
  • Adjust with surface
  • Remain stationary
• Shelving required?
  • Purpose:
    
  • ESD:
    • No
    • Yes
  • Size:
    • Don't Know
    • Full length
    • Half length
    • Weight capacity: lbs.
    • Length = in
    • Depth = in
• Worksurface cutouts:
  • None
  • Oval cutouts
    • With grommet
    • Quantity:
  • Round cutout
    • With grommet
    • Quantity:
• Upright cutouts:
  • None
  • Oval cutouts
    • With grommet
    • Quantity:
  • Round cutout
    • With grommet
    • Quantity:
• Ball transfers: (Attach pattern.)
  • None
  • Pop-up
  • Fixed
• Inlaid rollers: (Attach pattern.)
  • None
  • Yes
  • Roller length: in
• Tilt top:
  • None
  • Full
  • Section
• Rotating surface:
  • None
  • Above
  • Inlaid
• Casters:
  • None
  • Yes
• Layout and/or floorplan available? (Attach drawing.)
  • No
  • Yes

5. Material Flow

Both to and from workstation.

• Manually
  • By worker
  • By cart
  • Gravity Feed Rack
  • Other (specify)
• Material handling equipment
  • Roller Conveyor
  • Belt Conveyor
  • Wheel Conveyor
  • Ball transfer
  • Automatic guided vehicle
  • Other (specify)
• Direction of material flow
  • Inbound
  • Outbound
• Other material handling considerations
  

6. Utility Requirements

• Lighting
  • Ambient
  • Task lighting
    • Prismatic diffuser
    • Parabolic diffuser
    • DOL (Direct Overhead Lighting) diffuser
  • Adjustable
  • 2-tube
  • 3-tube
  • Overhead
  • Undershelf
  • Standard or High Output
  • Power Source – needed at workstation? Length of cord required to reach power source in
• Electrical Service – type and location:
  • Location:
    • None
    • In front beam
    • On worksurface
    • On shelf
    • In upright
  • Total number of outlets required (giving consideration to power tools, equipment and personal items such as radios or fans):
  • Type:
    • Don't Know
    • Standard 15-amp
    • Upgraded 20-amp
  • SES or PDS (applicable to Dimension 4 only) or neither
    • Neither
    • SES
    • PDS
  • Specialty connectors required (i.e.: Twist-Lock)
• Other Utilities
  • Vacuum hose
  • Compressed air
    • Location?
    • At surface
    • Front beam
    • At tool trolley
    • Other (specify)
  • Ventilation
  • Other (specify)

7. Storage requirements

• Drawers
  • Quantity and size (common sizes: 3", 6", 12" e.g. 2 x 3" + 1 x 6" + 1 x 12"). Specify PN if known.
    
  • Weight capacity – tools or heavy items?
    
  • Locks required?
    • No
    • Yes
      • Keyed alike
• Cabinets
  • Quantity and size (common sizes: 12", 18", 24")
    
  • Style
    • Suspended
    • Pedestal
    • Overhead
      • Sliding door
      • Flipper door
        • None
        • Single door
        • Double door
  • Mobile cabinets?
    • No
    • Yes
  • Weight capacity – tools or heavy items stored?
    
  • Locks required?
    • No
    • Yes
      • Keyed alike
  • Potential interference from footrest or other structure?
    • No
    • Yes
  • Adequate clearance for operator between cabinets has been considered.
  • Rack-mounted equipment?
    • No
    • Yes

8. Seating

• Material requirements
  • Cloth
  • Vinyl
  • ESD
• Options
  • Swivel
  • Ring base
  • Tilt
  • Lumbar support
  • Height adjustment
  • Arms
• Basic height
  • Stool
  • Desk
• Other requirements:
  

9. Facility

• Type of flooring
• Floor space limitations (doors, windows, columns)
  

10. Other considerations

• Tool trolley
• Parts bin rails
• Documentation or work instructions
• Utility ducts or troughs
• Cable Management
• Privacy screens
  • No
  • Yes
• Upper structure
  • None
  • Clip style
  • Upright style
  • Shelf with risers
• Footrest
  • Tube
  • Footrest pan
  • Free standing
• Productivity accessories:
  • Swing arm (upright or upper structure required)
  • Document holder
  • Tool caddy
  • Parts cup rack
  • CRT or LCD holder
  • Lamp holder
  • Solder station
• Misc. holders for bin rails:
  • Solder spools
    • None
    • Single spool
    • Double spool
  • Bottle holder
  • Kimwipe box holder
  • Hand-tool holder

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