Design Request Form

Name:

Phone:

Contractor:

Project:

Date:

Email:

Ground Condition

Modulus of SubGrade Reaction (k):

Concrete

Compressive Strength (PSI):

Uniform Load

Safety Factor:

Uniform Load (psf):

Aisle Width (in):

Axle Load

Fork Lift Capacity (lbs):

Front Axle Load (lbs):

Number of Wheels Per Axle:

Tire Type:

Dual Wheel Spacing (in):

Load Repititions Per Day:

Design Life (yrs):

Safety Factor:

Back-to-Back Racking

Leg Load (lbs):

Base Plate A (in):

Base Plate B (in):

Aisle Width (in):

Safety Factor:

Point Load

Leg Loads (lbs):

Safety Factor:

Base Plate A (in):

Base Plate B(in):

Line Load

Line Load (lbs/lf):

Safety Factor:

Dimensions:

(click here for illustration)

X (in):

Y (in):

Z (in):