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Customer Application Questionnaire

Application Questionnaire

For product recommendations or a price quote, please contact a Helac representative at 800.327.2589, or provide your requirements in the form below.

In order for us to suggest an actuator for your application, please answer the below questions as thoroughly as possible. Pictures, detailed installation drawings, load diagrams, photos, or any kind of visual reference are also essential. Please email images with your contact information to Actuators@Helac.com or fax to 360.825.1603. You can also request this form in hard copy or PDF format at Actuators@Helac.com.
 Printable version
Required information
Contact information
1. Company name
2. Your name
3. Title
4. Address
5. City
6. State
7. Postal code
8. Country
9. Telephone
10. Email address
Application information
1. How will this actuator be used?
Please describe.
2. Anticipated annual quantities
(units per year): 		 Year 1
 Year 2
 Year 3
3. Is this quantity based on: Limited "batch run"
Annual quantity
Other 
4. Is inquiry for: Active funded project
Feasibility study for future project
Information only
5. Project schedule target dates:  First prototype built
 Pilot run/beta run built
 First production built
6. What is the required output torque?
 in-lb  @  psi
 Nm  @  bar
7. Will torque be transmitted from one or both ends of the actuator? One end
Both ends
8. What angle of rotation is required? 180°
360°
Other 
9. What are the maximum bearing loads (moment, thrust and radial) that will be applied to the actuator?
 Moment in-lb  Nm
 Thrust lb kg
 Radial lb kg
10. What kind of hydraulic fluid will be used? Standard petroleum-based
Synthetic
Other 
11. Is the hydraulic fluid compatible with nitrile and polyurethane seals and glass reinforced nylon bearing materials?
Yes 
No 
Explanation of Loading Terms
Straddle Mounting
Load supported at both ends of shaft
Cantilever Mounting
Load supported at only one end of shaft
12. What are the anticipated hydraulic fluid temperatures of the actuator?
 Minimum
 Maximum
Fahrenheit Celsius
13. What is the expected life of the actuator?  Years and/or
 Number of duty cycles/year
14. What environmental temperatures will the actuator operate in?  Minimum
 Maximum
Fahrenheit Celsius
15. How did you learn about Helac Corporation?
Wheel steering requirements
1. What is the wheel load (thrust)?
lb kg
2. What is the tire tread width?
inches mm
3. What is the maximum tire outside diameter?
inches mm
4. What is the distance from the bottom of the tire to the actuator output flange?
inches mm
5. What is the coefficient of friction?
6. Will the actuator be mounted directly over the wheel? Yes No
  If not, what is the offset or eccentric?
inches mm
Optional information
Torque and rotation requirements
1. What is the required holding torque?  in-lb
 Nm
2. How will the actuator be stopped at the end of rotation? Bottom out internally
External stops
Other 
3. How much backlash is acceptable?  degrees
4. How accurately does the load need to be positioned?
Pressure and temperature considerations
1. What are the anticipated hydraulic pressures?  Normal operation
 Minimum
 Maximum
psi bar
Load and force considerations
1. What dynamic loads have been considered?
2. Will the loads be supported by the actuator or external bearings? Actuator
External bearings
3. How often will the loads be applied?
4. Do all above loads include dynamic and/or other potential overloads? Yes No
5. Will the actuator be exposed to shock loads? Yes No
6. If external bearings are used, is it possible that any misalignment of the structure will cause binding loads in the actuator? Yes No
Installation environmental considerations
1. Will the actuator be stored or used in a corrosive environment? Yes No
2. Will the actuator be sprayed with high pressure fluids? Yes No
3. What are the additional environmental factors that could affect the operation of the actuator?
Other requirements and considerations
1. How is the application currently being performed (e.g. systems, devices, mechanisms, etc.) or what alternative designs or methods are being considered?
2. What is the actuator cost target? $ 
3. What is the restricted envelope or maximum weight?
4. What are your certification requirements, special packing or labeling instructions?
5. What are your delivery and/or scheduling requirements?
6. General comments
Helac Corporation does not assume any responsibility beyond the design and performance of its rotary actuator product. The customer is solely responsible for engineering of mating structures, fasteners and other associated components related to the installation of the product and its ultimate application.

 
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