Escalator Safety Strip Survey Worksheet
Escalator Safety Strip Survey Worksheet
Escalator Safety Strip Survey Worksheet
Information about your escalator and to help us to supply you with correct length kit
Purchase Order No. ____________________________________________________________________
Contact _____________________________________________________________________________
Company ____________________________________________________________________________
Street _______________________________________________________________________________
City, State, Zip ________________________________________________________________________
Phone ______________________________________________________________________________
Fax _________________________________________________________________________________
E-Mail ______________________________________________________________________________
Escalator Details
Vertical rise or comb plate tip to comb plate tip measu rement Only one or the other is required. This information will enable us to supply you with the
correct number of parts.
Model___________________________________
Vertical Rise _______ ft. _______ or Length, comb plate tip to comb plate tip _______ ft. _______ ins
No. of Units __________
Black Anodized
Sidewall Dimensions
Ship to
A
B
C
D
E
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