I want to receive FREE information on the following topic

	Disposable arc-rated clothing
	One thing to add to your electrical safety program to increase compliance by up to 40%
	Could my shoes make a difference?
	Best practices on arc flash labels

First Name:	Last Name:
Email:

Arc Flash Study Quote Request Form

It may be helpful to fill out this form as a white paper and mail it back to us. To download this form and prit it as a PDF click here.

*Name
*Your Title:
Address
City	State	Zip
*Phone	*Email
*Company Name:
Facility name and address (if different from above):

What product(s) does your facility manufacture?
What is the age of your facility?
What is the square footage?
How many employees do you have?
How many maintenance or electrical employees do you have that work on energized electrical components?
Can data be collected during normal working hours?
Will you provide an electrician or someone familiar with your electrical system to accompany the data collector to assist in tracing circuits and identifying loads?
Will you provide a man lift or scissor lift with an operator to access overhead busways, if needed?
Do you have a one-line or riser diagram of your facility that can be furnished in a “.pdf” format?
Which utility provides service to your facility?
How many services come in from the electric utility?
∟At what voltage?
How does the main incoming service, from the utility, enter your facility?
What is the current rating of this service entrance equipment in amps?
What is the main breaker (main fuse) manufacturer, type, and size for this service entrance?
What is the KVA of each Utility Transformer?
If the facility has their own transformers > 125KVA, how many do you have?
∟What is the KVA of each?
What percent of your electrical distribution panels, breakers, etc are accurately labeled as to what they feed?
Does the facility have any equipment operating at voltages above 480V, such as compressors, circuit breakers, fuses, etc.?
∟If so explain. If possible quantify in terms of HP or KVA:
How many MCCs (motor control centers) does the facility have?
∟Approximate number of buckets total in all MCCs?
How many overhead busways does the facility have?
∟Estimated number of drops/bussplugs?
Estimate the number of 3-Phase panel boards in the facility:
Does the facility have any generators on-site for co-generation or power back-up?
∟If so, how many and what size?
What percentage of your facility has exposed ceilings?
What percentage of your facility has drop ceilings?
Does your facility have any large panels that require two people to open?
Comments/Questions