Parts Cleaning Questionnaire

Company Name

Address

Email Address

Phone

(###)

###

####

Name of Part(s)

Dimensions of Smallest Part

Dimensions of Largest Part

Part Weight

Part Material

Are there any blind holes/hard to clean places?

Yes

No

Do parts tend to nest?

Yes

No

Does part need to be in a specific orientation to be cleaned?

Production Rate - parts per hour

Soil Name and Description

Soil Type

Soiling Level

Describe Your Industry

Previous Manufacturing Process

Next Manufacturing Process

Part Loading Method

Part Unloading Method

Describe Intent For This Purpose

Available Electrical Power

Required Cleanliness Level - Insoluble Oils/Coolants/Lubricants

Enter 0-10 No Removal =0 Complete =10

Required Cleaniless Level - Soluble Oils/Coolants/Lubricants

Enter 0-10 No Removal =0 Complete =10

Required Cleanliness Level - Baked On/Hardened Soils

Enter 0-10 No Removal =0 Complete =10

Required Cleanliness Level - Chips

Enter 0-10 No Removal =0 Complete =10

Required Cleanliness Level - Fine Dust

Enter 0-10 No Removal =0 Complete =10

Finish Required

Standard Required or Other

Corrosion

Yes

No

Length of time

For Iron and Steel: Relative Humidity

Parts: Type of Iron/Steel

Dryness Required

Enter 0-10 No drying required =0 no film/no drops =10

Current Cleaning Process

Please list any testing methods you currently use to evaluate cleanliness levels.

Time Frame for Implementing this Cleaning System

Current Cleaning Cost Per Year

Project For Budget

This Year

Next Year

Additional Info

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