Design Request Form for Hydraulic Clutch

Customer/Company Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Enter Email Confirm Email

Phone

Fax

Name of person requesting analysis*

First Last Your Title

Application (Model # and description or function)

Model # of existing brake being used

Manufacturer of existing brake being used

Expected sales volume - 1st year

Expected sales volume - 2nd year

Expected sales volume - 3rd year

Please select which method of measurement you are using.*

Imperial/US
Metric

Vehicle Information

Total weight unloaded (lbs)

Total weight unloaded (kg)

Total weight loaded (lbs)

Total weight loaded (kg)

Engine Horsepower

Max Speed

Type

Engine
Hydraulic Motor
Other

If other, please explain

Make

Model

Mounting Information

Ex: SAE B, C, D, other, etc.; 2 bolt, 4 bolt

Shaft size and configuration - Spline

Shaft size and configuration - Key

Maximum Torque (in.-lbs)

Maximum Torque (Nm)

Clutch Duty Cycle

Desired engagement speed (mph)

Desired engagement speed (km/h)

Desired torque (in.-lbs)

Desired torque (Nm)

Frequency of engagement (cycles per hour)

Frequency of disengagement (cycles per hour)

Time engaged per cycle (hours)

Speed while engaged (mph)

Speed while engaged (km/h)

Time disengaged per cycle (hours)

Speed of driving unit while disengaged (mph)

Speed of driving unit while disengaged (km/h)

Expected life (hours)

Actuation System

Pressure (PSI) during engagement

Pressure (BAR) during engagement

Back Pressure (PSI) while clutch is disengaged

Back Pressure (BAR) while clutch is disengaged

Flow of engagement (gpm)

Flow of engagement (Lpm)

Type of fluid used for actuation

Pressure (PSI) in cooling system

Pressure (BAR) in cooling system

Flow of cooling circuit (Lpm)

Flow of cooling circuit (gpm)

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