JER116 0114 Escalator Survey Form

Motion Control Engineering
Voice: 916 463 9200

Fax: 916 463 9201
Doc #: JER116 0114
Page 1 of 2
MCE Job #:
Date Received:
Escalator Data Forms

LOGISTICS DATA
In order to better serve you and meet your schedule, this form must be completed and signed. Timely delivery and troublefree installation begin with these data forms. Accurate, complete information is essential. Non-response to a question will
be defined as meaning that the item does not apply.
Job Type
Federal Government
School or University
Date:
State Government
Office Building
Other Government
Private
Number of escalators:
Job Name (please do not abbreviate):

Job Location (city and state):
Contract Date:
Project Type:
New construction
Modernization
Job has Specifications
Specifications being sent to MCE
Please send a copy of job specifications to MCE.
Customer Job #:
PO#:
Shipping Schedule
Control
Escalator
Escalator
Escalator
Escalator
Escalator
Ship Date
Courthouse
Jail / Prison
Hospital
Other
Consultant (leave blank if none)

Contact:
Phone:
Email:
Company name:
Fax:
Elevator Safety Code Compliance

Accurate information is essential.
North American Compliance:
U.S.
Canada
ASME A17.1/B44 Edition: 2010
2007
2004
2000
Addenda/Supplements:
2008(a)
2005(a)
2002(a)
2009(b)
2005(S)
2003(b)
ASME A17.1-1996/98
ASME A17.1Specify edition & addenda.
International compliance
Australia AS 1735.5
EN 115
Other (Specify):
2
Additional state or local code compliance

California
Other:
Additional Compliance Requirements? Explain:
Shipping Information
Contact:
Phone:
Fax:
Company name and address:
City
State
Zip Code
Notice required:
24 hours
48 hours Other:
Check if lift gate truck needed
Per state tax laws, it is critical that MCE receive exemption or

resale certificates prior to the material being shipped and
billed. If the job is a tax exempt job, send the exemption
certificate with this form. If you are a resale customer
and have a resale certificate, please make sure that the
MCE accounting department has a copy on file.
Form Completed By
Name/Title:
Contractor Information (
Check if same as above)
Contact:
Phone:
Cell:
Phone:
Fax:
Email:
Email:
Company name and address:
Company name:
Signature:
City
State
Zip Code
Fax:
MCE Job #:
Date Received:
Motion Control Engineering

Voice: 916 463 9200
Fax: 916 463 9201
Doc #: JER116 0114
Page 2 of 2
Escalator Data Forms

CONTROLLER DATA
General Information
Speed:
Escalator length:
Escalator step width:
Motor Control Type:
Wye-Delta
ATL (Across the Line)
VVVF Drive (Remote Drive)
Standard Enclosure Sizes (Based on Motor FLA)
24H x 18W x 8D (Motor FLA 43 A)
24H x 24W x 8D (Motor FLA > 43 A)
Yes
No
Space limitations
If yes, indicate enclosure space available. Otherwise,
enclosure size based on job requirements.
Hx
Wx
D
Separate control cabinet in bottom machinery space:
Standard Enclosure Size: 12H x 12W x 4D
Space limitations
Yes
No
If yes, indicate enclosure space available. Otherwise,
enclosure size based on job requirements.
Hx
Wx
D
Machinery spaces NEMA rating:
1
12
4
4X
Line Voltage (Actual measured line voltage)
Choose closest selection below:
208
220
230
240
415
440
460
480
Other:
DC
AC
50 Hz
60 Hz
Phase
Single Phase
2 Phase
3 Phase
Symmetrical w/respect to ground
Grounded leg delta configuration*
* Isolation transformer required if VVVF drive
AC Motor
Existing
New
Brand:
Voltage:
HP:
FL Current:
FL RPM:
Sync RPM:
(For 2-speed motor, measure high speed winding.)
Additional nameplate data:
Machine and Brake

Machine:
Existing
New
Direct Connect
Chain Drive
Brake:
Existing
New
PM Disk Brake
Hold voltage:
Pick voltage:
DC
AC single Phase
AC 3 Phase
If AC, current or fuse size required:
Coil resistance:
Measured
Data Sheet
Hot
Cold
Contact on brake:
Normally Open
Normally closed
Main Drive Shaft Brake

Existing
New
Brake:
Hold voltage:
Pick voltage:
DC
AC single Phase
AC 3 Phase
If AC, current or fuse size required:
Coil resistance:
Measured
Data Sheet
Hot
Cold
Contact on brake:
Normally Open
Normally closed
Operating Features
Plug-in, portable control station (standard)
Indicate if station should be excluded at:
Top
Bottom
Inspection control station at top of cabinet (standard)
Control panel (top of cabinet):
LED (standard)
LCD
Energy saving operation (VVVF only)
Tandem operation
Auto chain lubrication operation
Pump motor
Electromagnetic valve
Voltage:
Current:
Display module
Top
Bottom
Smoke detector input
Remote Monitoring Connection
iMonitor (Ethernet)
SCADA
Up
Down
Running / Stopped
Inspection / Normal
Fault
High Speed (VVVF only)
Low Speed (VVVF only)
Other:
Alarm bell voltage:
Comb light voltage:
Step light Voltage:
Demarcation light voltage:
LCD Control Panel required.
Special Instructions

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Motion Control Engineering

Voice: 916 463 9200

Escalator Data Forms

Job Name (please do not abbreviate):

Consultant (leave blank if none)

Elevator Safety Code Compliance

Additional state or local code compliance

Company name and address:

Per state tax laws, it is critical that MCE receive exemption or

Check if same as above)

Motion Control Engineering

Escalator Data Forms

Machine and Brake

Main Drive Shaft Brake

LCD Control Panel required.

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