Permex Ltd
Riverside House
Plumpton Road
Hoddesdon
Herts, EN11 0PA

Tel: 01992 451494
Fax: 01992 451496
E-mail:sales@permex.co.uk
web site http://www.permex.co.uk

CONTAINER FILLING CHECKLIST
In order to work out what design of machine would best suit your requirements and to give a budget price we need to know the answers to the following questions.Please complete a separate sheet for every machine that you need.  If you have any questions please contact us.

COMPANY 

Address





Post code

E mail

Tel No.

Fax No.

Name 

Date

Position




LIQUIDS – please give details for all the liquids to be filled with this machine

Names
A)
B)
C)

Concentration %
A)
B)
C)

Viscosity cP or similar to:- 
a) water  b) milk  c) single cream  d) double cream  e) soft margarine f) peanut butter
A)
B)
C)

Specific gravity
A)
B)
C)

Filling temperature
A)
B)
C)

Does the liquid foam when filling?
A)
B)
C)

pH (0 to 14)
A)
B)
C)


CONTAINERS – please give details for all the containers to be filled

Capacity litres
1
2
3
4

Container material, plastic, metal, wood 
1
2
3
4

Container bung size or open top
1
2
3
4

Has the container got a vent?
1
2
3
4

Is the container lined? If yes with what?
1
2
3
4

Position of bung, central, offset, raised or recessed?
1
2
3
4


PRODUCTION REQUIREMENTS
Number of containers to be filled per hour?

Will these containers be filled on-pallet? Or on a conveyor?

If you fill the containers on-pallet do you want to fill more than one layer? 

Liquid line pressure – bar
0-0.5 / 0.5-1.5 / 1.5-4 / 4-10

Accuracy required
0.5% / 0.5-2% / Other

Preferred measuring method
Volume / Mass / Weight

Do you need Weights & Measures Approval?    YES / NO

Do you need overfill protection?      YES / NO


FILLING AREA SAFETY CLASSIFICATION
Safe Area / Zone I / Zone II / Dust Hazard / Other

If Zoned area please give the distance to nearest safe area if available

SERVICES AVAILABLE
Air at 6bar

Electricity
110v / 240v / 415v

Fume extract




Other








MATERIALS OF CONSTRUCTION 

Wetted parts 
(circle all 
acceptable)
316ss
UPVC
PTFE
Nitrile
Viton?
Kalrez?


Non wetted 
(strike through 
any not 
acceptable)
Painted steel
Galvanised 
steel
Stainless steel
Aluminium
	

GENERAL REQUIREMENTS

Is this new equipment?


Please give details
Are there space limitations?





Are there budget limitations?





Other limitations?






ANY OTHER COMMENTS:-



Thank you for completing this check-list.  Please fax or post it back to our sales team.

CHECKLIST2001