CUSTOM PIPE HOOK FORM

Company name

Country

Date:

Month/Day/Year

Street address

City

State/Region

Zip Code

Phone number

Email*

Customer Contact Name

Quantity:

ClampCo_Form_Dwg

GENERAL REQUIREMENTS

Working Load Limit per pair (weight of load):

Handle Required

DIMENSIONAL REQUIREMENTS

Grip Opening (A):

Grip Depth (B):

Plate Thickness (C):

Shackle Opening (D):

SPECIAL REQUIREMENTS

Finish:

Proof Test Load:

MPI

UT

Third Party Inspection / Approval