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PRODUCT FAILURE ANALYSIS
Fax completed form to 888.293.2667
Media Transferred: Time in service:
Flow Rate:
(Gallons per minute)
Velocity:
(Feet per second):
Working Pressure:
(minimum) (maximum)
Constant or Impulse?
Working Temp.:
(minimum) (maximum)
Constant or Cyclic?
Vacuum Amount:
(minimum) (maximum)
Bends of Movement:
amount
Static or Dynamic?
Special Conditions
Cleaning Conditions Chemical or (CIP)? Steam or (SIP)? Temp:
Atmospheric Conditions: Temp: Chemicals:
Installation/Handling
Conditions:
Remarks:
Bends of Movement:
amount
Static or Dynamic
Additional Comments
Static Dissipation
Conditions
Company: Phone:
Contact: Fax:
Address: Email:
PAGE Order #: Cust. PO #:
PAGE Part #: In-service Date
Failure mode:
Application Attach diagrams, drawings or extra information
Form #4-4.4.4 Rev E Oct 2010
©2010 Parker Hannin Corporation - all right reserved
Parker Hannifin Corporation
Parflex Division
Ft. Worth, TX 817.625.5081