Palletizing Application Data Sheet | Robot Palletizer LLC

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Contact & Project Information

Date*

Completed By*

Title / Position

End User Company*

Phone*

Email*

Project Justification Select all that apply

Reason for Project

New Production Line Decrease Labor Costs Increase Production Capacity Ergonomic Issues New Product Other

Type of Proposal Requested*

Budgetary Firm

Is Project Funded?

Yes No

Budget Amount (if funded)

P.O. Timeframe

Step 1 of 6

1

Product Specifications

Provide specific information about all products to be palletized. Add a row for each product/SKU. Attach patterns or product list spreadsheets if needed.

Total different products to run*

Total different patterns to program

Line #	Product Description	Container Type	L (in)	W (in)	H (in)	Weight (lbs)	Pcs/Min	Per Layer	Layers/Load	Pattern #	Pallet Size (LxW)	Tier Sheet Qty

Case & Product Details

Number of production lines running simultaneously

Labels-out orientation required?

Yes No

Receptive to alternative stacking patterns?

Yes No

Unique product characteristics to consider?

Yes No

Step 2 of 6

2–3

Infeed Conveyors & Unit Load Removal

2 Infeed Conveyors

Number of infeeds required

Case dimension across conveyor — Width (in)

Case dimension across conveyor — Length (in)

Upstream conveyor system / components required?

Yes No

Bar code sortation required?

Yes No

Open flap detection required?

Yes No

3 Unit Load Removal

Number of palletizing stations required

Build loads on

Conveyor Floor Lift Section Other

Loads to be removed by

Forklift Conveyor Transfer Car Pallet Jack

Are loads stable?

Yes No

Step 3 of 6

4–5

Pallet & Sheet Specifications

4 Pallet Specifications

Cases palletized on

Pallet Sheet on pallet Slip sheet Conveyor w/out sheet or pallet

List up to 3 pallets below. If using plastic or steel pallets, spec/drawing required.

Pallet 1 — Width/A (in)

Length/B (in)

Height/C (in)

Empty Weight (lbs)

Pallet 2 — Width/A (in)

Length/B (in)

Height/C (in)

Empty Weight (lbs)

Pallet condition

New Used Reconditioned Captive

Handle pallets from

End (A) Side (B) Either

5 Sheet Specifications

Bottom sheet required?

Yes No

Tier / layer sheets required?

Yes No

Top sheet required?

Yes No

Step 4 of 6

6

Operating Description & Parameters

Working days per year

Number of shifts

1 Shift 2 Shifts 3 Shifts

Manual palletizing backup required?

Yes No

Concept sketch attached / available?

Yes No

Customer floor plan submitted?

Yes No

AutoCAD floor plan submitted?

Yes No

Additional notes / special requirements

Step 5 of 6

7

Downstream Conveyor / Stretch Wrapper

Complete this section if applicable. Skip if no downstream conveyor or stretch wrapping is needed.

Full load accumulation/transport conveyor required?

Yes No

Stretch wrapper required?

Yes No

Additional notes for downstream / wrapping

Step 6 of 6

Palletizing ApplicationData Sheet

Application Submitted!

Project Justification Select all that apply

Case & Product Details

2 Infeed Conveyors

3 Unit Load Removal

4 Pallet Specifications

5 Sheet Specifications

Palletizing Application
Data Sheet