Hose Application Specifier - OmegaFlex Industrial

Date*

Company*

Contact*

First Last

Address*

Phone*

Fax*

Email*

SIZE

Size*

I.D. O.D. Overall Length

Temperature*

Operating (° F) Design (° F) Excursion (° F) External (° F)

APPLICATION

Motion

Lateral One Side of Centerline Other Side of Centerline

Angular One Side of Centerline Other Side of Centerline

Motion Frequency Cycles Per

Assembly Configuration

Define Dogleg Lengths

Liner Required

Liner Material*

Cover Required

Cover Material

Assembly Drawing*

Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.

MEDIA

Internal Flow Media*

External Environment Corrosives*

Hose Material Braid Material

Braid Layers

PRESSURE

Working Pressure (psig) Test Pressure (psig) Vacuum (Hg)

Pressure Type

Define shock or pulsating pressure

External Pressure (psig)

END FITTINGS

Fitting #1 Size Type Material

Fitting #2 Size Type Material

Pipe schedule, wall thickness or pressure rating

DYNAMICS

Velocity (Ft./Sec.)