Door Seal Survey

Loading Dock Seal / Shelter Survey

Please complete either the interactive form below
OR
download this PDF and fill it out onsite. When done please mail a photo of it and your loading dock back to quotes@partsbrite.com

Contact

First Name *

Last Name *

Email *

Phone

Company Name

Site / Location

Diagram: Dock and Door Dimensions

Dock and Door Dimensions

A Door Width (in) *

B Door Height (in) *

C Door Spacing (in) *

D Top Clearance *

E Dock Height (in) *

F Door to Obstruction *

G Bumper Projection (in) *

H Setback (in) *

Do you service trucks with liftgates?

Liftgate Projection (in)

Diagram: Approach Level & Slope

Approach Level & Slope

Height at 50 ft *

Slope %

Formula: (|Dock Height − Height at 50 ft| ÷ 600) × 100

Diagram: Pleats & Materials

Pleats & Materials

Base Material *

22oz 40oz 45oz

Wear Pleats? *

Pleat Exposure *

Pleat Material *

22oz 40oz 45oz

Estimated Wear Cycles

Fill in more data to calculate cycles

Photos

Upload up to 6 photos.

Notes

Survey Sent