DOCUMENT NO.

EXPERIENCE RECORD FOR : 6970-000-TM-ER-6010 Rev. A

Page 1 of 2
Item No. : ________________

EXPERIENCE RECORD FOR AGITATOR

No. Parameter Unit Information on offered Information on Referred Model

Model

1 2 3 4
1. Name of the Client

2. Project

3. Year Supplied

4. Service

5. Quantity supplied

6. Whether quoted model

system & referred model are
identical
7. Operating Temp. ºC

8. Operating Pressure Kg/Cm2

9. Duty Hrs/Day

10. Fluid to be mixed

11. Tank capacity Cu.M.

12. Tank Size (Dia. X Ht.) Mtr.

13. Impeller Type

14. Impeller Diameter and mm/Nos.

Number of Blades

15. Position of Impeller

16. Shaft Mechanical Seal

17. Shaft Diameter / Length mm

Template No. 5-0000-0001-T3 Rev. 1 Copyrights EIL – All rights reserved

 DOCUMENT NO.
EXPERIENCE RECORD FOR : 6970-000-TM-ER-6010 Rev. A
Page 2 of 2
Item No. : ________________

No. Parameter Unit Information on offered Information on Referred Model

Model

1 2 3 4

18. Bearing Size / Type

19. Power Rating KW

20. Shaft speed RPM

21. Material of construction.

Shaft / Impeller
22. Hazardous Area
Classification
23. Successful Operation of Unit Hrs.
from commissioning
24. Gear Box

a) Model No.

b) Make

c) AGMA Safety Factor

d) Speed Ratio

e) Successful Operation of Unit Hrs.

from commissioning

Note:

1. The vendor must have supplied at least 2 nos. of similar model in past, details of which shall be furnished in the above table for each agitator.

2. Duly filled in "Experience Record for Agitator" shall be submitted along with the bid for each type / model number / duty of agitator quoted.

3. "Information on offered model" shall be duly filled in, even if the same is indicated in the mixer data sheet.

Template No. 5-0000-0001-T3 Rev. 1 Copyrights EIL – All rights reserved