Escalator Safety Strip Survey Worksheet

Information about your escalator and to help us to supply you with correct length kit
Purchase Order No. ____________________________________________________________________
Contact _____________________________________________________________________________
Company ____________________________________________________________________________

Street _______________________________________________________________________________
City, State, Zip ________________________________________________________________________
Phone ______________________________________________________________________________
Fax _________________________________________________________________________________
E-Mail ______________________________________________________________________________
Escalator Details
Vertical rise or comb plate tip to comb plate tip measu rement Only one or the other is required. This information will enable us to supply you with the
correct number of parts.

Escalator Make ____________________________

Model___________________________________

Vertical Rise _______ ft. _______ or Length, comb plate tip to comb plate tip _______ ft. _______ ins
No. of Units __________

Finish: Silver Anodized (Std)

Black Anodized

Sidewall Profile (as measured on the incline)

Please select the sidewall that is the closest match to your escalator.

Sidewall Dimensions

Ship to

Please complete the sidewall dimensions. These measurements help us

determine whether inll spacers will be needed.

If different from above.

A
B
C
D
E

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Escalator Parts Catalog

Adams USA Toll-Free Phone: 800-929-9247 Fax: 847-581-2949 www.adamselevator.com