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Masonry Fixing Services FM-01 Form
Masonry Fixing Services FM-01 Form
Please complete and submit the on-line FM-01 form below:
1 Project / application information
Your Name
*
Company
*
E-Mail Address
*
Project Address
Reference Number
Phone Number
*
Date
*
Application
Design
-- Please select Design --
I am doing the design
I am getting a 3rd party to do the design
2 Base Material
Material
-- Please select Material --
Concrete
Other
Other (please specify below)
Condition of concrete
-- Please select Condition of concrete --
Cracked
Non-Cracked
Compressive strength
-- Please select Compressive strength --
C20/25
C25/30
C30/37
C35/45
C40/50
C45/55
C50/60
Reinforcement (relating to tension)
-- Please select Reinforcement (relating to tension) --
Non reinforced
Normal reinforcement
Dense reinforcement
Reinforcement (relating to shear)
-- Please select Reinforcement (relating to shear) --
Without edge reinforcement
Straight edge reinforcement
Edge reinforcement and hangers
Concrete Element
-- Please select Concrete Element --
Beam
Column
Slab
Wall
Other
If other please specify
Concrete Dimensions
Width [mm]
*
Height [mm]
*
Thickness [mm]
*
3 Fixture type & anchor geometry
Fixture material
-- Please select Fixture material --
Carbon steel
Stainless steel
Timber
Other
If other please specify
Fixture dimension (plate size)
L
W
T
Profile
-- Please select Fixture material --
With profile
Without profile
Profile details Type (ie UB 203 x 133 x 25)
Number of anchors per fixture
Anchor spacing
-- Please select Anchor spacing --
Anchor spacing is fixed
Anchor spacing is flexible
Horizonal anchor spacing S1 [mm]
Vertical anchor spacing S2 [mm]
Concrete edge distance
-- Please select Concrete edge distance --
Fixed
Flexible
Concrete Edge C1 [mm]
Concrete Edge C2 [mm]
Concrete Edge C3 [mm]
Concrete Edge C4 [mm]
Please advice of any shimming, packing, grout or standoff G
4 Design actions (factored)
Tension Nsd [kN]
Positive axial action (pullout) Z axis
Compression Nsd [kN]
Negative axial action (compression) Z axis
Shear Vsd,x [kN]
Shear Vsd,x [kN]
Shear Vsd,y [kN]
Shear action on Y axis (use + or - sign for direction)
Moment Msd,x [kNm]
Moment around the X axis (use + or - sign for direction)
Moment Msd,y [kN]
Moment around the Y axis (use + or - sign for direction)
Moment Msd,z [kN]
Moment around the Z axis (use + or - sign for direction)
Type of action
-- Please select Type of action --
Static or quasi-static
Pulsating
Alternating
Safety
-- Please select Safety --
Safety Critical
Non-Safety Critical
Preferred anchor type
-- Please select Preferred anchor type --
No Preference
Bonded Anchor
Concrete Screw
Deformation Controlled Anchor
Expansion Anchor
Nylon Fixing
Torque Controlled
Undercut Anchor
Drill hole type
-- Please select Drill hole type --
Hammer
Diamond
Long term temp range
Short term temp range
5 Design Sketch / Notes
Design Sketch
Please upload your design sketch file here.
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