BOOTH QUESTIONNAIRE
Please email back to or fax back to +44 (0) 1204 862378 once completed.
Section 1 – Client and Project Details
Client: / Contact:Address: / Position:
Tel: / Fax: / Email:
Client Ref: / Enquiry Date: / Quote By: / Date Needed on Site:
Project Title:
Equipment orProcess Description:
Section 2 – Product & Application Details
1. Type of Booth: / Downflow Booth / Horizontal LFB / Solvent Drum Booth / LAF HoodKiloLab / Walk-In Enclosure / Fully Enclosed Booth
Downflow Bench / Pack-Off Booth
2. Booth Dimensions:
3. Duty: / Dispensing / Sub-Division / Sampling / Solids Charging
Liquid Charge / Pack-Off / Reactor Loading / Other?
4. Materials Being Handled: / Powder / Dry / Wet / Chemical / Pharmaceutical
Liquid / Toxic / Cytotoxic / Multi-Purpose / Other
5. Product Details: / Characteristics: / Bulk Density:
6. Product Source: / Drum / IBC / FIBC/Supersack
With Liner / Without Liner / Other:
7. Transfer Into: / Drum / IBC / FIBC/Supersack
With Liner / Without Liner / Other:
8. Container Information (Size & Dimensions):
9. Containment Levels (Please list required OELs):
Section 3 – Utilities
1. Room Dimensions: / 2. Limiting Door Access(W x H):
3. Room Classification:
4. Electrical Classification USA: / Non-Hazardous Area / Hazardous Area / UL / FM Approved
Internal / External / Internal / External / Internal / External
Class I / Div 1 / Gas Groups?
Class II / Div 2 / Gas Groups?
Electrical Classification ATEX: / Zone 2 / Zone 22 / Zone 1 / Zone 21
Internal / External / Internal / External / Internal / External / Internal / External
5. Supply Power: / Volts: / Phase: / Freq. (Hz):
Volts: / Phase: / Freq. (Hz):
6. Utilities: / Instrument Air: / No / Yes / Pressure:
Nitrogen: / No / Yes / Pressure:
Section 4 – FAN AND FILTRATION SYSTEM
1. Airflow Design: / Recirculatory Airflow (Go to Q. 5) / Single Pass/Once Through Airflow (Go to Q. 2)2. Supply Air: / By Client (Once through only) / By Howorth
3. Exhaust Air: / By Client / By Howorth
4. Ducting: / By Client / Others / By Howorth
5. Fan System: / Manual VFD / Close Loop Control for progressive filter blockage
6. Temperature Control: / Yes / No / Required temp in Booth: / °F ± °F
°C ± °C
7. Coil Medium: / Chilled Water / Glycol/Other / Supply Temp °F / Return Temp °F
Supply Temp °C / Return Temp °C
8. Filtration: / Supply Air System (once through only): / Exhaust Air:
By Howorth / By Client / By Howorth / By Client
Non-Safe Change / Non-Safe Change
Safe Change – Bag In/Bag Out / Safe Change – Bag In/Bag Out
Ceiling / Terminal HEPA / Carbon Filter
9. Filter Change: / Into Mechanical Space / Into the Booth
Section 5A – Construction Details
Item / Material / FinishRear Bulkhead & Side Walls:
Ceiling Plenum:
Filter Housings:
Fan Housing:
Supply Air Ducting (if applicable)
Return Air Duct:
Baseframe/Plinth:
SECTION 5b – OTHER FEATURES/CONSTRUCTION DETAILS
Item / Quantity / Material / Size / Type / Location / Comments1. Workbench:
2. Cooling Coils:
3. Viewing Windows: / Toughened Glass
4. Drum Tipper:
5. Weighing:
Not Required
By Howorth
By Client / Scale Capacity: / Preferred Supplier:
Display: / Inside / In Wall / Model:
Accuracy ±: / Other:
6. Containment Screen
7. Other:
Section 6 - cleaning
1. Method of Cleaning: / Water / Vacuum / Solvents / Wipe Down OnlySection 7 – Control & Electrical System
1. Control System Type: / None / By Howorth / By ClientInterface to DCS/BMS etc?:
2. Main Control Panel: / Location: / Booth Wall / In Mechanical Space / In Control Room
Panel Rating: / NEMA 4X (Standard) / NEMA 4 / Other:
3. Local Operator Panel (LOP) Location: / In Booth Through Side Wall (Standard) / Other:
4. Lighting: / Not Required / Required / Lighting Levels: / 500 Lux / Other:
5. Grounding Points: / No / Yes (Standard Feature)
6. Power Outlets: / No / Yes / Quantity: / Voltage:
Section 8 – Brief Sketch or Description of Functions/Operation
Booth QuestionnaireHAT708 Rev 0 / Page 1 of 3