 
<table border="1" bordercolor="#7B7B7B" cellpadding="0" cellspacing="0" width="774" bgcolor="E6E7E7"> 
  <tr> 
    <td> 
      <p align="center"><b>Preliminary Design Checklist</b> 
    </td> 
  </tr> 
</table> 
<br /> 
<table border="0" cellpadding="0" cellspacing="0" width="774"> 
  <tr> 
    <td> <b>Part Name&nbsp;&nbsp;</b> 
       
    </td> 
  </tr> 
</table> 
<br /> 
<table border="0" cellpadding="0" cellspacing="0" width="774"> 
  <tr> 
    <td> <b>Company&nbsp;&nbsp;</b> 
       
    </td> 
  </tr> 
</table> 
<br /> 
<table border="0" cellpadding="0" cellspacing="0" width="774"> 
  <tr> 
    <td> <b>Drawing Number</b> 
       
    </td> 
  </tr> 
</table> 
<br /> 
<table border="0" cellpadding="0" cellspacing="0" width="774"> 
  <tr> 
    <td> <b>Part Function</b> 
       
    </td> 
  </tr> 
</table> 
<br /> 
<table border="0" cellpadding="0" cellspacing="0" width="774"> 
  <tr> 
    <td> <b>Operating Conditions</b></td> 
  </tr> 
</table> 
<table border="1" bordercolor="#7B7B7B" cellpadding="0" cellspacing="0" width="774"> 
  <tr> 
    <td width="220">&nbsp;</td> 
    <td width="119" align="center"> <b>Normal</b></td> 
    <td width="120" align="center"> <b>Maximum</b></td> 
    <td width="120" align="center"> <b>Minimum</b></td> 
  </tr> 
  <tr> 
    <td width="220"> Operating Temperature</td> 
    <td width="119">&nbsp;</td> 
    <td width="120">&nbsp;</td> 
    <td width="120">&nbsp;</td> 
  </tr> 
  <tr> 
    <td width="220">Service life</td> 
    <td width="119">&nbsp;</td> 
    <td width="120">&nbsp;</td> 
    <td width="120">&nbsp;</td> 
  </tr> 
  <tr> 
    <td width="220">Loads</td> 
    <td width="119">&nbsp;</td> 
    <td width="120">&nbsp;</td> 
    <td width="120">&nbsp;</td> 
  </tr> 
  <tr> 
    <td width="220">Load time on</td> 
    <td width="119">&nbsp;</td> 
    <td width="120">&nbsp;</td> 
    <td width="120">&nbsp;</td> 
  </tr> 
  <tr> 
    <td width="220">Load time off</td> 
    <td width="119">&nbsp;</td> 
    <td width="120">&nbsp;</td> 
    <td width="120">&nbsp;</td> 
  </tr> 
  <tr> 
    <td width="220"> Other (chemical, moisture, impact, stall, etc.)</td> 
    <td width="119">&nbsp;</td> 
    <td width="120">&nbsp;</td> 
    <td width="120">&nbsp;</td> 
  </tr> 
</table> 
<p>&nbsp;</p> 
<table border="0" cellpadding="0" cellspacing="0" width="774"> 
  <tr> 
    <td> <b>Environment</b></td> 
  </tr> 
</table> 
<table border="1" bordercolor="#7B7B7B" cellpadding="0" cellspacing="0" width="774"> 
  <tr> 
    <td width="115" align="center"> <b>Chemical</b></td> 
    <td width="115" align="center"> <b>Moisture</b></td> 
    <td width="116" align="center"> <b>Temperature</b></td> 
    <td width="116" align="center"> <b>Sunlight direct</b></td> 
    <td width="116" align="center"> <b>Sunlight indirect</b></td> 
  </tr> 
  <tr> 
    <td width="115" align="center">&nbsp;</td> 
    <td width="115" align="center">&nbsp;</td> 
    <td width="116" align="center">&nbsp;</td> 
    <td width="116" align="center">&nbsp;</td> 
    <td width="116" align="center">&nbsp;</td> 
  </tr> 
</table> 
<p>&nbsp;</p> 
<table border="0" cellpadding="0" cellspacing="0" width="774"> 
  <tr> 
    <td> <b>Design Requirements</b></td> 
  </tr> 
</table> 
<table border="1" bordercolor="#7B7B7B" cellpadding="0" cellspacing="0" width="774"> 
  <tr> 
    <td width="82" align="center"> <b>Safety Factor</b></td> 
    <td width="82" align="center"> <b>Tolerances</b></td> 
    <td width="82" align="center"> <b>Decorating</b></td> 
    <td width="83" align="center"> <b>Assembly&nbsp;</b></td> 
    <td width="83" align="center"> <b>Sag</b></td> 
    <td width="83" align="center"> <b>Finish</b></td> 
    <td width="83" align="center"> <b>Other</b></td> 
  </tr> 
  <tr> 
    <td width="82" align="center">&nbsp;</td> 
    <td width="82" align="center">&nbsp;</td> 
    <td width="82" align="center">&nbsp;</td> 
    <td width="83" align="center">&nbsp;</td> 
    <td width="83" align="center">&nbsp;</td> 
    <td width="83" align="center">&nbsp;</td> 
    <td width="83" align="center">&nbsp;</td> 
  </tr> 
</table> 
<p>&nbsp;</p> 
<table border="0" cellpadding="0" cellspacing="0" width="774"> 
  <tr> 
    <td> <b>Performance Specifications</b></td> 
  </tr> 
</table> 
&nbsp;
<table border="0" cellpadding="0" cellspacing="0" width="774"> 
  <tr> 
    <td> 
       
       
       
       
    </td> 
  </tr> 
</table> 
<p>&nbsp;</p> 
<table border="0" cellpadding="0" cellspacing="0" width="774"> 
  <tr> 
    <td> <b>Other</b></td> 
  </tr> 
</table> 
&nbsp;
<table border="0" cellpadding="0" cellspacing="0" width="774"> 
  <tr> 
    <td> 
       
       
       
       
&nbsp;</td> 
  </tr> 
</table> 
 