UMA Custom Safety Mat Layout Form...of where you want ramp trim or blunt trim. We will work from...

Yes No

Yes No

Yes No

Yes No

UMA Custom Safety Mat Layout Form

OMRON AUTOMATION AND SAFETY • THE AMERICAS HEADQUARTERS • Chicago, IL USA • 847.843.7900 • 800.556.6766 • www.omron247.com

2. Is a trim kit required?

4. Tolerances (If no tolerances are specified and layout dimensions are withinan inch, standard mats will be provided. - min. 1/2 inch)

5. Ramp trim: Standard is TKM: 2-part PVC ramp trim, please specifyalternate ramp trim if required. (TKA: 1-part aluminum, TKAT: 2-part aluminum)

6. Has blunt trim been specified? (TKB is used to butt up against walls ormachines, if none has been specified then the default will be ramp trim.)

7. Mat Color: Standard is black unless specified, alternative: yellow8. Control Panel Location: Please indicate on the sketch the location of the control

panel to ensure shortest routing of cables.Control panelindicated?

CHECKLIST: Please complete before submitting

Please specify:

Use "R" for TKM, TKAT Ramp Trim (Adds 2.75 in. (69.9 mm) to over all dimension) Use “R” for TKA Ramp Trim (Adds 2.5 in. (63.5 mm) to over all dimensionUse “B” for TKB Blunt Trim (Adds 1 in. (25.4 mm) to over all dimension)OPTIONAL:Use “J” for Joining Trim (Adds 1.41 in. (35.8 mm) between mulitple mats.

Omron makes ordering custom mats and trims easy. Simply fill out this form with a sketch of your layout including dimensions. Make note of where you want ramp trim or blunt trim. We will work from your sketch to creat ia detailed drawing of your specifications.

1. Mat Cable Connections: 2-Cable 1-Cable

Note: Please make sure your sketch is fully defined and all of your dimensions add up. Smallest top mat surface dimensions is 10 inches. Maximum single mat size is 48 in. x 72 in. Larger sizes will consist of multiple mats and will require Joining Trim between mats.

Customer Name:

Machine Type:

Industry:

Please specify:

Please indicate onsketch of specify:

CornersTKM TKA TKATTKCMiltred Molded (TKC)

Black Yellow

*

*

3. Do sketch dimensions include trim? If “yes”, layout dimensions do not change.If “no”, layout equals top mat surface(s) & overall dimensions increase.

Yes No

Yes No

± 1 inches

Yes No

Yes No

UMA Custom Safety Mat Layout Form

OMRON AUTOMATION AND SAFETY • THE AMERICAS HEADQUARTERS • Chicago, IL USA • 847.843.7900 • 800.556.6766 • www.omron247.com

EXAMP

LE

2. Is a trim kit required?

4. Tolerances (If no tolerances are specified and layout dimensions are withinan inch, standard mats will be provided. - min. 1/2 inch)

5. Ramp trim: Standard is TKM: 2-part PVC ramp trim, please specifyalternate ramp trim if required. (TKA: 1-part aluminum, TKAT: 2-part aluminum)

6. Has blunt trim been specified? (TKB is used to butt up against walls ormachines, if none has been specified then the default will be ramp trim.)

7. Mat Color: Standard is black unless specified, alternative: yellow8. Control Panel Location: Please indicate on the sketch the location of the control

panel to ensure shortest routing of cables.Control panelindicated?

CHECKLIST: Please complete before submitting

Please specify:

Use "R" for TKM, TKAT Ramp Trim (Adds 2.75 in. (69.9 mm) to over all dimension) Use “R” for TKA Ramp Trim (Adds 2.5 in. (63.5 mm) to over all dimensionUse “B” for TKB Blunt Trim (Adds 1 in. (25.4 mm) to over all dimension)OPTIONAL:Use “J” for Joining Trim (Adds 1.41 in. (35.8 mm) between mulitple mats.

125 in.

60 in.

36 in.

32 in.

28 in.

R.

R.

R.

R.

R.

Omron makes ordering custom mats and trims easy. Simply fill out this form with a sketch of your layout including dimensions. Make note of where you want ramp trim or blunt trim. We will work from your sketch to creat ia detailed drawing of your specifications.

1. Mat Cable Connections: 2-Cable 1-Cable

Note: Please make sure your sketch is fully defined and all of your dimensions add up. Smallest top mat surface dimensions is 10 inches. Maximum single mat size is 48 in. x 72 in. Larger sizes will consist of multiple mats and will require Joining Trim between mats.

Customer Name: Barnett Industries

Robotic Assembly

Automotive

Machine Type:

Industry:

Please specify:

Please indicate onsketch of specify:

CornersTKM TKA TKAT TKCMiltred Molded (TKC)

Black Yellow

*

*

3. Do sketch dimensions include trim? If “yes”, layout dimensions do not change.If “no”, layout equals top mat surface(s) & overall dimensions increase.