Pre-installation Checklist: SafeTrack™

Contact Information
Your Name*
First Last
Your Company*
Email*
Enter Email Confirm Email
Your best contact phone number*
Safe-Grain, Inc. Job Number*
Customer Company*
Installation Address*
Street Address Address Line 2 City State ZIP Code

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Important Notes
Safe-Grain SafeTrack installation does not cover repairs to any bin erector or millwright leadwire or cable damages. Any repairs to the leadwire or cables will be billed to customer.*
- Agreed
Payment for your SafeTrack project is due at the completion of Safe-Grain installation. Any additional repairs will be on separate time and material invoicing. Labor by Safe-Grain to install the above material excludes any 120VAC wiring and 120VAC wire conduit.*
- Agreed
Safe-Grain installation prices are based upon: The bin erector must hang our cables from the bin manufacturer's cable supports (supports by other) and bring all lead wires through a Safe-Grain supplied Myers Hub to be installed by the bin erector near the roof peak.*
- Agreed
Our installation will begin on the outside of the roof peak at the Myers Hub and is based on the bin having an outside roof and wall ladder with OSHA safety cage or safe access to the catwalk located over the peak.*
- Agreed
I understand that Internet access and Microsoft Excel software is required to fully utilize all the functions of the SafeTrack Software.*
- I understand
All bins are to be ready for our crew for installation in the quantity of trips quoted. Return trips caused by other's actions or inactions will result in additional travel charges and billed on a separate time and material basis.*
- Agreed
If possible we prefer that you forward any safety training materials in advance for completion prior to our arrival on the job site. Would you like to upload training materials?*
- Yes
- No
File
Drop files here or

Accepted file types: jpg, gif, tif, doc, docx, pdf, Max. file size: 6 MB.
By my eSignature below, I certify that I have read, fully understand and accept all terms of the foregoing statement. Please signify your acceptance by entering the information requested in the fields below. Please enter your full name:*
First Last
Identifier*

Please enter your identifier - your first initial and the last four digits of your phone number.

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Step 1 of 3

Contact Information

Pre-Installation Checklist

Important Notes