ReliaSoft® Corporation: Item Selection Form for FMEA Accelerator® Purchase

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Select one or more individual component templates and fax this form to ReliaSoft along with your order (submitted via the printed order form). This form accompanies the order for:
Company: ________________________________________________________________________________
Attention: ________________________________________________________________________________
E-mail: ________________________________________________________________________________
Version: I will be accessing the templates via   Xfmea/RCM++ 5    OR    Xfmea/RCM++ 4
MRG Physical Asset FMEA Template Collection
Actuator_Pneumatic
Actuator_Pneumatic_Linear
Aerator_Mechanical
Agitator_Side Entry_Gear Box Drive_Axial Flow Impellor
Agitator_Top Entry_Belt Drive_Axial Flow Impellor
Agitator_Top Entry_Gear Box Drive_Axial Flow Impellor
Agitator_Top Entry_Gear Box Drive_Radial Flow Impellor
Air Handler_Direct Fired_Refrigerant Cooled
Air Handler_Steam Heated_Chilled Water Cooled
Battery_Electric Storage_Lead Acid
Blower_Centrifugal_Belt Driven
Blower_Centrifugal_Coupled_Motor Driven
Blower_Vacuum_Liquid Ring_Belt Driven
Blower_Vacuum_Liquid Ring_Direct Drive
Blower_Vacuum_Positive Displacement_Direct Drive
Boiler_Coal Fired_Pulverized
Boiler_Coal Fired_Spreader Stoker_Traveling Grate
Boiler_Gas Fired_Fire Tube
Boiler_Gas Fired_Water Tube
Boiler_Oil Fired_Gas Pilot
Brake_Pneumatic_Spring Apply
Burner_Coal_Pulverized
Burner_Gas_Boiler
Burner_Gas_Excess Air
Burner_Oil_Boiler
Burner_Oil_Excess Air
Burner_Oil_Residual
Centrifuge_Horizontal Axis_Bowl_Gear Driven Scroll Discharge
Centrifuge_Horizontal Axis_Bowl_Motor Driven Scroll Discharge
Centrifuge_Vertical Axis_Bowl_Center Fed
Centrifuge_Vertical Axis_Disc Stack
Charger_Battery_Electric
Chiller_Air Cooled_Circulating_Brine
Chiller_Water Cooled_Circulating_Brine
Chlorinator_Liquid Metering
Clutch_Friction_Pneumatic
Compressor_Centrifugal_Mech Recompressor_Motor Driven
Compressor_Centrifugal_Motor Driven		 Compressor_Reciprocating_One Stage_Belt Driven
Compressor_Reciprocating_One Stage_Coupled
Compressor_Reciprocating_Two Stage_Belt Driven
Compressor_Reciprocating_Two Stage_Coupled
Compressor_Rotary Screw_Belt Driven
Conveyor_Belt_Chain Drive
Conveyor_Belt_Coupled
Conveyor_Bucket Elevator_Chain Carrier
Conveyor_Bucket Elevator_Coupled
Conveyor_Drag_Chain Drive
Conveyor_Pneumatic
Conveyor_Roller_Belt Driven
Conveyor_Roller_Chain Driven
Conveyor_Screw_Belt Driven
Conveyor_Screw_Chain Driven
Conveyor_Vibratory_Linear_Belt Driven
Cooler_Rotary_Water Cooled
Cooling Tower_Cross Draft_Gear Drive
Coupling_Gear
Coupling_Insert
Crusher_Delumper_Dry_Belt Driven
Crusher_Delumper_Dry_Chain Driven
Crusher_Roll_Toothed Roll_Hyudraulic Drive
Cyclone_Dry_Dust Collector
Cyclone_Hydroclone
Damper_Butterfly_Pneumatic Actuator
Damper_Butterfly_Pneumatic Operator
Damper_Louver_Fire Safe Actuator
Damper_Louver_Pneumatic Actuator
Damper_Louver_Pneumatic Operator
Damper_Slide Gate_Fire Safe Actuator
Damper_Slide Gate_Pneumatic Actuator
Damper_Slide Gate_Pneumatic Operator
Door_Roll-up_Gearbox Drive
Drive_Belt
Drive_Chain
Dryer_Air_Membrane
Dryer_Fluidized Bed_Vibratory Pan

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Dryer_Rotary_Air Drying
Dryer_Rotary_Steam Heated
Dryer-Cooler_Stacked Deck_Air Heated-Cooled
Dust Collector_Bag House_Pulse Air
Dust Collector_Bag House_Shaker
Dust Collector_Bag House_Sweep Arm Cleaning
Ejector_Steam
Engine_Diesel_Mobile
Engine_Diesel_Stationary
Expansion Joint_Bellows_Ductwork
 Expansion Joint_Fabric_Ductwork
 Fan_Axial_Cooling Tower
 Fan_Axial_Ventilation
 Feeder_Belt_Volumetric
Feeder_Rotary_Table
Feeder_Screw_Loss in Weight
Feeder_Screw_Volumetric
 Feeder_Vibratory
 Filter_Bag_Simplex_Liquid
 Filter_Belt_Reciprocating Tray
 Filter_Cartridge_Air
 Filter_Cartridge_Multiplex_Liquid
 Filter_Cartridge_Simplex_Liquid
 Filter_Drum_Knife Advance Discharge
 Filter_Drum_Roll Discharge
 Filter_Membrane_Gas
 Filter_Membrane_Liquid
 Filter_Oil_Compressor Inlet
 Filter_Press
Filter_Pressure Leaf
 Filter_Tube_Liquid
 Fork Lift_Telehandler
Fork Lift_Vertical Mast_Electric Powered
Fork Lift_Vertical Mast_Propane Powered
 Furnace_Multiple Hearth_Activated Carbon Regeneration
 Gearbox_Grease Lubricated
 Gearbox_Oil Lubricated
 Gearmotor_AC
 Generator_AC
 Generator_AC_Condensing Steam Turbine Drive
 Generator_AC_Emergency_Diesel Drive
 Generator_AC_Gas Turbine Drive
 Generator_DC_AC Motor Drive
 Heat Exchanger_Plate and Frame
 Heat Exchanger_Shell and Tube_Gas-Liquid
 Heat Exchanger_Shell and Tube_Liquid-Liquid
 Hoist_Manual
 Hoist_Powered_Electric
 HVAC_Air Conditioner_Canned Compressor_Electric Heat
 Lubrication System_Grease_Pneumatic		 Lubrication System_Oil_Recirculating
 Mill_Autogenous
 Mill_Grinding_Pebble
 Mill_Hammermill_Direct Coupled
 Mill_Hammermill_Disintegrator
 Mill_Pin_Belt Drive
 Mill_Pin_Motor Drive
 Mixer_Paddle_Continuous_Belt Driven
 Mixer_Static_Duct
 Mixer_Static_Pipe
 Motor_AC
 Motor_DC
 Motor_Hydraulic_Vane
 Power Supply_Uninterruptable
 Power Unit_Hydraulic_Gear Pump_Self Contained
 Power Unit_Hydraulic_Piston Pump_Reservoir Mounted
 Press_Screw_Dewatering_Belt Driven
 Pump_Axial_Belt Driven
Pump_Centrifugal_Mag Drive_Close Coupled
 Pump_Centrifugal_Mag Drive_Flex Coupled
 Pump_Centrifugal_Motor drive
 Pump_Centrifugal_Submersible
 Pump_Diaphragm_Metering
 Pump_Diaphragm_Pneumatic
 Pump_Drum_Pneumatic Cylinder
 Pump_Gear_Three Screw
 Pump_Gear_Two Screw
 Pump_Lobe_Belt Drive
 Pump_Lobe_Gear Drive
 Pump_Lobe_Motor Drive
 Pump_Piston_Reciprocating_Multiplex_Gear Drive
 Pump_Piston_Reciprocating_Multiplex_Motor Drive
 Pump_Piston_Reciprocating_Simplex_Gear Drive
 Pump_Piston_Reciprocating_Simplex_Motor Drive
 Pump_Piston_Reciprocating_Steam Piston Drive
 Pump_Plunger_Multiplex_Gear Drive
 Pump_Plunger_Multiplex_Motor Drive
 Pump_Plunger_Simplex_Gear Drive
 Pump_Plunger_Simplex_Motor Drive
 Pump_Plunger_Steam Piston Drive
 Pump_Progressive_Cavity
 Pump_Vacuum_Liquid Ring
 Pump_Vane_Belt Drive
 Pump_Vane_Gear Drive
 Pump_Vane_Motor Drive
 Rupture Disc_Metallic
 Scale_Hopper
 Scale_Impact
 Scale_Platform
 Screen_Dewatering_Gravity Operated

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Screen_Grizzly
 Screen_Sifter
 Settler_Tank_Liquid-Vapor
 Settler_Tank_Solids-Liquid
 Silo_Activated_Air Fluidized
 Silo_Activated_Gyratory Bottom_Belt Discharge
 Silo_Activated_Screw Bottom_Screw Discharge
 Silo_Static_Pneumatic Vibrator Discharge
 Soot Blower_Fixed_Motor Drive
 Soot Blower_Retractable_Rack and Pinion Drive
 Soot Blower_Retractable_Screw Drive
 Stack_Refractory Lined
 Std Belt Drive
 Std Chain Drive
 Std Coupling_Flexible_Elastomeric Insert
 Std Coupling_Flexible_Gear
 Std DCS Communication
 Std Electric Motor
 Std Flange Gasket
 Std Gearbox
 Std Pipe Fitting
 Steam Trap_Balanced Pressure
 Steam Trap_Bimetallic
 Steam Trap_Disc
 Steam Trap_Float and Thermostatic
 Steam Trap_Inverted Bucket
 Steam Trap_Labyrinth
 Steam Trap_Liquid Expansion
 Steam Trap_Orifice
 Steam Trap_Piston
 Strainer_Rotary_Gearmotor Driven
 Strainer_Wye
 Switch_Railroad_Manual
 Switchgear_Circuit Breaker_Low Voltage
 Switchgear_Fused Disconnect
 Switchgear_Fused Disconnect_Low Voltage
 Tank_Atmospheric_Lined Steel
 Tank_Atmospheric_Lined Steel_Heated
 Tank_Atmospheric_Metallic
 Tank_Atmospheric_Metallic_Heated
 Tank_Atmospheric_Nonmetallic
 Tank_Mixing_Atmospheric_Metallic
 Tank_Mixing_Atmospheric_Nonmetallic
 Tank_Mixing_Pressure_Metallic
 Tank_Mixing_Pressure_Metallic_Heated
 Tank_Mixing_Pressure_Nonmetallic
 Tank_Pressure_Air Receiver
 Tank_Pressure_Lined Steel
 Tank_Pressure_Metallic
 Tank_Pressure_Metallic_Heated
 Tank_Pressure_Nonmetallic
 Transformer_Step-down		 Turbine_Steam_Single Stage
 Valve_Backflow Preventer
 Valve_Ball_Manual
 Valve_Ball_Motor Actuator
 Valve_Ball_Pneumatic Actuator
 Valve_Butterfly_Manual
 Valve_Butterfly_Motor Actuator
 Valve_Butterfly_Pneumatic Actuator
 Valve_Check_Ball
 Valve_Check_Duckbill
 Valve_Check_Foot
 Valve_Check_Lift
 Valve_Check_Piston
 Valve_Check_Split Disc
 Valve_Check_Swing
 Valve_Check_Tilting Disc
 Valve_Diaphragm_Air Operated
 Valve_Diaphragm_Manual
 Valve_Diaphragm_Self Contained Back Pressure Control
 Valve_Diaphragm_Self Contained Pressure Control
 Valve_Gate_Manual
 Valve_Gate_Motor Actuator
 Valve_Gate_Pneumatic Actuator
 Valve_Globe_Float Operated
 Valve_Globe_Manual
 Valve_Globe_Pneumatic Operator
 Valve_Needle_Manual
 Valve_Pinch_Air Operated
 Valve_Pinch_Manual
 Valve_Plug_Manual
 Valve_Plug_Motor Actuator
 Valve_Plug_Pneumatic Actuator
 Valve_Relief
 Valve_Rotary Airlock
 Valve_Slide Gate_Solids
 Washer_Rallcar_Wash Arm
 Washer_Tank