Enter jobsite information by placing an x next to the appropriate description for headings  
B, C, E and G. For A, D, and F use correct number.  
 
Prepared for: Date: Prepared for: City: Date:
 
  Use Tab Key  
Machine Make & Model   Model  
  Bucket capacity  
Bucket Size (c.y. heaped)    
    HOURLY PRODUCTION Concrete  
A. Average distance between midpoint     Cubic Yards  
of stockpiles and hopper (in feet)    
    Maximum production for peak  
B. Average Travel Speeds (Place an x in the appropriate cell) periods. (Continuous cycling to    
1st gear travel hopper. No breaks, no stockpiling  
2nd gear travel (lower end) and no other activities.)  
2nd gear travel (higher end)  
3rd gear travel (lower end) Average production with 5 min.  
3rd gear travel (higher end) break and normal stockpiling    
    and other activities.*    
C. Hopper (Place an x in the appropriate cell)    
Ground level fed    
Elevated (fed from ramp) DAILY PRODUCTION (8 hour day) Concrete  
      Cubic Yards  
D. For elevated hopper only:      
Length of ramp (in feet) Average production with 5 min./hr.  
    breaks and normal stockpiling  
E. Angle of ramp (elevated hopper only) (Place an x in the appropriate cell) and other activities.*  
Less than 10 degrees  
10 - 15 degrees * Other activity may include  
16 - 21 degrees loading trucks, watering for  
    dust control, maintaining access  
F. Percent of time loader spends   road, clean-up, etc.  
stockpiling and other activities      
    Optional: Production Required Concrete  
G. Loader operator must change conveyor     Cubic Yards  
position when switching materials        
Yes: x No: Leave blank Hourly production required:  
 
    Bucket size required:  
Optional:   (Takes into account 5 min/hr break,    
Hourly concrete production   stockpiling and other activities not    
required (in cubic yards) related to cycling material to    
  hopper)