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Cable Specifier Form

Contact Information
*Contact: *Company:
*Address 1: Address 2:
*City: *State/Province:
*Zip/Postal Code: Country:
*Telephone: Fax:
*Email:  
Web Site:

Application (Intended Use)
On What Product or Equipment Is This Cable to be Used? (Please Explain)
 
Power: Communication:
Instrumentation or Control Signaling: Medical Device:
Other?
Please Explain:		 *Medical Application: Yes No
Will the Cable be Installed Behind Walls, Above Ceilings and/or Run Through Walls? If Used in a Medical Application, What is the Lifespan of the Medical Device?

Approvals/Standards Required?
None NFPA/NEC ABS
UL-Listed SAE MSHA for Mining
UL-Recognized Component IEC ODVA, PTO, FF, etc. for Fieldbuses
CSA VDE ETL
CE Lloyds RoHS
  Other:

Fieldbus Compatibility (More on fieldbus) Note:Various fieldbus types are well-defined by standards,
which may or may not define sizes, physical construction, colors, etc. Please refer to the standards when specifying
these types of cables. Since standard versions exist, you may not need to proceed any further with this form, unless
there will be modifications or special requirements. Please call Northwire at 1.800.468.1516 or +1 715.294.2121 for assistance.
CAN-Bus: LonWorks®:
ODVA™ DeviceNet™: Modbus®:
Profibus®: HART:
FOUNDATION™ fieldbus: Other: (Specify)
Ethernet:    

Cable Design
Outer Jacket Color:
(More)
Outer Jacket Material:
   
Insulated Conductor Description:
(Use choice A, B or C below for complex and composite constructions. For AWG sizes larger than #6, total conductor counts over 10 or other questions, please call 1.800.468.1516 or +1 715.294.2121.)
   
A: Gauge: AWG Number of Conductors:
  Twisted Pairs? Non-Paired?
  Other? Please Explain:
  Insulation Material: Insulation Colors:
     
B: Gauge: AWG Number of Conductors:
  Twisted Pairs? Non-Paired?
  Other? Please Explain:
  Insulation Material: Insulation Colors:
     
C: Gauge: AWG Number of Conductors:
  Twisted Pairs? Non-Paired?
  Other? Please Explain:
  Insulation Material: Insulation Colors:

Electrical Requirements (Please Specify the Following Attributes)
Maximum Current Per Conductor:
(More on Conductor Current)
Specific Voltage Rating:
High Voltage Breakdown:
Low or Controlled Capacitance:
Velocity of Propagation Vp:
Controlled or Matched Characteristic Impedance:
Signal Attenuation – dB:
Low Noise:
Low Loss:
Audio Specs:
Video Specs:
   
EMI/RFI Shielding ( More On Shielding)
None    
Shielding Against...
Magnetic Interference: <10MHz Electrical Interference:
>10MHz Electrical Interference: Spiral Serve Single/Double?:
Foil with Drain Wire: Foil Under Braid:
Drain Wire Inside Foil: Drain Wire Outside Foil:
Braided – Specify % Coverage:
Other, Please Call 1.800.468.1516 or +1 715.294.2121

Physical Characteristics
Dimensional Requirements – Overall Outer Diameter: (For Cable Overall O.D. Larger Than 1", Please Call)
Outer Jacket Wall Thickness:
Insulated Conductor Wall Thickness:
Lay Length of Bundled Conductors:
(More On Cabling)
Dimensional Tolerances:
Retractile: (Coil Cord)
Note: Please Use the Retractile Cord Form 		 
Medical Grade:
(More on Medical Cable)		 Breather Tubes:
(More on Breather Tubes)
High Tensile Strength:
(More on Strength Members)		 Strippable Jacket:
Non-Hygroscopic Fillers:
(More On Fillers)		 Impact Resistance:
Armored Type? Cut and Abrasion Resistance:
Solderability of Conductors: Corrosion Protection of Conductors:
Fused Stranding: Buoyancy:
Heated:    

Environmental
Nominal Operating Temperature:
Low Temperature Extremes:
High Temperature Extremes:
Presence of Water or Other Fluids:
Submerged in Water or Other Fluids:
Exposure to Corrosive Chemicals, Liquid, Solid or Gas:
Exposure to Oils, Fuels or Solvents:
Prolonged UV Exposure to Sunlight or Welding Flash:
Exposure to Dirt, Cement Dust, Drilling Mud or Other Contaminants:

Composition
Free of Biological Contaminants - "Bio-Burden" Free of Toxins Such as Lead, Barium
Halogen-Free
 Non-Combustible
Flame Resistance Toxin-Free if Burned
Autoclavable/Gamma Stable for Sterilizing (More On Medical Cable) Recyclable
   
Flexibility/Flex-Life (More on Continuous Flex Cable)
Constant Bending and/or Twisting: High Stretching Forces:
Constant Motion: Small Bending Radius:
Flaccid/Flexibility Required: Stiffness Required
   
Process Compatibility
Compatibility with Overmolding Compounds:
Compatibile with the Overmolding Process:
Compatible with Other Assembly Processes (Soldering, etc.):
Non-Migrating Materials:
   
Aesthetics
Special or Matching Colors (Specify):
(More on Colors)
Special Marking, Labeling or Legends: (Specify) (More on Cable Marking)
Other Appearance Requirements:
Free of Convolutions:
Approx. Total Feet of Finished Cable:
Is This Cable for Replacement? No Yes      
Describe Any Issues You're Experiencing with Your Current Cable Construction and What You Feel May be Causing the Problem:
Are There Any Other Requirements?
   
Before you submit the form print a copy for your records.