BWC-ISD-T-8A
MANUFACTURER’S DATA REPORT FOR BOILER/UNFIRED PRESSURE VESSELS
1. Manufactured by: ______(Name and address of manufacturer)
2. Manufactured for: ______
(Name and address of purchaser)
Items 4-9 inclusive to be completed for single wall vessels (air tanks, jackets or jacketed vessels or shell of heat exchanger)
3. Shell: ______
Material (Kind, Spec. No.) T.S. (Flg. Or F.B. & lowest T.S.) Nominal thickness (in.) Corrosion allowance (in.)
______
Diameter, I.D. (ft. & in.) Length (overall) (ft. & in.)
4. Seams: ______
Long. (Welded, Dbl, Sngl., Lap, Butt) X-rayed.(Spot or Full) Eff. (%) Girth (Welded, Dbl., Sngl., Lap, Butt)
______
R.T.(Spot or Full If riveted, describe seam fully on reverse side of form) No. of Courses
5. Heads : (a) ______(b) ______
Material (Kind, Spec. No.) T.S. Material (Kind, Spec. No.) T.S.
Location (Top, Bottom Ends) / Minimum thickness / Corrosion Allowance / Crown Radius / Knuckle Radius / Elliptical ratio / Conical Apex Angle / Hemispherical Radius / Flat Diameter / Side to Pressure (Convex or Concave)
(a)
(b)
If removable, bolts used (describe other fastening) ______
Material (Kind, Spec. No.)
6. Staybolts: ______
Material If hollow (Size of hole) Attachment (Threaded or Welded) Pitch (Hor. Or Vert.) Nom. Diameter
7. Jacket closures : ______
(Describe weld, bar, etc. If bar, give dimensions, if bolted, described or sketch)
8. MAWP ______psi at max. temp. ______oC subzero ______o C Hydro test pressure ______psi
Items 10 and 11 to be completed for tube sections
9. Tube sheets: ______Material (Kind, Spec. No.) Diameter (Subject to press.) Thickness (In.) Attachment (Bolted or Welded)
10. Tubes: ______
Material (Kind, Spec. No.) Diameter O.D. (In.) Thickness (In. and gage no.) Type (Straight or U)
Items 12 to 15 inclusive to be completed for inner chambers of jacketed vessels or channels of heat exchangers.
11. Shell: ______
Material (Kind, Spec. No.) T.S. (Flg. Or F.B. & lowest T.S.) Nominal thickness (in.) Corrosion allowance (in.)
______
Diameter, I.D. (ft. & in.) Length (overall) (ft. & in.)
12. Seams: ______
Long. (Welded, Dbl, Sngl., Lap, Butt) R.T.(Spot or Full) Eff. (%) Girth (Welded, Dbl., Sngl., Lap, Butt)
______
X-rayed.(Spot or Full If riveted, describe seam fully on reverse side of form) Sectioned (Yes/No) No. of Courses
13. Heads : (a) ______(b) ______(c) ______
Matl. (Kind, Spec. No.) T.S. Matl. (Kind, Spec. No.) T.S. Matl. (Kind, Spec. No.) T.S.
Location (Top, Bottom Ends) / Minimum thickness / Corrosion Allowance / Crown Radius / Knuckle Radius / Elliptical ratio / Conical Apex Angle / Hemispherical Radius / Flat Diameter / Side to Pressure (Convex or Concave)
(a)
(b)
(c)
If removable, bolts used (describe other fastening) ______
Material (Kind, Spec. No.)
14. Staybolts: ______
Material If hollow (Size of hole) Attachment (Threaded or Welded) Pitch (Hor. Or Vert.) Nom. Diameter
15. MAWP ______psi at max. temp._____ oC Subzero ______oC Hydro test pressure ______psi
16. Safety valve outlets: ______
Number Size Location
17. Nozzles:
Purpose (Inlet, Outlet, Drain) / Number / Diameter or Size / Type / Material / Thickness / Reinforcement material / How Attach
18. Inspection manholes ______
Number Size Location
Opening handholes ______
Number Size Location
Threaded: ______
Number Size Location
19. Supports: ______
Skirts (Yes/No) Lugs (No. ) Legs (No.) Other (Describe) Attachment (How and Where)
20. Remarks: ______
(Brief description of purpose of the vessel. State content/s of each part.)
We certify that the statements made in this report are correct and that all details of material, construction and workmanship of this unfired pressure vessel conform to the ASME/PSME Code for Unfired Pressure Vessels
______
Name and signature of manufacturer
TIN: ______
Date ______/ ______
Name, signature & seal of Professional Mechanical Engineer
ABOVE SPECIFICATIONS APPROVED:
______
Professional Mechanical Engineer
Department of Labor and Employment Regional Office XII Date______
CERTIFICATE OF SHOP INSPECTION
Manufacturer’s Serial Number ______PVDL NO. ______Vessel made by ______at ______
I, the undersigned, Industrial Safety Engineer of the Department of Labor and Employment inspected internally and externally the vessel described in this report on ______and certify that the statements made in this report are correct corresponding with mill test reports of materials furnish by the builders, and measurements made of the vessel and that this vessel is constructed in accordance with the ASME/PSME Code for Unfired Pressure Vessel as per plans and specifications approved by the Bureau of Working Conditions on ______.
APPROVED: ______
INDUSTRIAL SAFETY ENGINEER
CERTIFICATE OF FIELD ASSEMBLY INSPECTION
Manufacturer’s Serial Number ______PVDL NO. ______I, the undersigned, Industrial Safety Engineer of the Department of Labor and Employment have compared the statements in this Manufacturer’s data report with the completed vessel, and certify that parts referred to as data items ______were completed in the field in accordance with the requirements of the ASME/PSME Code for Pressure Vessel as per plans approved by the Bureau of Working Conditions on ______. The completed vessel was inspected and subjected to hydrostatic pressure of ______
APPROVED: ______
INDUSTRIAL SAFETY ENGINEER