BPVC Viii-1 U-1

National Board Number:
Mfr. Representative:
Date:
Authorized Inspector:
Date:
FORM U-1 MANUFACTURERS DATA REPORT FOR PRESSURE VESSELS

As Required by the Provisions of the ASME Boiler and Pressure Vessel Code Rules, Section VIII, Division 1
1. Manufactured and certified by
(Name and address of Manufacturer)
2. Manufactured for
(Name and address of Purchaser)
3. Location of installation
4. Type
(Name and address)
(Horizontal, vertical, or sphere)
(Tank, separator, jkt. vessel, heat exch., etc.)
(CRN)
(National Board number)
(Drawing number)
5. ASME Code, Section VIII, Div. 1
(Manufacturers serial number)
[Edition and Addenda, if applicable (date)]
(Year built)
[Special service per UG-120(d)]
(Code Case number)
Items 611 incl. to be completed for single wall vessels, jackets of jacketed vessels, shell of heat exchangers, or chamber of multichamber vessels.
6. Shell:
(a) Number of course(s)
(b) Overall length
Course(s)
No.
Material
Diameter
Length
Thickness
Spec./Grade or Type
Nom.
Long. Joint (Cat. A)
Corr.
Type
Full, Spot,
None
Circum. Joint (Cat. A, B & C)
Eff.
Full, Spot,
None
Type
Eff.
Heat Treatment
Temp.
Time
Body Flanges on Shells

Bolting
No.
Type
ID
7. Heads: (a)
Flange Thk Min Hub Thk
OD
Material
How Attached
(b)
(Material spec. number, grade or type) (H.T. time and temp.)
Thickness
Location (Top,
Bottom, Ends)
Min.
Radius
Corr.
Crown
Knuckle
Elliptical
Ratio
Location
Conical
Apex Angle
Num & Size
Washer
(OD, ID, thk)
Bolting Material
Washer Material
(Material spec. number, grade or type) (H.T. time and temp.)
Hemis.
Radius
Flat
Diameter
Side to Pressure
Convex
Category A
Concave
Type
Full, Spot,
None
Eff.
(a)
(b)
Body Flanges on Heads

Bolting
Type
Location
ID
OD
Material
How Attached
Num & Size
Bolting Material
Washer
(OD, ID, thk)
Washer Material
(a)
(b)
8. Type of jacket
Jacket closure
(Describe as ogee and weld, bar, etc.)
If bar, give dimensions

9. MAWP
(Internal)
If bolted, describe or sketch.

(External)
10. Impact test
at max. temp.
(Internal)
(External)
Min. design metal temp.
[Indicate yes or no and the component(s) impact tested]
11. Hydro., pneu., or comb. test pressure
at
.
.
at test temperature of
Proof test
Items 12 and 13 to be completed for tube sections.

12. Tubesheet
13. Tubes
(04/14)
[Stationary (material spec. no.)]
[Diameter (subject to press.)]
[Floating (material spec. no.)]
(Diameter)
(Material spec. no., grade or type)
(O.D.)
(Nominal thickness)
(Nominal thickness)
(Nominal thickness)
(Corr. allow.)
(Corr. allow.)
(Number)
[Attachment (welded or bolted)]

(Attachment)
[Type (straight or U)]

Date:
Date:
FORM U-1 (Contd)

Items 1418 incl. to be completed for inner chambers of jacketed vessels or channels of heat exchangers.
14. Shell: (a) No. of course(s)
(b) Overall length
Course(s)
No.
Material
Diameter
Length
Thickness
Spec./Grade or Type
Nom.
Long. Joint (Cat. A)
Corr.
Full, Spot,
None
Type
Circum. Joint (Cat. A, B & C)
Eff.
Full, Spot,
None
Type
Eff.
Heat Treatment
Temp.
Time
Body Flanges on Shells

Bolting
No.
Type
ID
OD
15. Heads: (a)
Material
Thickness
Min.
Radius
Corr.
Crown
Knuckle
Elliptical
Ratio
Num & Size
(b)
(Material spec. number, grade, or type) (H.T. time and temp.)
Location (Top,
Bottom, Ends)
Location
How Attached
Conical
Apex Angle
Washer
(OD, ID, thk)
Bolting Material
Washer Material
(Material spec. number, grade, or type) (H.T. time and temp.)
Hemis.
Radius
Side to Pressure
Flat
Diameter
Convex
Category A
Concave
Type
Full, Spot,
None
Eff.
(a)
(b)
Body Flanges on Heads

Bolting
Type
Location
ID
OD
How Attached
Material
Num & Size
Bolting Material
Washer
(OD, ID, thk)
Washer Material
(a)
(b)
16. MAWP
(Internal)
(External)
17. Impact test
at max. temp.
(Internal)
20. Supports: Skirt
Min. design metal temp.
No.
Diameter
or Size
(Yes or no)
Lugs
(Number)
.
.
Proof test
Material
Type
at
at test temperature of
[Indicate yes or no and the component(s) impact tested]
18. Hydro., pneu., or comb. test pressure

19. Nozzles, inspection, and safety valve openings:
Purpose
(Inlet, Outlet,
Drain, etc.)
(External)
Nozzle
Legs
(Number)
Nozzle Thickness
Flange
Others
Nom.
Corr.
Reinforcement
Material
(Describe)
Attached
Attachment Details
Nozzle
Flange
Location
(Insp. Open.)
(Where and how)
21. Manufacturers Partial Data Reports properly identified and signed by Commissioned Inspectors have been furnished for the following items of
the report (list the name of part, item number, Manufacturers name, and identifying number):
22. Remarks
(04/14)

Date:
Date:
FORM U-1 (Contd)

CERTIFICATE OF SHOP COMPLIANCE
We certify that the statements in this report are correct and that all details of design, material, construction, and workmanship of this vessel
conform to the ASME BOILER AND PRESSURE VESSEL CODE, Section VIII, Division 1.
U Certificate of Authorization Number
Date
Expires
Name
Signed
(Manufacturer)
(Representative)
CERTIFICATE OF SHOP INSPECTION

I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and employed by
of
have inspected the pressure vessel described in this Manufacturers Data Report on
, and
state that, to the best of my knowledge and belief, the Manufacturer has constructed this pressure vessel in accordance with ASME BOILER AND
PRESSURE VESSEL CODE, Section VIII, Division 1. By signing this certificate neither the Inspector nor his/her employer makes any warranty, expressed
or implied, concerning the pressure vessel described in this Manufacturer's Data Report. Furthermore, neither the Inspector nor his/her employer shall
be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Date
Signed
(Authorized Inspector)
Commissions
[National Board (incl. endorsements)]
CERTIFICATE OF FIELD ASSEMBLY COMPLIANCE

We certify that the statements in this report are correct and that the field assembly construction of all parts of this vessel conforms with the requirements
of ASME BOILER AND PRESSURE VESSEL CODE, Section VIII, Division 1. U Certificate of Authorization Number
Date
Name
(Assembler)
Signed
Expires
(Representative)
CERTIFICATE OF FIELD ASSEMBLY INSPECTION

I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and employed by
of
, have compared the statements in this Manufacturers Data Report with the described pressure vessel
and state that parts referred to as data items
, not included in the certificate of shop inspection, have been
inspected by me and to the best of my knowledge and belief, the Manufacturer has constructed and assembled this pressure vessel in accordance
with the ASME BOILER AND PRESSURE VESSEL CODE, Section VIII, Division 1. The described vessel was inspected and subjected to a hydrostatic test of
. By signing this certificate neither the Inspector nor his/her employer makes any warranty, expressed or
implied, concerning the pressure vessel described in this Manufacturer's Data Report. Furthermore, neither the Inspector nor his/her employer
shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Date
(04/14)
Signed
(Authorized Inspector)
Commissions
[National Board (incl. endorsements)]

BPVC Viii-1 U-1

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National Board Number:

FORM U-1 MANUFACTURERS DATA REPORT FOR PRESSURE VESSELS

(Name and address of Purchaser)

(Name and address)

(Horizontal, vertical, or sphere)

(Tank, separator, jkt. vessel, heat exch., etc.)

(National Board number)

5. ASME Code, Section VIII, Div. 1

(Manufacturers serial number)

[Edition and Addenda, if applicable (date)]

[Special service per UG-120(d)]

(Code Case number)

(a) Number of course(s)

(b) Overall length

Long. Joint (Cat. A)

Circum. Joint (Cat. A, B & C)

Body Flanges on Shells

Flange Thk Min Hub Thk

(Material spec. number, grade or type) (H.T. time and temp.)

Num & Size

(Material spec. number, grade or type) (H.T. time and temp.)

Body Flanges on Heads

Flange Thk Min Hub Thk

Num & Size

(Describe as ogee and weld, bar, etc.)

If bar, give dimensions

If bolted, describe or sketch.

10. Impact test

Min. design metal temp.

[Indicate yes or no and the component(s) impact tested]

11. Hydro., pneu., or comb. test pressure

Items 12 and 13 to be completed for tube sections.

[Stationary (material spec. no.)]

[Diameter (subject to press.)]

[Floating (material spec. no.)]

(Material spec. no., grade or type)

[Attachment (welded or bolted)]

National Board Number:

FORM U-1 (Contd)

(b) Overall length

Long. Joint (Cat. A)

Circum. Joint (Cat. A, B & C)

Body Flanges on Shells

Flange Thk Min Hub Thk

15. Heads: (a)

Num & Size

(Material spec. number, grade, or type) (H.T. time and temp.)

(Material spec. number, grade, or type) (H.T. time and temp.)

Body Flanges on Heads

Flange Thk Min Hub Thk

Num & Size

17. Impact test

20. Supports: Skirt

Min. design metal temp.

[Indicate yes or no and the component(s) impact tested]

18. Hydro., pneu., or comb. test pressure

(Where and how)

National Board Number: