National Board Number: Not Applicable

Mfr. Representative:

Date:

Authorized Inspector:

Date:

FORM A-1 MANUFACTURERS DATA REPORT FOR PRESSURE VESSELS

As Required by the Provisions of the ASME Code Rules, Section VIII, Division 2
1. Manufactured and certified by
(Name and address of manufacturer)

2. Manufactured for
(Name and address of purchaser)
3. Location of installation
(Name and address)

Vertical, Tank

4. Type :

Not

Horiz. or vert. tank

Mfr.s serial no.

Drawing no.

CRN

Nat'l. Bd. no.

Year built

5. The chemical and physical properties of all parts meet the requirements of material specifications of the ASME BOILER AND PRESSURE VESSEL CODE. The
design, construction, and workmanship conform to ASME Code, Section VIII, Division 2.

2013

Not Applicable

Not Applicable

Year

Addenda date

Code case no.

Items 6 to 11 incl. to be completed for single wall vessels, jackets of jacketed vessels, or shells of heat exchangers
SA-516 Gr. 70

80 mm

3 mm (int)

2200 mm

4394 mm

Material (spec. no., grade)

Nom. thk.

Corr. allow.

Diameter

Length (overall)

6. Shell

Type 1, Double, Butt

7. Seams

PWHT at 610 10C for 145 Minutes

Longitudinal

Type 1, Double, Butt

Nondestructive examination

PWHT at 610 10C for 145 Minutes

RT- 100% , PT-10%

Heat treatment

Girth

Nondestructive examination

SA-516 Gr. 70, Type 1, Double, Butt, PWHT

8. Heads: (a) Matl.

Refer Remark-6 of attached form A-3

Heat treatment

No. of courses

SA-516 Gr. 70, Type 1, Double, Butt, PWHT

(b) Matl.

Spec. no., grade

Spec. no., grade

Location (Top,
Bottom, Ends)

Minimum
Thickness

Corrosion
Allowance

Crown
Radius

Knuckle
Radius

Elliptical
Ratio

Conical
Apex Angle

Hemispheric
al Radius

Flat
Diameter

Side to Pressure
(Convex or Concave)

Top
Bottom

38 mm
38 mm

3.0 mm (int)
3.0 mm (int)

---

---

---

---

1117.5 mm
1117.5 mm

---

Concave
Concave

(a)
(b)

Not Applicable

9. If removable, bolts used (describe other fastenings):

Matl. spec. no., grade, size, number

Not Applicable

10. Jacket closure

Not Applicable

If bar, give dimensions

If bolted, describe or sketch.

Describe as ogee and weld, bar, etc.

11. MAWP

9 MPa(g)

Not Applicable

(Internal)

(External)

150C

at max. temp.

Not Applicable Min. design metal temp

(Internal)

5C

at 9 MPa(g)

(External)

Impact test. Refer Remark-1 of attached form A-3

At test temperature of

--

12.90 MPa (131.50 Kg/cm2)

Hydro., pneu., or comb test pressure

Items 12 and 13 to be completed for tube sections

Not Applicable

Not Applicable

Not Applicable

Not Applicable

Not Applicable

Stationary matl. (spec. no., grade)

Diam. (subject to pressure)

Nom. thk.

Corr. allow.

Attach. (wld., bolted)

Not Applicable

Not Applicable

Not Applicable

Not Applicable

Nom. thk.

Corr. allow.

Attach. (wld., bolted)

12. Tubesheets

Not Applicable
Floating matl. (spec. no., grade)

Diam. (subject to pressure)

Not Applicable

13. Tubes

Not Applicable

Matl. (spec. no., grade)

Not Applicable

O.D.

Not Applicable

Nom. thk.

Not Applicable

Number

Type (straight or "U")

Items 14 to 18 incl. to be completed for inner chambers of jacketed vessels, or channels of heat exchangers
Not Applicable

Not Applicable

Not Applicable

Not Applicable

Material (spec. no., grade)

Nom. thk.

Corr. allow.

Diameter

14. Shell

Not Applicable

15. Seams

Girth

Not Applicable

Heat treatment

Nondestructive examination

Not Applicable

Not Applicable

Not Applicable

Heat treatment

Nondestructive examination

No. of courses

Not Applicable

16. Heads: (a) Matl.

Not Applicable

(b) Matl.

Spec. no., grade

(a)
(b)

Length (overall)

Not Applicable

Longitudinal

Not Applicable

Not Applicable

Spec. no., grade

Location (Top,
Bottom, Ends)

Minimum
Thickness

Corrosion
Allowance

Crown
Radius

Knuckle
Radius

Elliptical
Ratio

Conical
Apex Angle

Hemispheric
al Radius

Flat
Diameter

Side to Pressure
(Convex or Concave)

---

---

---

---

---

---

---

---

---

---

17. If removable, bolts used (describe other fastenings):

18. MAWP Not Applicable
(Internal)
Impact test Not Applicable
Hydro., pneu., or comb test pressure

Not Applicable

Matl. spec. no., grade, size, number

Not Applicable at max. temp. Not Applicable Not Applicable Min. design metal temp.
NA
at
NA
(External)
(Internal)
(External)
At test temperature of Not Applicable

Not Applicable

National Board Number: Not Applicable

Mfr. Representative:

Date:

Authorized Inspector:

Date:

FORM A-1 (Back)

Items below to be completed for all vessels where applicable.
19. Nozzles inspection and safety valve openings
Purpose
(lnlet, Outlet, Drain, etc.)

No.

Diam. or Size

Type

------

Material

Nom. Thk.

Reinforcement Material

How Attached

Location

See attached form A-3 for Nozzle details -------

20. Body Flanges

Body Flanges on Shells
Bolting
No.

Type

ID

OD

Flange Thk

Min Hub
Thk

Flange Thk

Min Hub
Thk

Material

How Attached

Location

Num & Size

Bolting Material

Washer
(OD, ID, Thk)

Bolting Material

Washer
(OD, ID, Thk)

Bolting Material

Body Flanges on Heads

Bolting
No.

Type

ID

21. Support Skirt

OD

Yes

--

Lugs

Yes or no
22. Service: Fatigue analysis required

Material

--

Legs

No.

How Attached

Location

Num & Size

--

Other

No.

Bolting Material

Attached

Welded to Bottom Dished End

Describe

No

Where and how

--

and

Yes or no

Describe contents or service

Remarks:
1.See details of Nozzles and Remarks in attached A-3 sheet.

CERTIFICATION OF DESIGN
Users Design Specification on file at
Manufacturers Design Report on file at
Users Design Specification certified by

XXX

PE State

Manufacturers Design Report certified by XXX

PE State

XXX
XXX

Reg. No.
Reg. No.

XXX
XXX

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 conforms to the ASME Code for
Pressure Vessels, Section VIII, Division 2.
U2 Certificate of Authorization No.
Date XX/XX/XXXX

Co. name

XXXX
expires XX/XX/XXXX
P Industries Limited, Pune

Signed

Manufacturer

Representative

CERTIFICATE OF SHOP INSPECTION

Vessel made by
at Shop
I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and employed by
Lloyds Register Verification LTD.
of
UK

,
have inspected the pressure vessel described in this Manufacturers Data Report on XX/XX/XXXX
,
and state that, to the best of my knowledge and belief, the Manufacturer has constructed this pressure vessel in accordance with ASME Code, Section VIII,
Division 2. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the pressure vessel
described in this Manufacturers Data Report. Furthermore, neither the Inspector nor his 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

XX/XX/XXXX

Signed

Commissions
Authorized Inspector

NatI. Board (incl. Endorsements)

CERTIFICATE OF FIELD ASSEMBLY COMPLIANCE

We certify that the field assembly construction of all parts of this vessel conforms with the requirements of Section VIII, Division 2 of the ASME BOILER AND
PRESSURE VESSEL CODE.
U2 Certificate of Authorization No.
expires
Date

Co. name

Signed
Assembler that certified and constructed field assembly

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 that, to the best of my knowledge and belief, the Manufacturer has
constructed and assembled this pressure vessel in accordance with the ASME Code, Section VIII, Division 2.
The described vessel was inspected and subjected to a hydrostatic test of
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the pressure vessel described in this
Manufacturers Data Report. Furthermore, neither the Inspector nor his 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

Commissions
Authorized Inspector

NatI. Board (incl. Endorsements)