FORM U-1 MANUFACTURERS DATA REPORT FOR PRESSURE VESSELS

As Required by the Provisions of the ASME 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_______________________________________________________________________________________________________________________
(Name and address)
4. Type:

_____________

(Horiz. vert. or sphere)

________________

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

(Mfgs serial No.)

__
(CRN)

_ ________________________

(Drawing No.)

(Natl. Bd. No.)

(Year built)

______________

5. ASME Code, Section VIII, Div. 1

[Edition and Addenda (date)]

(Code Case No.)

[Special Service per UG -120(d)]

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) No. of course(s):

Course (s)
Diameter, mm Length (ft & in.)

No.

__

(b) Overall length (ft & In.) :

Material
Spec./Grade or Type

Thickness
Nom.
Corr.

Long. Joint (Cat. A)

Full, Spot, None Eff.

Type

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

Type
Full, Spot, None
Eff.

Heat Treatment
Temp. Time

1
1
1
__________

7. Heads: (a)
.

_____________________________

(b)

(Matl Spec. No., Grade or

Location (Top,
Bottom, Ends)

(Matl Spec. No., Grade or Type) (H.T.- Time & Temp.)

Thickness
Radius
Min. Corr. Crown Knuckle

Elliptical
Ratio

Side to Pressure
Hemispherical
Flat Diameter
Radius
Convex Concave

Conical
Apex Angle

Category A
Full, Spot, None

Type

Eff.

______

If removable, bolts used (describe other fastening)

(Matl Spec. No., Grade, size, No.)
8. Type of jacket

______ __________

Jacket closure
(Describe as ogee & weld, bar, etc.)

If bar, give dimensions

If bolted, describe or sketch.

9. MAWP

psi at max. temp.

(internal)

(external)

F Min. design metal temp.

(external)

(internal)

10. Impact test

psi.

F at

__ F

at test temperature of
[Indicate yes or no and the component(s) impact tested]

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

_______________________

Proof test

Items 12 and 13 to be completed for tube sections.

______________

12. Tubesheet:
[Stationary (Matl Spec. No.)]

[Dia., In. (subject to press.)]

(Nom. thk., In.)

[Floating (Matl Spec. No.)]

(Dia., In.)

( Nom. thk., In.)

(Corr. Allow., In.)

[Attachment (welded or bolted)]

_____________
(Corr. Allow., In.)

(Attachment)

______________

13. Tubes :
(Matl Spec. No., Grade or Type)

(O.D., In.)

(Nom. thk., In. or gauge)

(Number)

[Type (Straight or U)]

Items. 14-18 incl. to be completed for inner chambers of jacketed vessels or channels of heat exchangers.
14. Shell
No.

(a) No. of course(s):

Course (s)
Diameter, In
Length (ft & in.)

Material
Spec./Grade or Type

(b) Overall length (Ft & In) :

Thickness
Nom.
Corr.

Long. Joint (Cat. A)

Type Full, Spot, None Eff.

15. Heads : (a________________________________________________________ (b)

.

(Matl Spec. No., Grade or Type)

Location (Top,
Bottom, Ends)

(H.T.- Time & Temp.)

Thickness
Radius
Min. Corr. Crown Knuckle

Elliptical
Ratio

______________ __
Circum. Joint (Cat. A,B, & C )
Type
Full, Spot, None
Eff.

Heat Treatment
Temp. Time

_________________________________________________
(Matl Spec. No., Grade or Type) (H.T.- Time & Temp.)

Conical
Apex Angle

Side to Pressure
Hemispherical
Flat Diameter
Radius
Convex Concave

Type

Category A
Full, Spot, None

Eff.

If removable, bolts used (describe other fastening) ______________________________________________________________________________________

(Matl Spec. No., Grade, size, No.)

FORM U-1 (Back)

16. MAWP

_____

___________________psi at max. temp.

(Internal)
17. Impact test

(external)

___

___

(internal)

(external)

F Min. design metal temp.

________________________________________________________at test temperature of

F a t

____

psi.

__

F.

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

_____________________________Proof test

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

________________________

19. Nozzles, inspection, and safety valve openings:

Purpose
(Inlet, Outlet, Drain, etc.)

20. Supports: Skirt

No.

__

Diameter
or Size

Lugs

(Yes or no)

Flange
Type

Material
Nozzle

___
(No.)

Nozzle Thickness

Flange

Legs

Nom.

__
(No.)

Corr.

Reinforcement
Material

How Attached
Nozzle

Others ____________________Attached
(Describe)

Location
(Insp. Open.)

Flange

____________________
(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, mfgs name and identifying number)
___________________________________________________________________ ___________________________________________________________________
___________________________________________________________________
_________________________________________________________________
22. Remarks: _________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________

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 Code for Pressure Vessels, Section VIII, Division 1.
U Certificate of Authorization No.
______________Expires
________________________
Date

Name

_________________________Signed ______________________________________
(Manufacturer)
(Representative)

CERTIFICATE OF SHOP INSPECITION

I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and/or the State or Province of
___________ ____ and employed by
___________________
of
__ ________________________ ____ have
inspected the pressure vessels 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 Code, Section VIII,
Division 1. 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)
(Natl Board incl. endorsements, State, Province, and No.)
CERTIFICATE OF FIELD ASSEMBLY COMPLIANCE
We certify that the statements on this report are correct and that the field assembly construction of all parts of this vessel conforms with the requirements
of ASME Code, Section VIII, Division 1. U Certificate of Authorization No.___________________ Expires _______________
Date ______________ Name _______________________________________________ Signed ______________________________________ __
(Assembler)
(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/or the State or Province
of ___________________________ 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 Code, Section VIII, Division 1. The described vessel was inspected and subjected to a hydrostatic test of _____________
_ kPa.
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)
(Natl Board incl. endorsements, State, Province, and No.)

FORM U-4 MANUFACTURERS DATA REPORT SUPPLEMENTARY SHEET

As Required by the Provisions of the ASME 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 _______________________________________________________________________________________________________________________
(Name and address)
4. Type:
______________
__________________
__________________
(Horiz., vert., or sphere)
(Tank, separator, heat exh., etc.)
(Mfgs serial No.)

___

___________________

(CRN)

(Drawing No.)

_
(Natl Bd. No.)

Data Report
Item Number

Name

NO. ___

________________

Expires __

________________________________
(Manufacturer)

Date

____________
(Year built)

Remarks

Certificate of Authorization: Type

Date

___

Name

_____________________________________
(Authorized Inspector)

__________________________

_______

Signed __________________________________________
(Representative)
Commission___________________________________________
(Nat Board incl. endorsement, State, Province and No.)