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
(Horizontal, vertical, or sphere) (Tank, separator, jkt. vessel, heat exch., etc.) (Manufacturer's serial number)
(CRN) (Drawing number) (National Board number) (Year built)
5. ASME Code, Section VIII, Div. 1
[Edition and Addenda, if applicable (date)] (Code Case number) [Special service per UG-120(d)]
Items 6-11 incl. to be completed for a single wall vessels, jackets of the jacketed vessels, shell of heat exchangers, or chamber of multichamber vessels.
6. Shell: (a) Number of course(s) (b) Overall length
Course(s) Material Thickness Long. Joint (Cat. A) Circum. Joint (Cat. A, B & C) Heat Treatment
No. Diameter Length Spec./Grade or Type Nom. Corr. Type Full, Spot, None Eff. Type Full, Spot, None Eff. Temp. Time
Min Hub Thk
7. Heads (a) (b)
(Material spec. number, grade or type) (H.T. - time and temp) (Material spec. number, grade or type) (H.T. - time and temp)
Location (Top, Thickness Radius Elliptical Conical Hemispherical Flat Side to Pressure Category A
Bottom, Ends) Min. Corr. Crown Knuckle Ratio Apex Angle Radius Diameter Convex Concave Type Full, Spot, None Eff.
(a)
(b)
Location Type ID OD Min Hub Thk Washer Matl
8. Type of jacket Jacket closure
(Describe as ogee weld, bar, etc.)
If bar, give dimensions If bolted, describe or sketch.
9. MAWP at max. temp. Min. design metal temp. at
(Internal) (External) (Internal) (External)
10. Impact test at temperature of
(Indicate yes or no and the component(s) impact tested)
11. Hydro., pneu., or comb. Test pressure Proof test
Items 12 and 13 to be completed for tube sections.
12. Tubesheet
[Stationary (material spec. no.)] [Diameter (subject to press.)] (Nominal thickness) (Corr. allow.) [Attachment(Welded or Bolted)]
[Floating (material, spec., no.)] (Diameter) (Nominal thickness) (Corr. allow.) (Attachment)
13. Tubes
(Material spec., no., grade or type) (O.D.) (Nominal thickness) (Number) [Type (straight or U)]
Location Num & Size Bolting Matl Washer(OD,ID,thk) No. Type ID OD Flange Thk Material How Attached Washer Matl
Bolting
Body Flanges on Shells
Flange Thk Material Num & Size Bolting Matl Washer(OD,ID,thk) How Attached
(a)
(b)
FORM U-1 MANUFACTURER'S DATA REPORT FOR PRESSURE VESSELS
As Required by the Provisions of the ASME Boiler and Pressure Vessel Code Rules, Section VIII, Division 1
Body Flanges on Heads
Bolting
Items 14-18 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
Material Thickness Long. Joint (Cat. A) Circum. Joint (Cat. A, B & C) Heat Treatment
No. Length Spec./Grade or Type Nom. Corr. Type Full, Spot, None Eff. Type Full, Spot, None Eff. Temp. Time
Min Hub Thk Washer Matl
Heads: (a)
(Material spec., number, grade or type)(H.T.- time and temp.) (Material spec., number, grade or type)(H.T.- time and temp.)
Location (Top, Radius Elliptical Conical Hemispherical Flat Side to Pressure Category A
Bottom, Ends) Type Corr. Crown Knuckle Ratio Apex Angle Radius Diameter Convex Concave Type Full, Spot, None Eff.
(a)
(b)
Location Type ID OD Min Hub Thk How Attached Location Washer Matl
16. MAWP at max. temp. Min. design metal temp. at
(Internal) (External) (Internal) (External)
17. Impact test at temperature of
[Indicate yes or no and the component(s) impact tested]
18. Hydro., pneu., or comb. Test pressure Proof test
19. Nozzles, inspection, and safety valve openings:
Purpose Diameter Material Nozzle Thickness Reinforcement Attachment Details Location
(Inlet, Outlet, Drain) No. or Size Type Nozzle Flange Nom. Corr. Material Nozzle Flange (Insp. Open.)
20. Supports: Skirt Lugs Legs Others Attached
(Yes or no) (Number) (Number) (Describe) (Where and how)
21. Manufacturer's Partial Data Reports properly identified and signed by the Commissioned Inspectors have been furnished for
the following items of the report (list the name of part, item number, Manufacturer's name, and identifying number):
22. Remarks
No. Type ID Flange Thk Material OD How Attached Location
Body Flanges on Heads
Bolting
Course(s)
Diameter
Body Flanges on Shells
Bolting
Num & Size Bolting Matl Washer(OD,ID,thk) Material
Num & Size Bolting Matl Washer(OD,ID,thk)
Flange Thk
FORM U-1 (Cont'd)
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 Expires
Date 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/or the State or Province
of and employed by of
have inspected the pressure vessel described in this Manufacturer's 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 make 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 personal injury or property damage or the loss of any kind arising from or connected with
this inspection.
Date Signed Commission
(Authorized Inspector) [National Board (incl. endorsements), State, Province, and number]
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 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 Manufacturer's 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 construction 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 the 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 Commissions
(Authorized Inspector) [National Board (incl. endorsements), State, Province and number]
Form U-1 (Cont'd)
FORM U-1A MANUFACTURER'S DATA REPORT FOR PRESSURE VESSELS
(Alternative Form for Single Chamber, Completely Shop or Field Fabricated Vessels Only)
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
(Name and address)
4. Type
(Horizontal or vertical, tank) (Manufacturer's serial number) (CRN) (Drawing number) (National Board number) (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 Rules, Section VIII, Division 1
Year
to
[Addenda, if applicable (date)] (Code Case numbers) [Special service per UG-120(d)]
6. Shell
(Material spec. number, grade) (Nominal thickness) (Corr. allow.) (Inner diameter) [Length (overall)]
Min Hub Thk Washer Matl
7. Seams
[Long. (welded, dbl.,sngl., lap, butt)] [R.T. (spot or full)] (Eff., %) (H.T. temp.) (Time, hr) [Girth (welded, dbl., sngl., lap, butt)] [R.T. (spot or full)] (Eff., %) (No. of courses)
8. Heads: (a) Material (b) Material
(Spec. no., grade) (Spec. no., grade)
Location (Top, Minimum Corrosion Crown Knuckle Elliptical Conical Hemispherical Flat Side to Pressure
Bottom, Ends) Allowance Radius Radius Ratio Apex Angle Radius Diameter ( Convex or Concave)
(a)
(b)
Location Type ID OD Min Hub Thk Washer Matl
MAWP
(Internal) (External) (Internal) (External)
Min. design metal temp. at Hydro., pneu., or comb. test pressure
Proof test
10. Nozzles, inspection, and safety valve openings:
Purpose Diameter
(Inlet, Outlet, Drain etc.) No. or Size Type
11. Supports: Skirt Lugs Legs Other Attached
(Yes or no) (Number) (Number) (Describe) (Where and how)
12.
the following items of the report:
(Name of part, item number, manufacturer's name and indentifying stamp)
Remarks: Manufacturer's Partial Data Reports properly identified and signed by the Commissioned Inspectors have been furnished for
Thickness
Material
Nozzle Flange Corr.
Location
(Insp. Open.)
Attachment Dtls.
Nozl. Flg. Nom.
Nozzle Thickness Reinforcement
Material
No. Type ID OD Flange Thk Material Bolting Matl Washer(OD,ID,thk) How Attached Location Num & Size
Washer(OD,ID,thk)
Bolting
Num & Size Bolting Matl
(a)
Flange Thk Material How Attached
at max. temp.
Body Flanges on Shells
Body Flanges on Heads
Bolting
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
expires
Date Co. name Signed
(Manufacturer) (Representative)
Vessel constructed by at
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
have inspected the component described in this Manufacturer's 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 make any warranty, expressed or implied, concerning the pressure vessel described in this Manufacturer's
Date Signed Commissions
(Authorized Inspector) [National Board (incl. endorsements), State, Province, and number]
CERTIFICATE OF SHOP/FIELD COMPLIANCE
FORM U-1A (Back)
CERTIFICATE OF SHOP/FIELD INSPECTION
Data Report. Furthermore, neither the Inspector nor his/her employer shall be liable in any manner for personal injury or property damage or the loss of any kind
arising from or connected with this inspection.
FORM U-2 MANUFACTURER'S PARTIAL DATA REPORT
A Part of a Pressure Vessel Fabricated by One Manufacturer for Another Manufacturer
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
(Name and address)
4. Type
[Description of vessel part (shell, two-piece head, tube bundle)] (Manufacturer's serial; number) (CRN)
(National Board Number) (Drawing number) (Drawing prepared by) (Year built)
5. ASME Code, Section VIII, Div. 1
[Edition and Addenda, if applicable (date)] (Code Case number) [Special service per UG-120(d)]
Items 6-11 incl. to be completed for a single wall vessels, jackets of the jacketed vessels, shell of heat exchangers, or chamber of multichamber vessels
6. Shell: (a) Number of course(s) (b) Overall length
Course(s) Material Thickness Long. Joint (Cat. A) Circum. Joint (Cat. A, B & C) Heat Treatment
No. Diameter Length Spec./Grade or Type Nom. Corr. Type Full, Spot, None Eff. Type Full, Spot, None Eff. Temp. Time
Min Hub Thk
7. Heads (a) (b)
(Material spec. number, grade or type) (H.T. - time and temp) (Material spec. number, grade or type) (H.T. - time and temp)
Location (Top, Thickness Radius Elliptical Conical Hemispherical Flat Side to Pressure Category A
Bottom, Ends) Min. Corr. Crown Knuckle Ratio Apex Angle Radius Diameter Convex Type Eff.
(a)
(b)
Location Type ID OD Min Hub Thk Washer Matl
8. Type of jacket Jacket closure
(Describe as ogee weld, bar, etc.)
If bar, give dimensions If bolted, describe or sketch.
9. MAWP at max. temp. Min. design metal temp. at
(Internal) (External) (Internal) (External)
10. Impact test at test temperature of
(Indicate yes or no and the component(s) impact tested)
11. Hydro., pneu., or comb. test pressure Proof test
Items 12 and 13 to be completed for tube sections.
12. Tubesheet
[Stationary (material spec. no.)] (Diameter (subject to press.) (Nominal thickness) (Corr. allow.) (Attachment (welded or bolted)
[Floating (material, spec., no.)] (Diameter) (Nominal thickness) (Corr. allow.) (Attachment)
13. Tubes
(Material spec., no., grade or type) (O.D.) (Nominal thickness) (Number) [Type (straight or U)]
Body Flanges on Shells
Bolting
No. Type ID OD Flange Thk Material How Attached Location Num & Size Bolting Matl Washer(OD,ID,thk) Washer Matl
Body Flanges on Heads
Bolting
Flange Thk Material How Attached Num & Size Bolting Matl Washer(OD,ID,thk)
(a)
(b)
Full,Spot,None
Items 14-18 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) Material Thickness Long. Joint (Cat. A) Circum. Joint (Cat. A, B & C) Heat Treatment
No. Diameter Length Spec./Grade or Type Nom. Corr. Type Full, Spot, None Eff. Type Full, Spot, None Eff. Temp. Time
15. Heads: (a) (b)
(Material spec., number, grade or type)(H.T.- time and temp) (Material spec., number, grade or type)(H.T.- time and temp)
Location (Top, Thickness Radius Elliptical Conical Hemispherical Flat Side to Pressure Category A
Bottom, Ends) Min. Corr. Crown Knuckle Ratio Apex Angle Radius Diameter Convex Concave Type Full, Spot, None Eff.
(a)
(b)
16. MAWP at max. temp. Min. design metal temp. at
(Internal) (External) (Internal) (External)
17. Impact test at test temperature of
(Indicate yes or no and the component(s) impact tested)
18. Hydro., pneu., or comb. Test pressure Proof test
19. Nozzles, inspection, and safety valve openings:
Purpose Diameter Flange Material Nozzle Thickness Reinforcement Attachment Details Location
(Inlet, Outlet, Drain) No. or Size Type Nozzle Flange Nom. Corr. Material Nozzle Flange (Insp. Open.)
20. Identification or part(s)
Name of Part Quantity Line No. Mfr's. Identification No. Mnfr's. Drawing No. CRN National Board No. Year Built
21. Supports: Skirt Lugs Legs Others Attached
(Yes or no) (Number) (Number) (Describe) (Where and how)
22. Remarks
Form U-2 (Cont'd)
CERTIFICATE OF SHOP/FIELD COMPLIANCE
We certify that the statements in this report are correct and that all details of material, construction, and workmanship of this pressure vessel part conform to the ASME
BOILER AND PRESSURE VESSEL CODE, Section VIII, Division 1.
U Certificate of Authorization Number Expires
Date Name Signed
(Manufacturer) (Representative)
CERTIFICATE OF SHOP/FIELD 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 inspected the pressure vessel part described in this Manufacturer's Data Report on , and state that, to the best
of my knowledge and belief, the Manufacturer has constructed this pressure vessel part in accordance with ASME BOILER AND PRESSURE VESSEL CODE, Section VIII, Division 1.
By signing this certificate neither the Inspector nor his/her employer make any warranty, expressed or implied, concerning the pressure vessel part described in this Manufacturer's Data
Report. Furthermore, neither the Inspector nor his/her employer shall be liable in any manner for personal injury or property damage or the loss of any kind arising from or connected with
this inspection.
Date Signed Commissions
(Authorized Inspector) [National Board (incl. endorsements), State, Province, and number]
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 Expires
Date Name Signed
(Assembler) (Representative)
Form U-2 (Cont'd)
FORM U-4 MANUFACTURER'S DATA REPORT SUPPLEMENTARY SHEET
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
(Name and address)
4. Type
(Horizontal, vertical, or sphere) (Tank, separator, jkt. vessel, heat exch., etc.) (Manufacturer's serial number)
(CRN) (Drawing number) (National Board number) (Year built)
5. ASME Code, Section VIII, Div. 1
[Edition and Addenda, if applicable (date)] (Code Case number) [Special service per UG-120(d)]
Data Report
Item Number Remarks
Certification of Authorization: Type No. Expires
Date Name Signed
(Manufacturer) (Representative)
Date Name Commissions
(Authorized Inspector) [National Board (incl. endorsements), State, Province, and number]
2. Manufactured for
4. Type
(units) (units) (units) (units) (units) (units)
Design
Certificate of Authorization: Type No. Expires
Date Name Signed
(Manufacturer) (Representative)
Data Report
Item Number Remarks
Shell Channel Tubes Tubesheet
(units)
0
(Drawing number) (National Board number) (Year built)
FIXED SHELL-AND-TUBE HEAT EXCHANGER DATA
Name of Condition
Design/Operating Pressure
Ranges
Maximum Design/Operating Metal Temperature
Axial Differential Thermal
Expansion Range
(min./max.)
Shell Side
(min./max.)
Tube Side
(min./max.)
(Horizontal, vertical, or sphere) (Manufacturer's serial number) (CRN)
(Name and address of Purchaser)
3. Location of Installation
(Name and address)
FORM U-5 MANUFACTURER'S DATA REPORT SUPPLEMENTARY SHEET
SHELL-AND-TUBE HEAT EXCHANGERS
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)
Date Name Commissions
(Authorized Inspector) [National Board (incl. endorsements)]