National Board Number: _________________________________

Mfr. Representative: ______________ Date: ________________

Authorized Inspector:______________ Date: ________________

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
1. Manufactured and certified by
(Name and address of Manufacturer)

2. Manufactured fo
(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.)

(CRN)

(Drawing number)

(Manufacturer's serial number)

(National Board number)

(Year built)

5. ASME Code, Section VIII, Div.

[Edition and Addenda, if applicable (date)]

(Code Case number)

[Special service per UG-120(d)]

Items 6-11 incl. to be completed for single wall vessels, jackets of jacketed vessels, shell of heat exchangers, or chamber of mu
6. Shell:

(a) Number of course(s)

Course(s)

No.

Diameter

(b) Overall length

Material

Length

Thickness

Spec./Grade or Type

Nom.

Long. Joint (Cat. A)

Corr.

Type Full, Spot, None

Circum. Joint (Cat. A, B &

Eff.

Type Full, Spot, Non

Heat Treatment

Eff.

Temp.

Time

Body Flanges on Shells

Bolting
No.

Type

ID

OD

Flange Thk

Min Hub Th

Material

Washer
(OD, ID, thk)

How Attached Location Num & Size Bolting Matl

7. Heads: (a)

Washer Material

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

Location (Top,

Thickness

Bottom, Ends)

Min.

Corr.

Radius
Crown

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

Elliptica

Conical

Hemis.

Flat

Side to Pressure

Ratio

Apex Angle

Radius

Diameter

Convex Concave

Knuckle

Category A
Type Full, Spot, None

Eff.

(a)
(b)

Body Flanges on Heads

Bolting
Location Type

ID

OD Flange Thk

Min Hub Th

Material

How Attached

Num & Size Bolting Matl

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.

at max. temp
(Internal)

10.

If bolted, describe or sketch.

MAWP
(External)

Min. design metal temp.

(Internal)

at

(External)

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.)]

13.

(Diameter)

(Nominal thickness)

(Corr. allow.)

(O.D.)

(Nominal thickness)

(Number)

(Attachment)

Tubes
(Material spec., no., grade or type)

[Type (straight or U)]

National Board Number:

_________________________________
Mfr. Representative: ______________ Date:
_________________
FORM U-1 (Cont'd)Authorized Inspector:______________ Date:
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 lengt

Course(s)
No.

Material

Length

Diameter

Thickness

Spec./Grade or Type Nom.

Long. Joint (Cat. A)

Corr.

Type

Full, Spot, None

Circum. Joint (Cat. A, B &

Eff.

Type Full, Spot, Non

Heat Treatment

Eff.

Temp.

Time

Body Flanges on Shells

Bolting
No.

Type

Heads:

ID

OD

Flange Thk

Min Hub Th

Material

How Attached Location Num & Size Bolting Matl

(a)

Washer Matl

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

Location (Top,

Thickness

Bottom, Ends)

Washer
(OD, ID, thk)

Type

Corr.

Cro

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

Radius

Elliptical

Conical

Hemis.

Flat

Side to Pressure

Knuckle

Ratio

Apex Angle

Radius

Diamete

Convex Concave

Category A
Type

Full, Spot, None Eff.

(a)
(b)

Body Flanges on Heads

Bolting
Location

Type

ID

OD Flange Thk Min Hub Th

Material

How Attached Location Num & Size Bolting Matl

Washer
(OD, ID, thk)

Washer Matl

(a)
(b)
16. MAWP

at max. temp.
(Internal)

(External)

(Internal)

Min. design metal temp.

at

17. Impact test

at test temperature of

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

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

Proof test

19. Nozzles, inspection, and safety valve openings:

Purpose
(Inlet, Outlet, Drain, etc No.

20. Supports: Skirt

Diameter
or Size

Type

Lugs
(Yes or no)

(Number)

Nozzle

Legs

Material
Flange

Nozzle Thickness Reinforcement

Nom.
Corr.
Material

Others
(Number)

Attachment Details Location

Nozzle
Flange (Insp. Open.)

Attached
(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

(External)

National Board Number: _________________________________

Mfr. Representative: ______________ Date: _________________
Authorized Inspector:______________ Date: _________________

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
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 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 a loss of any kind arising from or connected with this inspection.
Date

Signed

Commissions
[National Board (incl. endorsements)]

(Authorized Inspector)

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

Expires

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 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 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 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)]

National Board Number: _________________________________

Mfr. Representative: ______________ Date: _________________
Authorized Inspector:______________ Date: _________________

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, D
1. Manufactured and certified by
(Name and address of Manufacturer)

2. Manufactured fo
(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. ASME Code, Section VIII, Div. 1

[Edition and 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)]

Body Flanges on Shells

Bolting
No.

Type

ID

OD

Flange Thk

Min Hub Th

Material

Washer
(OD, ID, thk)

How Attached Location Num & Size Bolting Matl

Washer Material

7. Seams
[Long. (welded, dbl.,sngl., lap, b

[R.T. (spot or full)] (Eff., %)

(H.T. temp.

8. Heads: (a) Material

(Time, hr [Girth (welded, dbl., sngl., lap, b [R.T. (spot or full

Bottom, Ends)

(No. of courses)

(b) Material
(Spec. no., grade)

Location (Top,

(Eff., %)

Minimum
Thickness

(Spec. no., grade)

Corrosion

Crown

Knuckle

Elliptical

Conical

Allowance

Radius

Radius

Ratio

Apex Angle

Hemispherical
Radius

Flat

Side to Pressure

Diameter

( Convex or Concave)

(a)
(b)
Body Flanges on Heads
Bolting
Location Type

ID

OD Flange Thk Min Hub Thk

Material

How Attached

Num & Size Bolting Mater

Washer
(OD, ID, thk)

Washer Material

(a)
(b)
MAWP

at max. temp.
(Internal)

(External)

Min. design metal temp

.
(Internal)

at

(External)

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

Proof test

10. Nozzles, inspection, and safety valve openings:

Purpose

Diameter

(Inlet, Outlet, Drain etc.)

11.Supports: Skir

No.

or Size

Lugs
(Yes or no)

Material
Type

Nozzle

Legs
(Number)

Flange

Nozzle Thickness
Nom.

Other
(Number)

Corr.

Reinforcement Attachment Details

Material

Location

Nozzle Flange (Insp. Open.)

Attached
(Describe)

(Where and how)

12.Remarks: Manufacturer's Partial Data Reports properly identified and signed by the Commissioned Inspectors have been furnishe

the following items of the report:

(Name of part, item number, Manufacturer's name and identifying stamp)

National Board Number:_________________________________

Mfr. Representative: ______________ Date:
_________________
Authorized Inspector:______________
Date:_________________

FORM U-1A (Back)

CERTIFICATE OF SHOP/FIELD COMPLIANCE

We certify that the statements made in this report are correct and that all details of design, material, construction, and workmanship
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)

CERTIFICATE OF SHOP/FIELD INSPECTION

Vessel constructed by
at
.
I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors 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 PRESSU
VESSEL CODE, Section VIII, Division 1. By signing this certificate neither the Inspector nor his/her employer makes any warranty, expressed o
implied, concerning the pressure vessel described in this Manufacturer's Data Report. Furthermore, neither the Inspector nor his/her employe
shall be liable in any manner for 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)]

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 fo

(Name and address of Purchaser)

3. Location of installation
(Name and address)

4. Type
[Description of vessel part (shell, two-piece head, tube bundle)]
(National Board Number)

(Manufacturer's serial number)

(Drawing number)

(CRN)

(Drawing prepared by)

(Year built)

5. ASME Code, Section VIII, Div.

[Edition and Addenda, if applicable (date)]

(Code Case number)

[Special service per UG-120(d)]

Items 6-11 incl. to be completed for single wall vessels, jackets of jacketed vessels, shell of heat exchangers, or chamber of mult
6. Shell:

(a) Number of course(

Course(s)

No.

Material

Length

Diameter

(b) Overall lengt

Thickness

Spec./Grade or Type

Nom.

Long. Joint (Cat. A)

Corr.

Type

Full, Spot, None

Eff.

Circum. Joint (Cat. A, B &

Type

Full, Spot, Non

Heat Treatment

Eff.

Temp.

Time

Body Flanges on Shells

Bolting
No.

Type

ID

OD

Flange Thk

Min Hub Thk

Material

How Attached Location Num & Size Bolting Matl

7. Heads: (a)

Washer
(OD, ID, thk)

Washer Material

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

Location (Top,

Thickness

Bottom, Ends)

Min.

Corr.

Radius
Crown

Elliptical

Knuckle

Ratio

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

Conical

Hemispherical

Apex Angle

Radius

Flat

Side to Pressure

Diameter Convex

Concave

Category A
Type Full,Spot,None Eff.

(a)
(b)
Body Flanges on Heads
Bolting
Location

Type

ID

OD Flange Thk

Min Hub Th

Material

How Attached

Num & Size Bolting Matl

Washer
(OD, ID, thk)

Washer Material

(a)
(b)

8.

Type of jacket

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

If bar, give dimensions

9.

MAWP

at max. temp
(Internal)

10.

If bolted, describe or sketch.

(External)

. Min. design metal temp.

(Internal)

at

(External)

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.)

[Floating (material, spec., no.)]

(Diameter)

(Nominal thickness)

(Corr. allow.)

[Attachment (welded or bolted)]

(Attachment)

13.

Tubes
(Material spec., no., grade or type)

(O.D.)

(Nominal thickness)

(Number)

[Type (straight or U)]

Form U-2 (Cont'd)

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)

Course(s)
No.

(b) Overall length

Material

Diameter

Length

Thickness

Spec./Grade or Type

Nom.

Long. Joint (Cat. A)

Corr.

Type

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

Full, Spot, None

Eff.

Type

Full, Spot, Non

Eff.

Heat Treatment
Temp.

Time

Body Flanges on Shells

Bolting
No.

Type

15. Heads:

ID

OD

Flange Thk

Min Hub Th

Material

(a)

Washer Materia

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

Location (Top,
Bottom, Ends)

Washer
(OD, ID, thk)

How Attached Location Num & Size Bolting Matl

Thickness
Min.

Corr.

Radius
Crow

Elliptical

Knuckl

Ratio

Conical

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

Hemispherical

Apex Angle

Radius

Flat

Side to Pressure

Diamete Convex

Category A

Concave

Type Full, Spot, None Eff.

(a)
(b)

Body Flanges on Heads

Bolting
Location

Type

ID

OD Flange Thk

Min Hub Th

Material

How Attached

Num & Size Bolting Matl

Washer
(OD, ID, thk)

Washer Materia

(a)
(b)
16.MAWP

at max. temp.
(Internal)

(External)

. Min. design metal temp.

(Internal)

at

(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
(Inlet, Outlet, Drain, e No.

Diameter
Size

Type

Nozzle

Material
Flange

Nozzle Thickness Reinforcement

Nom.
Corr.
Material

Attachment Detail
Nozzle
Flange

Location
(Insp. Open.)

National Board No.

Year Built

20.Identification or part(s)
Name of Part

Quantity Line No.

21. Supports: Skirt

Lugs
(Yes or no)

22. Remarks

Mfr's. Identification No.

Legs
(Number)

Mfr's. Drawing No.

Others
(Number)

CRN

Attached
(Describe)

(Where and how)

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 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
makes 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 a loss of any kind arising
from or connected with this inspection.
Date

Signed

Commissions
(Authorized Inspector)

[National Board (incl. endorsements)]

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. 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)
(CRN)

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

(Drawing number)

Data Report
Item Number

(National Board number)

No.

Expires

Name

Signed
(Manufacturer)

Date

(Year built)

Remarks

Certificate of Authorization: Type

Date

(Manufacturer's serial number)

(Representative)

Commissions

Name
(Authorized Inspector)

[National Board (incl. endorsements)]

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)
2. Manufactured for
(Name and address of Purchaser)
3. Location of Installation
(Name and address)
4. Type
(Horizontal, vertical, or sphere)

(Manufacturer's serial number)

(Drawing number)

(CRN)

(National Board number)

(Year built)

FIXED SHELL-AND-TUBE HEAT EXCHANGER DATA

Design/Operating Pressure
Ranges
Name of Condition

Shell Side
(min./max.)

Tube Side
(min./max.)

Maximum Design/Operating Metal Temperature

Shell

Channel

Tubes

Tubesheet

Axial Differential Thermal

Expansion Range
(min./max.)

Design

Data Report
Item Number

Certificate of Authorization:
Date

Remarks

Type

No.

Name

Expires

Signed
(Manufacturer)

(Representative)

Date

Name

Commissions
(Authorized Inspector)

[National Board (incl. endorsements)]