Asme U1 Forms
Asme U1 Forms
Asme U1 Forms
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:
_____________
________________
__
(CRN)
_ ________________________
(Drawing No.)
(Year built)
______________
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
No.
__
Thickness
Nom.
Corr.
Type
Heat Treatment
Temp. Time
1
1
1
__________
7. Heads: (a)
.
_____________________________
(b)
Location (Top,
Bottom, Ends)
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.
______
______ __________
Jacket closure
(Describe as ogee & weld, bar, etc.)
9. MAWP
(external)
(internal)
psi.
F at
__ F
at test temperature of
[Indicate yes or no and the component(s) impact tested]
_______________________
Proof test
______________
12. Tubesheet:
[Stationary (Matl Spec. No.)]
(Dia., In.)
_____________
(Corr. Allow., In.)
(Attachment)
______________
13. Tubes :
(Matl Spec. No., Grade or Type)
(O.D., In.)
(Number)
Items. 14-18 incl. to be completed for inner chambers of jacketed vessels or channels of heat exchangers.
14. Shell
No.
Material
Spec./Grade or Type
Location (Top,
Bottom, Ends)
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.
_____
(Internal)
17. Impact test
(external)
___
___
(internal)
(external)
F a t
____
psi.
__
F.
_____________________________Proof test
________________________
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: _________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________
Name
_________________________Signed ______________________________________
(Manufacturer)
(Representative)
___
___________________
(CRN)
(Drawing No.)
_
(Natl Bd. No.)
Data Report
Item Number
Name
NO. ___
________________
Expires __
________________________________
(Manufacturer)
Date
____________
(Year built)
Remarks
___
Name
_____________________________________
(Authorized Inspector)
__________________________
_______
Signed __________________________________________
(Representative)
Commission___________________________________________
(Nat Board incl. endorsement, State, Province and No.)