FORM U-1 Page ________of _______
Manufactured by _______________________________________________________________________________________________________
Manufacturer's Serial No. ______________________ CRN ________________________ National Board No. _____________________________
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
Body Flanges on Shells
Bolting
Washer
No. Type ID OD Flange Thk Min Hub Thk Material How Attached Location Num & Size Bolting Matl (OD, ID, thk) Washer Matl
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 Hemis. 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)
Body Flanges on Heads
Bolting
Washer
Location Type ID OD Flange Thk Min Hub Thk Material How Attached Location Num & Size Bolting Matl (OD, ID, thk) Washer Matl
(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 Material Nozzle Thickness Reinforcement Attachment Details Location
(Inlet, Outlet, Drain, etc.) 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