PE ASME Boiler Initial Report NB-405

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The National Board of Boiler and Pressure Vessel Inspectors INITIAL BOILER CERTIFICATION REPORT ( Form C-1)

BOILER INFORMATION JURISDICTION NO. MANUFACTURER YEAR BUILT BOILER TYPE ENGINE NO. OTHER NO. HEATING SURFACE OWNER OWNER ADDRESS OWNER CITY/STATE USER USER ADDRESS USER CITY/STATE OPERATOR & LICENSE NO.

ENGINE NO.BARREL INFORMATION INSIDE DIAMETER TUBE SIZE/NUMBER TENSILE STRENGTH OF SHELL MIN. THICKNESS OF SHELL MIN. THICKNESS OF TUBESHEET SEAM TYPE SEAM EFFICIENCY (from Table C7600) MAXIMUM PITCH OF STEAM RIVETS JACKET FULLY REMOVED FOR INSP MAWP OF BARREL ( from Table C7300)

FIREBOX AND WRAPPER SHEET STAYBOLT DIAMETER (Base of Threads) OF THINNEST STAYBOLT STAYBOLT PITCH (Max) AT CROWNSHEET TYPE OF STABOLT (Telltale?) MINIMUM THICKNESS OF STAYED SURFACE MAWP OF STAYED SURFACES (from Table C-7400-1) TYPE OF BOTTOM (Ogee, Wet Bottom, etc.) CONDITION OF THREADED MOUNTING STUDS GRATES, GRATE SUPPORTS, DAMPERS, ASHPAN SATISFACTORY? CLEANED FOR INSPECTION SAFETY EQUIPMENT AND CONTROLS SAFETY VALVE (per S2.8.1) FUSIBLE PLUG (per S2.8.4) FEED METHODS MANUFACTURE R NEW ASME PLUG INJECTOR(S) BRAND/SIZE PUMP TYPE SET PRESSUR E CAPACITY CROWN SIZE

OLD PLUG REMOVED FOR CROWN INSPECTION? PREHEATER TYPE

WATER COLUMN GAGE GLASS (per S2.8.2) TRY-COCKS (per S2.8.3) PRESSURE GAGE (per S2.8.5)

DRAIN GUARD NUMBE R DIAL RANGE

WATER LEVEL VERIFIED TYPE OPERABLE? SYPHON TYPE

INITIAL BOILER CERTIFICATION REPORT ( Form C-1) continued


VALVES AND PIPING (per S2.9 and S2.9.1) MAIN STEAM (dome) VALVE THROTTLE VALVE FEEDLINE STOP VALVES(s) FEEDWATER PIPING TO INJECTORS AND PIPING INJECTOR ISOLATION (steam & water) VALVES BLOWER VALVE INTERNAL VISUAL INSPECTION FINDINGS EXTERNAL VISUAL INSPECTION FINDINGS MAWP CALCULATIONS USING ULTRASONIC THICKNESS MEASUREMENTS
BARREL: P = (TS x Tmin x E)/(R X FS) [per Table S2.10.3] FIREBOX: P = (T2 x S x C/Pitch Max2) [per Table S2.10.4]

MAIN STEAM PIPING PIPE NIPPLES AT SHELL FEEDLINE CHECK VALVES BLOWDOWN PIPING PIPING SUPPORTS BLOWER PIPING

EXISTING REPAIRS AND ALTERATIONS

HYDROSTATIC PRESSURE TEST (per S2.6.1) TEST PRESSURE PSI TEST DATE

TEST TEMPERATURE - F TEST PROBLEMS

INITIAL BOILER CERTIFICATION REPORT ( Form C-1) continued


OPERATING INSPECTION AT PRESSURE ABSENCE OF LEAKS TEST OF TRY-COCKS TEST OF BLOWDOWN VALVE TEST OF INJECTOR(S) & PUMP (if used) OPERATION OF THROTTLE & GOVERNOR TEST OF SAFETY VALVE(S) VALVE POPPING POINT & BLOWDOWN NOTES

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