======= pressure vessel =============== condition report ================ ab-087a 2020-04 note: not for use by owne


=======
PRESSURE VESSEL
===============
CONDITION REPORT
================
AB-087a 2020-04
Note: NOT for use by Owner-Users or Integrity Assessment Organizations
holding a Certificate of Authorization.
1.
Name of Owner
 
Date of Report
 
2.
Address of Owner
 
Name of Operator
 
3.
Location of Vessel
 
4.
Operator e-mail
 
Operator Phone No.
 
Vessel Information
5.
Vessel Description (e.g.: filter, separator, dampener, etc.)
 
6.
Manufacturer
 
Serial #
 
A#
 
7.
Max. Allowable Working Pressure
  kPa / psi
Min/Max Design Temp
 / C/F
8.
Actual Working Pressure (gauge reading)
  kPa / psi
Temperature (gauge reading)
 C/F
*Please circle the units which apply for the pressures and
temperatures and capacities in item 7 & 8 above.
External Condition & Operating Safety Devices
9.
Any physical damage? (e.g.: dents, gouges, non-superficial corrosion,
etc.)
Yes (provide photo)
No
10.
Any leaks on vessel, nozzles, and/or associated piping?
Yes (provide photo)
No
Pressure Relief Valve
11.
Pressure Relieving Valve (MAWP)
Relieving Capacity
a.
Relief Valve #1
 
kPa / psi
 
lbs/hr / SCFM / kgH / USGPM
b.
Relief Valve #2 (if applicable)
 
kPa / psi
 
lbs/hr / SCFM / kgH / USGPM
12.
Relief Valve(s) Tested and Functioning Correctly?
Yes
Date Last Serviced/Replaced
 
*Please circle the units which apply for the pressures and capacities
in item 11a & 11b above.
A pressure vessel condition report may be submitted by the Owner to be
accepted by the ABSA Safety Codes Officer if all of the above
information is completed and the following conditions are met:
1.
A review of the current operating conditions, as well as the
pressure-relieving device history, has been completed, with
results indicating the pressure vessel is operating safely and in
good working condition.
2.
This Pressure Vessel Condition Report has the consent of the Owner
and appropriate operations management representative(s).
3.
Blowdowns and drains are clean, clear and in good working order.
4.
There are no isolating valves in pressure relief valve inlet or
outlet path.
5.
This pressure equipment will be monitored on the basis of the
Power Engineers Regulation (if applicable) or weekly (whichever is
more stringent) by a competent individual.
6.
Physical evidence to be provided with this Pressure Vessel
Condition Report:
a.
Photo of Vessel Nameplate (showing the manufacturers name,
serial number, etc.)
b.
Photo of Relief Valve Nameplate (showing pressure, capacity,
etc.)
c.
Photo of Relief Valve Installation (showing overview of inlet
and outlet piping)
Declaration
I certify that the statements made in this form are correct and that
all the conditions have been met. The pressure equipment has been
visually inspected and is safe to operate. I declare that there have
been no unauthorized repairs or alterations made to this pressure
vessel.
 
 
Company Name (print)
Authorized Representative Name
Signature & Date
* This report does not replace an inspection by an ABSA Safety Codes
Officer. A Certificate of inspection will not be issued.
Report Reviewed and Accepted by ABSA SCO :
Print Name and Designation of Powers Number
ABSA SCO Signature & Date

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