Unfired Pressure Vessel Inspection Form
Date of Inspection
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
First Name
Last Name
Manufacturer's Name
First Name
Last Name
Plant pressure vessel number
Type of pressure vessel
Boiler feed heater
Compressed air tank
Cooler, refrigeration or compressed air
Domestic hot water tank
Condenser, steam or refrigeration
Oil heater
Hydro-pneumatic tank
Liquid receiver
Capacity of Vessel
Type of Shell Construction
Material and Gauge of Shell
Overall Dimensions of Shell
Has shell operating pressure ever been reduced, based on an official recommendation?
Yes
No
State Details
Type of Heating or Cooling Medium
Steam
Water
Ammonia
F-11
F-12
Other
Please Specify
Type of Heat Transfer Surface
Tube Nest
Spiral Coils
Return Send Coils
Other
Please Specify
Amount of Tube Surface
Number of Tubes
Length of Tubes
What repairs were alterations have been made since last inspection and why were they made?
If toxic gases are used in pressure vessel, have adequate provision being made to protect personnel?
Has adequate provision being made for firefighting?
Yes
No
Additional notes
Signature of Inspector
Submit
Should be Empty: