D.4 National Board Form- 7.pdf

PDF 811 KB Posted Dec 12, 2024

Attached to: J044--SF Boiler Plant Testing Inspections IDIQ Federal contract opportunity
Solicitation number: 36C26325Q0155
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23

About this file

Written by GovTribe AI · Dec 12, 2024

This is Form NB-7, a pressure vessel inspection report form issued by The National Board of Boiler and Pressure Vessel Inspectors. The form is a standardized 3-page document used for jurisdictions operating under the ASME Code.

The form captures comprehensive inspection details including inspection dates, equipment location, certificate information, vessel specifications, and safety features. Key sections include basic identification information (user number, jurisdiction number, national board number), equipment details (type, manufacturer, year built, dimensions), pressure relief device (PRD) specifications, inspection findings, and certification details. The third page contains an extension sheet for recording multiple vessel inspections with columns for owner numbers, jurisdiction numbers, ASME standards, inspection types, certificates, object types, specifications, and relief valve settings. This form appears to be revision 8, dated March 14, 2023, and is used to document official pressure vessel inspections and certifications.

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36C26325Q0155 A0002.pdf	PDF	Jan 3, 2025
36C26325Q0155 A0002_1.docx	DOCX document	Jan 3, 2025
36C26325Q0155 A0001.pdf	PDF	Dec 27, 2024
36C26325Q0155 A0001_1.docx	DOCX document	Dec 27, 2024
D.1 VHA Boiler and Associated Plant Safety Device Testing Manual.pdf	PDF	Dec 12, 2024
D.5 Service Contract Act WD 2015-5369.pdf	PDF	Dec 12, 2024
36C26325Q0155.pdf	PDF	Dec 12, 2024
36C26325Q0155_1.docx	DOCX document	Dec 12, 2024
D.3 National Board Form- 6.pdf	PDF	Dec 12, 2024
D.6 36C26325Q0155 Line Item Template.xlsx	XLSX spreadsheet	Dec 12, 2024
D.2 Boiler and Boiler Plant Operations Directive 1810.pdf	PDF	Dec 12, 2024

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This form may be obtained from The National Board of Boiler and Pressure Vessel Inspectors 1055 Crupper Avenue, Columbus, Ohio 43229-1183

1. DATE INSPECTED: CERTIFICATE EXPIRATION DATE: CERTIFICATE POSTED: YES NO

(Month/Day/Year) m/d/yyyy (Month/Day/Year) m/d/yyyy

USER NUMBER: JURISDICTION NUMBER:

NATIONAL BOARD NUMBER: OR SERIAL NUMBER: (IF CAST IRON)

FIRST INSPECTION: YES NO

2. EQUIPMENT LOCATION NAME:

NATURE OF BUSINESS:

KIND OF INSPECTION: INTERNAL EXTERNAL CERTIFICATE RENEWAL: YES NO

3. EQUIPMENT LOCATION ADDRESS:

(Equipment Location Street) (Equipment Location City)

(Equipment Location State) (Equipment Location Zip Code)

4. CERTIFICATE BUSINESS NAME:

CERTIFICATE CONTACT:

(NAME) (Email)

5. CERTIFICATE MAILING ADDRESS:

(Certificate Mailing Street) (Certificate Mailing City)

(Certificate Mailing State) (Certificate Mailing Zip Code)

6. INVOICE BUSINESS:

(Name)

CERTIFICATE INVOICE CONTACT:

(Name) (Email)

7. INVOICE ADDRESS:

(Invoice Address Street) (Invoice Address City)

(Invoice Address State) (Certificate Mailing Zip Code)

8. TYPE: AIRTANK WATER TANK OTHER: ASME/OTHER CODE:

MANUFACTURER: YEAR BUILT:

MANHOLE HANDHOLE NEITHER CERTIFICATE DURATION (MONTHS):

9. USE: STORAGE PROCESS HEAT EXCHANGE OTHER:

HORIZONTAL VERTICAL LENGTH: DIAMETER:

FORM NB-7 PRESSURE VESSELS

REPORT OF INSPECTION

Standard Form for Jurisdictions Operating Under the ASME Code

NB-7, Rev.8, (03/14/23)

This form may be obtained from The National Board of Boiler and Pressure Vessel Inspectors 1055 Crupper Avenue, Columbus, Ohio 43229-1183

10. STAMPED MAWP: MINIMUM PRD REQUIRED CAPACITY:

NUMBER OF PRD’S: TOTAL CAPACITY:

SET PRESSURE: CAPACITY:

OVERPRESSURE PROTECTION BY SYSTEM DESIGN: SIZE (ft3 or Gallons):

11. ARE THERE ANY KNOWN OUTSTANDING (OPEN) VIOLATIONS FOR THIS EQUIPMENT? YES NO (IF YES, EXPLAIN FULLY UNDER

ADVERSE CONDITIONS FOUND)

PRESSURE TEST: YES PSI Date NO

12. INSPECTORS COMMENTS: (Verify any repairs were completed by a qualified repair company, and when applicable, the proper repair/alterations forms are completed.)

13. ADVERSE CONDITIONS FOUND:

14. REQUIREMENTS:

15. PERSON TO WHOM REQUIREMENTS WERE EXPLAINED:

(Name) (Title)

(Email) (Phone Number)

16. I HEREBY CERTIFY THIS IS A TRUE REPORT OF MY INSPECTION:

NB COMMISSION NUMBER: EMPLOYED BY:

IDENTIFICATION NUMBER: SIGNATURE OF INSPECTOR:

(m/d/yyyy)

This form may be obtained from The National Board of Boiler and Pressure Vessel Inspectors 1055 Crupper Avenue, Columbus, Ohio 43229-1183

PRESSURE VESSEL — REPORT OF INSPECTION — (EXTENSION SHEET)

DATE INSPECTED (m/d/yyyy) OWNER-USER LOCATION

OWNER’S

NO.

JURISDICTION

NO.

ASME OR

STD. NO. INT EXT

*CERT –

NO. OF

YEARS TYPE OF OBJECT

YEAR

BUILT MADE BY

ALLOW.

PRESS.

TEMP.

R.V.S.V.

SETTING

* In this column show the number of years for which the inspector authorizes the issuance of the certificate.

Equipment Location Zip Code:

CERTIFICATE BUSINESS NAME:

NAME:

Email:

Certificate Mailing Street:

Certificate Mailing City:

Certificate Mailing State:

Certificate Mailing Zip Code:

Name:

Name_2:

Email_2:

Invoice Address Street:

Invoice Address City:

Invoice Address State:

Certificate Mailing Zip Code_2:

TYPE AIRTANK: Off

WATER TANK: Off

OTHER: Off

ASMEOTHER CODE:

MANUFACTURER:

YEAR BUILT:

MANHOLE: Off

HANDHOLE: Off

NEITHER: Off

CERTIFICATE DURATION MONTHS:

USE: Off

STORAGE: Off

PROCESS: Off

HEAT EXCHANGE: Off

OTHER_2:

HORIZONTAL: Off

VERTICAL: Off

LENGTH:

DIAMETER:

10 STAMPED MAWP 1:

10 STAMPED MAWP 2:

NUMBER OF PRDS:

TOTAL CAPACITY:

SET PRESSURE:

CAPACITY:

SET PRESSURE_2:

CAPACITY_2:

SET PRESSURE_3:

CAPACITY_3:

PSI:

Date:

15 PERSON TO WHOM REQUIREMENTS WERE EXPLAINED:

Title:

Email_3:

Phone Number:

NB COMMISSION NUMBER:

EMPLOYED BY:

IDENTIFICATION NUMBER:

DATE INSPECTED:

OWNERUSER:

LOCATION:

OWNERS NORow1:

JURISDICTION NORow1:

NB ASMEOR STDNORow1:

INTRow1:

EXTRow1:

CERT NOOF YEARSRow1:

TYPE OF OBJECTRow1:

YEAR BUILTRow1:

MADE BYRow1:

ALLOW PRESSRow1:

TEMP OFRow1:

RVSV SETTINGRow1:

OWNERS NORow2:

JURISDICTION NORow2:

NB ASMEOR STDNORow2:

INTRow2:

EXTRow2:

CERT NOOF YEARSRow2:

TYPE OF OBJECTRow2:

YEAR BUILTRow2:

MADE BYRow2:

ALLOW PRESSRow2:

TEMP OFRow2:

RVSV SETTINGRow2:

OWNERS NORow3:

JURISDICTION NORow3:

NB ASMEOR STDNORow3:

INTRow3:

EXTRow3:

CERT NOOF YEARSRow3:

TYPE OF OBJECTRow3:

YEAR BUILTRow3:

MADE BYRow3:

ALLOW PRESSRow3:

TEMP OFRow3:

RVSV SETTINGRow3:

OWNERS NORow4:

JURISDICTION NORow4:

NB ASMEOR STDNORow4:

INTRow4:

EXTRow4:

CERT NOOF YEARSRow4:

TYPE OF OBJECTRow4:

YEAR BUILTRow4:

MADE BYRow4:

ALLOW PRESSRow4:

TEMP OFRow4:

RVSV SETTINGRow4:

OWNERS NORow5:

JURISDICTION NORow5:

NB ASMEOR STDNORow5:

INTRow5:

EXTRow5:

CERT NOOF YEARSRow5:

TYPE OF OBJECTRow5:

YEAR BUILTRow5:

MADE BYRow5:

ALLOW PRESSRow5:

TEMP OFRow5:

RVSV SETTINGRow5:

OWNERS NORow6:

JURISDICTION NORow6:

NB ASMEOR STDNORow6:

INTRow6:

EXTRow6:

CERT NOOF YEARSRow6:

TYPE OF OBJECTRow6:

YEAR BUILTRow6:

MADE BYRow6:

ALLOW PRESSRow6:

TEMP OFRow6:

RVSV SETTINGRow6:

OWNERS NORow7:

JURISDICTION NORow7:

NB ASMEOR STDNORow7:

INTRow7:

EXTRow7:

CERT NOOF YEARSRow7:

TYPE OF OBJECTRow7:

YEAR BUILTRow7:

MADE BYRow7:

ALLOW PRESSRow7:

TEMP OFRow7:

RVSV SETTINGRow7:

OWNERS NORow8:

JURISDICTION NORow8:

NB ASMEOR STDNORow8:

INTRow8:

EXTRow8:

CERT NOOF YEARSRow8:

TYPE OF OBJECTRow8:

YEAR BUILTRow8:

MADE BYRow8:

ALLOW PRESSRow8:

TEMP OFRow8:

RVSV SETTINGRow8:

OWNERS NORow9:

JURISDICTION NORow9:

NB ASMEOR STDNORow9:

INTRow9:

EXTRow9:

CERT NOOF YEARSRow9:

TYPE OF OBJECTRow9:

YEAR BUILTRow9:

MADE BYRow9:

ALLOW PRESSRow9:

TEMP OFRow9:

RVSV SETTINGRow9:

OWNERS NORow10:

JURISDICTION NORow10:

NB ASMEOR STDNORow10:

INTRow10:

EXTRow10:

CERT NOOF YEARSRow10:

TYPE OF OBJECTRow10:

YEAR BUILTRow10:

MADE BYRow10:

ALLOW PRESSRow10:

TEMP OFRow10:

RVSV SETTINGRow10:

OWNERS NORow11:

JURISDICTION NORow11:

NB ASMEOR STDNORow11:

INTRow11:

EXTRow11:

CERT NOOF YEARSRow11:

TYPE OF OBJECTRow11:

YEAR BUILTRow11:

MADE BYRow11:

ALLOW PRESSRow11:

TEMP OFRow11:

RVSV SETTINGRow11:

OWNERS NORow12:

JURISDICTION NORow12:

NB ASMEOR STDNORow12:

INTRow12:

EXTRow12:

CERT NOOF YEARSRow12:

TYPE OF OBJECTRow12:

YEAR BUILTRow12:

MADE BYRow12:

ALLOW PRESSRow12:

TEMP OFRow12:

RVSV SETTINGRow12:

OWNERS NORow13:

JURISDICTION NORow13:

NB ASMEOR STDNORow13:

INTRow13:

EXTRow13:

CERT NOOF YEARSRow13:

TYPE OF OBJECTRow13:

YEAR BUILTRow13:

MADE BYRow13:

ALLOW PRESSRow13:

TEMP OFRow13:

RVSV SETTINGRow13:

OWNERS NORow14:

JURISDICTION NORow14:

NB ASMEOR STDNORow14:

INTRow14:

EXTRow14:

CERT NOOF YEARSRow14:

TYPE OF OBJECTRow14:

YEAR BUILTRow14:

MADE BYRow14:

ALLOW PRESSRow14:

TEMP OFRow14:

RVSV SETTINGRow14:

OWNERS NORow15:

JURISDICTION NORow15:

NB ASMEOR STDNORow15:

INTRow15:

EXTRow15:

CERT NOOF YEARSRow15:

TYPE OF OBJECTRow15:

YEAR BUILTRow15:

MADE BYRow15:

ALLOW PRESSRow15:

TEMP OFRow15:

RVSV SETTINGRow15:

OWNERS NORow16:

JURISDICTION NORow16:

NB ASMEOR STDNORow16:

INTRow16:

EXTRow16:

CERT NOOF YEARSRow16:

TYPE OF OBJECTRow16:

YEAR BUILTRow16:

MADE BYRow16:

ALLOW PRESSRow16:

TEMP OFRow16:

RVSV SETTINGRow16:

OWNERS NORow17:

JURISDICTION NORow17:

NB ASMEOR STDNORow17:

INTRow17:

EXTRow17:

CERT NOOF YEARSRow17:

TYPE OF OBJECTRow17:

YEAR BUILTRow17:

MADE BYRow17:

ALLOW PRESSRow17:

TEMP OFRow17:

RVSV SETTINGRow17:

OWNERS NORow18:

JURISDICTION NORow18:

NB ASMEOR STDNORow18:

INTRow18:

EXTRow18:

CERT NOOF YEARSRow18:

TYPE OF OBJECTRow18:

YEAR BUILTRow18:

MADE BYRow18:

ALLOW PRESSRow18:

TEMP OFRow18:

RVSV SETTINGRow18:

OWNERS NORow19:

JURISDICTION NORow19:

NB ASMEOR STDNORow19:

INTRow19:

EXTRow19:

CERT NOOF YEARSRow19:

TYPE OF OBJECTRow19:

YEAR BUILTRow19:

MADE BYRow19:

ALLOW PRESSRow19:

TEMP OFRow19:

RVSV SETTINGRow19:

OWNERS NORow20:

JURISDICTION NORow20:

NB ASMEOR STDNORow20:

INTRow20:

EXTRow20:

CERT NOOF YEARSRow20:

TYPE OF OBJECTRow20:

YEAR BUILTRow20:

MADE BYRow20:

ALLOW PRESSRow20:

TEMP OFRow20:

RVSV SETTINGRow20:

OWNERS NORow21:

JURISDICTION NORow21:

NB ASMEOR STDNORow21:

INTRow21:

EXTRow21:

CERT NOOF YEARSRow21:

TYPE OF OBJECTRow21:

YEAR BUILTRow21:

MADE BYRow21:

ALLOW PRESSRow21:

TEMP OFRow21:

RVSV SETTINGRow21:

OWNERS NORow22:

JURISDICTION NORow22:

NB ASMEOR STDNORow22:

INTRow22:

EXTRow22:

CERT NOOF YEARSRow22:

TYPE OF OBJECTRow22:

YEAR BUILTRow22:

MADE BYRow22:

ALLOW PRESSRow22:

TEMP OFRow22:

RVSV SETTINGRow22:

OWNERS NORow23:

JURISDICTION NORow23:

NB ASMEOR STDNORow23:

INTRow23:

EXTRow23:

CERT NOOF YEARSRow23:

TYPE OF OBJECTRow23:

YEAR BUILTRow23:

MADE BYRow23:

ALLOW PRESSRow23:

TEMP OFRow23:

RVSV SETTINGRow23:

OWNERS NORow24:

JURISDICTION NORow24:

NB ASMEOR STDNORow24:

INTRow24:

EXTRow24:

CERT NOOF YEARSRow24:

TYPE OF OBJECTRow24:

YEAR BUILTRow24:

MADE BYRow24:

ALLOW PRESSRow24:

TEMP OFRow24:

RVSV SETTINGRow24:

OWNERS NORow25:

JURISDICTION NORow25:

NB ASMEOR STDNORow25:

INTRow25:

EXTRow25:

CERT NOOF YEARSRow25:

TYPE OF OBJECTRow25:

YEAR BUILTRow25:

MADE BYRow25:

ALLOW PRESSRow25:

TEMP OFRow25:

RVSV SETTINGRow25:

OWNERS NORow26:

JURISDICTION NORow26:

NB ASMEOR STDNORow26:

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EXTRow26:

CERT NOOF YEARSRow26:

TYPE OF OBJECTRow26:

YEAR BUILTRow26:

MADE BYRow26:

ALLOW PRESSRow26:

TEMP OFRow26:

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OWNERS NORow27:

JURISDICTION NORow27:

NB ASMEOR STDNORow27:

INTRow27:

EXTRow27:

CERT NOOF YEARSRow27:

TYPE OF OBJECTRow27:

YEAR BUILTRow27:

MADE BYRow27:

ALLOW PRESSRow27:

TEMP OFRow27:

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OWNERS NORow28:

JURISDICTION NORow28:

NB ASMEOR STDNORow28:

INTRow28:

EXTRow28:

CERT NOOF YEARSRow28:

TYPE OF OBJECTRow28:

YEAR BUILTRow28:

MADE BYRow28:

ALLOW PRESSRow28:

TEMP OFRow28:

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OWNERS NORow29:

JURISDICTION NORow29:

NB ASMEOR STDNORow29:

INTRow29:

EXTRow29:

CERT NOOF YEARSRow29:

TYPE OF OBJECTRow29:

YEAR BUILTRow29:

MADE BYRow29:

ALLOW PRESSRow29:

TEMP OFRow29:

RVSV SETTINGRow29:

OWNERS NORow30:

JURISDICTION NORow30:

NB ASMEOR STDNORow30:

INTRow30:

EXTRow30:

CERT NOOF YEARSRow30:

TYPE OF OBJECTRow30:

YEAR BUILTRow30:

MADE BYRow30:

ALLOW PRESSRow30:

TEMP OFRow30:

RVSV SETTINGRow30:

OWNERS NORow31:

JURISDICTION NORow31:

NB ASMEOR STDNORow31:

INTRow31:

EXTRow31:

CERT NOOF YEARSRow31:

TYPE OF OBJECTRow31:

YEAR BUILTRow31:

MADE BYRow31:

ALLOW PRESSRow31:

TEMP OFRow31:

RVSV SETTINGRow31:

OVERPRESSURE PROTECTION BY SYSTEM DESIGN: Off

CERTIFICATE POSTED: Off

FIRST INSPECTION: Off

NATIONAL BOARD OR SERIAL NUMBER: Off

KIND OF INSPECTION: Off

CERTIFICATE RENEWAL: Off

VIOLATIONS: Off

PRESSURE TEST: Off

INSPECTORS COMMENTS:

ADVERSE CONDITIONS FOUND:

REQUIREMENTS:

MonthDayYear:

MonthDayYear_2:

USER NUMBER:

JURISDICTION NUMBER:

National Board number or serial number:

EQUIPMENT LOCATION NAME:

NATURE OF BUSINESS:

Equipment Location Street:

Equipment Location City:

Equipment Location State:

ASME / OTHER CODE:

10 OVERPRESSURE PROTECTION BY SYSTEM DESIGN:

File details come from the government source that posted it. Updated Dec 12, 2024.