Exhibit_5-_GSA_350 1 .pdf
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- Attached to
- Facility Maintenance Services -- Z Federal contract opportunity
- Solicitation number
- RRB15R0005
- Issued by
- Railroad Retirement Board
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Exhibit 5
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PUBLIC BUILDINGS SERVICE
INSPECTION REPORT OF
UNFIRED PRESSURE VESSELS
(Make separate report for each pressure vessel)
CITY AND STATE
REGION NUMBER
3. MANUFACTURER'S NAME
4. TYPE OF PRESSURE VESSEL
5. *TYPE OF SUPPORTS
6. *DATE MANUFACTURED
7. TYPE OF SHELL CONSTRUCTION (Riveted, welded, etc.)
8. MATERIAL AND GAUGE OF SHELL
9. OVERALL DIMENSIONS OF SHELL
10. *STATE SERVICE (Boiler feed, domestic hot water, etc.)
11. MANUFACTURER'S RATING
12. MAXIMUM PRESSURE UNDER WHICH VESSEL IS NOW OPERATED
13. HAS SHELL OPERATING PRESSURE EVER BEEN REDUCED, BASED ON AN OFFICIAL RECOMMENDATION?
13A. IF SO, STATE DETAILS
14. DATE OF LAST INSPECTION
STEAM WATER OTHER (Specify)
TUBE NEST SPIRAL COILS RETURN BEND COILS OTHER (Specify)
F-12F-11AMMONIA
16. TYPE OF HEATING OR COOLING MEDIUM
17. *DESCRIPTION OF HEAT TRANSFER SURFACE
18. *AMOUNT OF TUBE SURFACE
19. *NUMBER AND LENGTH OF TUBES
21. *MATERIAL AND GAUGE OF TUBES
*To be reported at first inspection onlyGENERAL SERVICES ADMINISTRATION GSA FORM 350 PAGE 1 (3-51)
20. *DIAMETER OF TUBES (O.D.)
15. NAME AND TITLE OF LAST INSPECTOR
CAPACITY
LBS./SQ. IN.
LBS./SQ. IN.
SQ. FT.
NOYES
LBS./SQ. IN.
(G.P.M.; LBS. P.M.; ETC.)
DESIGN PRESSURE (Shell)
MAXIMUM SAFE WORKING PRESSURE
6A. *DATE INSTALLED THIS LOCATION
BOILER FEED HEATER (Closed type)
LIQUID RECEIVER
CONDENSER, STEAM OR REFRIGERATION
COMPRESSED AIR TANK
OTHER (Specify type)
OIL HEATER
COOLER, REFRIGERATION OR COMP. AIR
DOMESTIC HOT WATER TANK
HYDRO-PNEUMATIC TANK
1. NUMBER OF UNFIRED PRESSURE VESSELS IN BUILDING SUBJECT TO INSPECTION
HEADQUARTERS
BUILDING
2. PLANT PRESSURE VESSEL NUMBER
DATE OF INSPECTION
3A. MANUFACTURER'S NUMBER
22. GENERAL CONDITION OF PRESSURE VESSEL
23. HAS INTERIOR OF SHELL BEEN PROTECTED AGAINST CORROSION?
23A. IF SO, DESCRIBE SAME
24. DOES VESSEL CONTAIN OIL?
24C. IF SO, TO WHAT EXTENT ARE QUANTITIES CONSIDERED SERIOUS?
25. WAS PITTING OR CORROSION APPARENT?
25A. IF SO, TO WHAT EXTENT?
26. DOES VESSEL SHOW SIGNS OF DISTORTION?
26A. IF SO, TO WHAT EXTENT?
27. HAS CORROSION INHIBITOR BEEN USED?
27A. IF SO, DESCRIBE SAME
28. CONDITION OF HEAT TRANSFER SURFACE
29. CONDITION OF TUBE SUPPORTS
30. SHELL (Hydrostatic) (Pneumatic) PRESSURE OF
31. DID PRESSURE VESSEL SHOW DEFECTS UNDER THIS PRESSURE?
31A. IF SO, WHERE AND TO WHAT EXTENT?
32. WAS TEST PRESSURE 1 1/2 TIMES THE MAXIMUM ALLOWABLE WORKING PRESSURE AS RATED BY THE MANUFACTURER?
32A. IF NOT, WHY WAS MAXIMUM PRESSURE NOT APPLIED?
33. RECOMMENDED MAXIMUM SAFE WORKING PRESSURE AS A RESULT OF THIS TEST
34. *PRESSURE RELIEF VALVES
35. ARE THESE VALUES ALSO DESIGNED FOR TEMPERATURE PROTECTION?
36. IF NOT, IS THERE ANY TEMPERATURE PROTECTION OR CONTROL?
36A. DESCRIBE SAME
24A. DOES VESSEL CONTAIN GREASE? 24B. DOES VESSEL CONTAIN SCALE?
NO
YESNOYESNOYES NO
YES
NO
YES NO
LBS./SQ. IN. WAS APPLIED
LBS./SQ/ IN
NUMBER TYPE SIZE
YES NO
YES NO
YES
NOYES
NO
YES
NO
YES
GSA FORM 350 PAGE 2 (3-51)
37. STATE CONDITION OF PRESSURE AND/OR TEMPERATURE RELIEF VALVES
38. DESCRIBE ANY OTHER CONTROLS AND STATE THEIR CONDITIONS
39. WERE RELIEF VALVES RESET?
39A. IF SO, FOR WHAT CONDITIONS?
40. CONDITION OF PRESSURE VESSEL GAUGES AND THERMOMETERS
42. WERE GAUGES AND THERMOMETERS CORRECTED OR RENEWED?
43. DOES VESSEL CONTAIN SAFETY PLUGS?
43A. IF SO, STATE CONDITION
44. WERE SAFETY PLUGS RENEWED?
45. CONDITION OF GAUGE GLASS, IF FITTED
46. CONDITION OF PIPE CONNECTIONS AND ATTACHMENTS
47. CONDITION OF HEAT TRANSFER HEADER MANIFOLD
48. WAS HEAT TRANSFER SYSTEM TESTED FOR TIGHTNESS?
48A. IF SO, DESCRIBE METHOD AND GIVE RESULTS
49. WHAT REPAIRS OR ALTERATIONS HAVE BEEN MADE SINCE LAST INSPECTION AND WHY WERE THEY MADE?
50. IF TOXIC GASES ARE USED IN PRESSURE VESSEL, HAS ADEQUATE PROVISION BEEN MADE TO PROTECT PERSONNEL?
51. HAS ADEQUATE PROVISION BEEN MADE FOR FIRE FIGHTING?
52. HOW DO PERSONNEL IN CHARGE OF THIS EQUIPMENT GRADE?
GIVE RECOMMENDATIONS REGARDING PERSONNEL
41. WHAT VARIATION IN PRESSURE AND/OR TEMPERATURE EXISTED BETWEEN PRESSURE VESSEL GAUGES AND THERMOMETERS AND
INSPECTOR'S TEST GAUGE AND THERMOMETER AT WORKING PRESSURE AND TEMPERATURE?
NO
YES
NO
YES NO
COMPETENT DOUBTFUL INCOMPETENT
YES
NO
YES
NOYES
NO
YES
GSA FORM 350 PAGE 3 (3-51)
GSA FORM 350 PAGE 4 (3-51)
53. IN YOUR OPINION IS THIS UNFIRED PRESSURE VESSEL IN A SAFE CONDITION TO BE OPERATED?
54. RECOMMENDATIONS AND REMARKS BY THE INSPECTOR (Include alterations, additions or repairs considered necessary)
54A. SIGNATURE OF INSPECTOR
54B. TITLE OF INSPECTOR
55. RECOMMENDATIONS AND REMARKS BY LOCAL OFFICER OR ENGINEER IN CHARGE
55A. SIGNATURE OF OFFICER IN CHARGE
55B. OFFICIAL TITLE OF OFFICER IN CHARGE
NOTE: Use additional sheets if necessary, to supplement the above remarks.
53A. IF ANSWER TO QUESTION 53 IS NO, THE INSPECTOR WILL NOTIFY THE CUSTODIAN, OR BUILDING SUPERINTENDENT, IMMEDIATELY IN WRITING, NOT TO SUE SAME AND GIVE COMPLETE DETAILS TO REGIONAL OFFICE BY WIRE.
YES NO
PUBLIC BUILDINGS SERVICE
INSPECTION REPORT OF
UNFIRED PRESSURE VESSELS
(Make separate report for each pressure vessel)
CITY AND STATE
REGION NUMBER
3. MANUFACTURER'S NAME
4. TYPE OF PRESSURE VESSEL
5. *TYPE OF SUPPORTS
6. *DATE MANUFACTURED
7. TYPE OF SHELL CONSTRUCTION (Riveted, welded, etc.)
8. MATERIAL AND GAUGE OF SHELL
9. OVERALL DIMENSIONS OF SHELL
10. *STATE SERVICE (Boiler feed, domestic hot water, etc.)
11. MANUFACTURER'S RATING
12. MAXIMUM PRESSURE UNDER WHICH VESSEL IS NOW OPERATED
13. HAS SHELL OPERATING PRESSURE EVER BEEN REDUCED, BASED ON AN OFFICIAL RECOMMENDATION?
13A. IF SO, STATE DETAILS
14. DATE OF LAST INSPECTION
STEAM
WATER
OTHER (Specify)
TUBE NEST
SPIRAL COILS
RETURN BEND COILS
OTHER (Specify) F-12 F-11
AMMONIA
16. TYPE OF HEATING OR COOLING MEDIUM
17. *DESCRIPTION OF HEAT TRANSFER SURFACE
18. *AMOUNT OF TUBE SURFACE
19. *NUMBER AND LENGTH OF TUBES
21. *MATERIAL AND GAUGE OF TUBES
*To be reported at first inspection only
GENERAL SERVICES ADMINISTRATION
GSA FORM 350 PAGE 1 (3-51)
20. *DIAMETER OF TUBES (O.D.)
15. NAME AND TITLE OF LAST INSPECTOR
CAPACITY
LBS./SQ. IN.
LBS./SQ. IN.
SQ. FT.
NO
YES
LBS./SQ. IN.
(G.P.M.; LBS. P.M.; ETC.)
DESIGN PRESSURE (Shell)
MAXIMUM SAFE WORKING PRESSURE
6A. *DATE INSTALLED THIS LOCATION
BOILER FEED HEATER (Closed type)
LIQUID RECEIVER
CONDENSER, STEAM OR REFRIGERATION
COMPRESSED AIR TANK
OTHER (Specify type)
OIL HEATER
COOLER, REFRIGERATION OR COMP. AIR
DOMESTIC HOT WATER TANK
HYDRO-PNEUMATIC TANK
1. NUMBER OF UNFIRED PRESSURE VESSELS IN BUILDING SUBJECT TO INSPECTION
HEADQUARTERS
BUILDING
2. PLANT PRESSURE VESSEL NUMBER
DATE OF INSPECTION
3A. MANUFACTURER'S NUMBER
22. GENERAL CONDITION OF PRESSURE VESSEL
23. HAS INTERIOR OF SHELL BEEN PROTECTED AGAINST CORROSION?
23A. IF SO, DESCRIBE SAME
24. DOES VESSEL CONTAIN OIL?
24C. IF SO, TO WHAT EXTENT ARE QUANTITIES CONSIDERED SERIOUS?
25. WAS PITTING OR CORROSION APPARENT?
25A. IF SO, TO WHAT EXTENT?
26. DOES VESSEL SHOW SIGNS OF DISTORTION?
26A. IF SO, TO WHAT EXTENT?
27. HAS CORROSION INHIBITOR BEEN USED?
27A. IF SO, DESCRIBE SAME
28. CONDITION OF HEAT TRANSFER SURFACE
29. CONDITION OF TUBE SUPPORTS
30. SHELL (Hydrostatic) (Pneumatic) PRESSURE OF
31. DID PRESSURE VESSEL SHOW DEFECTS UNDER THIS PRESSURE?
31A. IF SO, WHERE AND TO WHAT EXTENT?
32. WAS TEST PRESSURE 1 1/2 TIMES THE MAXIMUM ALLOWABLE WORKING PRESSURE AS RATED BY THE MANUFACTURER?
32A. IF NOT, WHY WAS MAXIMUM PRESSURE NOT APPLIED?
33. RECOMMENDED MAXIMUM SAFE WORKING PRESSURE AS A RESULT OF THIS TEST
34. *PRESSURE RELIEF VALVES
35. ARE THESE VALUES ALSO DESIGNED FOR TEMPERATURE PROTECTION?
36. IF NOT, IS THERE ANY TEMPERATURE PROTECTION OR CONTROL?
36A. DESCRIBE SAME
24A. DOES VESSEL CONTAIN GREASE?
24B. DOES VESSEL CONTAIN SCALE?
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
LBS./SQ. IN. WAS APPLIED
LBS./SQ/ IN
NUMBER
TYPE
SIZE
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
GSA FORM 350 PAGE 2 (3-51)
37. STATE CONDITION OF PRESSURE AND/OR TEMPERATURE RELIEF VALVES
38. DESCRIBE ANY OTHER CONTROLS AND STATE THEIR CONDITIONS
39. WERE RELIEF VALVES RESET?
39A. IF SO, FOR WHAT CONDITIONS?
40. CONDITION OF PRESSURE VESSEL GAUGES AND THERMOMETERS
42. WERE GAUGES AND THERMOMETERS CORRECTED OR RENEWED?
43. DOES VESSEL CONTAIN SAFETY PLUGS?
43A. IF SO, STATE CONDITION
44. WERE SAFETY PLUGS RENEWED?
45. CONDITION OF GAUGE GLASS, IF FITTED
46. CONDITION OF PIPE CONNECTIONS AND ATTACHMENTS
47. CONDITION OF HEAT TRANSFER HEADER MANIFOLD
48. WAS HEAT TRANSFER SYSTEM TESTED FOR TIGHTNESS?
48A. IF SO, DESCRIBE METHOD AND GIVE RESULTS
49. WHAT REPAIRS OR ALTERATIONS HAVE BEEN MADE SINCE LAST INSPECTION AND WHY WERE THEY MADE?
50. IF TOXIC GASES ARE USED IN PRESSURE VESSEL, HAS ADEQUATE PROVISION BEEN MADE TO PROTECT PERSONNEL?
51. HAS ADEQUATE PROVISION BEEN MADE FOR FIRE FIGHTING?
52. HOW DO PERSONNEL IN CHARGE OF THIS EQUIPMENT GRADE?
GIVE RECOMMENDATIONS REGARDING PERSONNEL
41. WHAT VARIATION IN PRESSURE AND/OR TEMPERATURE EXISTED BETWEEN PRESSURE VESSEL GAUGES AND THERMOMETERS ANDINSPECTOR'S TEST GAUGE AND THERMOMETER AT WORKING PRESSURE AND TEMPERATURE?
NO
YES
NO
YES
NO
COMPETENT
DOUBTFUL
INCOMPETENT
YES
NO
YES
NO
YES
NO
YES
GSA FORM 350 PAGE 3 (3-51)
GSA FORM 350 PAGE 4 (3-51)
53. IN YOUR OPINION IS THIS UNFIRED PRESSURE VESSEL IN A SAFE CONDITION TO BE OPERATED?
54. RECOMMENDATIONS AND REMARKS BY THE INSPECTOR (Include alterations, additions or repairs considered necessary)
54A. SIGNATURE OF INSPECTOR
54B. TITLE OF INSPECTOR
55. RECOMMENDATIONS AND REMARKS BY LOCAL OFFICER OR ENGINEER IN CHARGE
55A. SIGNATURE OF OFFICER IN CHARGE
55B. OFFICIAL TITLE OF OFFICER IN CHARGE
NOTE: Use additional sheets if necessary, to supplement the above remarks.
53A. IF ANSWER TO QUESTION 53 IS NO, THE INSPECTOR WILL NOTIFY THE CUSTODIAN, OR BUILDING SUPERINTENDENT, IMMEDIATELYIN WRITING, NOT TO SUE SAME AND GIVE COMPLETE DETAILS TO REGIONAL OFFICE BY WIRE.
YES
NO
8.2.0.3062.1.452232.445150
| CITY AND STATE: |
| REGION NUMBER: |
| 1. NUMBER OF UNFIRED PRESSURE VESSELS IN BUILDING SUBJECT TO INSPECTION: |
| 3. MANUFACTURER'S NAME: |
| 5. *TYPE OF SUPPORTS. [Footnote] *To be reported at first inspection only.: |
| 7. TYPE OF SHELL CONSTRUCTION (Riveted, welded, etc.): |
| 8. MATERIAL AND GAUGE OF SHELL: |
| 9. OVERALL DIMENSIONS OF SHELL: |
| 11. MANUFACTURER'S RATING. CAPACITY (G.P.M.; LBS. P.M.; ETC.): |
| 11. MANUFACTURER'S RATING. DESIGN PRESSURE (Shell) LBS./SQ. IN.: |
| 11. MANUFACTURER'S RATING. MAXIMUM SAFE WORKING PRESSURE LBS./SQ. IN.: |
| 12. MAXIMUM PRESSURE UNDER WHICH VESSEL IS NOW OPERATED LBS./SQ. IN.: |
| 15. NAME AND TITLE OF LAST INSPECTOR: |
| 18. *AMOUNT OF TUBE SURFACE SQUARE FEET. [Footnote] *To be reported at first inspection only.: |
| 19. *NUMBER AND LENGTH OF TUBES. [Footnote] *To be reported at first inspection only.: |
| 22. GENERAL CONDITION OF PRESSURE VESSEL: |
| 20. *DIAMETER OF TUBES (O.D.). [Footnote] *To be reported at first inspection only.: |
| 13A. IF SO, STATE DETAILS: |
| 10. *STATE SERVICE (Boiler feed, domestic hot water, etc.). [Footnote] *To be reported at first inspection only.: |
| HEADQUARTERS: |
| 2. PLANT PRESSURE VESSEL NUMBER: |
| 3A. MANUFACTURER'S NUMBER: |
| BUILDING: |
| DATE OF INSPECTION. Enter 2 digit month, 2 digit day and 4 digit year.: |
| 6. *DATE MANUFACTURED. [Footnote] *To be reported at first inspection only. Enter 2 digit month, 2 digit day and 4 digit year.: |
| 14. DATE OF LAST INSPECTION. Enter 2 digit month, 2 digit day and 4 digit year.: |
| 6A. *DATE INSTALLED THIS LOCATION. [Footnote] *To be reported at first inspection only. Enter 2 digit month, 2 digit day and 4 digit year.: |
| 4. TYPE OF PRESSURE VESSEL. BOILER FEED HEATER (Closed type): 0 |
| 4. TYPE OF PRESSURE VESSEL. LIQUID RECEIVER: 0 |
| 4. TYPE OF PRESSURE VESSEL. CONDENSER, STEAM OR REFRIGERATION: 0 |
| 4. TYPE OF PRESSURE VESSEL. COMPRESSED AIR TANK: 0 |
| 4. TYPE OF PRESSURE VESSEL. OTHER (Specify type): 0 |
| 4. TYPE OF PRESSURE VESSEL. OIL HEATER: 0 |
| 4. TYPE OF PRESSURE VESSEL. COOLER, REFRIGERATION OR COMP. AIR: 0 |
| 4. TYPE OF PRESSURE VESSEL. DOMESTIC HOT WATER TANK: 0 |
| 4. TYPE OF PRESSURE VESSEL. HYDRO-PNEUMATIC TANK: 0 |
| 13. HAS SHELL OPERATING PRESSURE EVER BEEN REDUCED, BASED ON AN OFFICIAL RECOMMENDATION? YES: 0 |
| 16. TYPE OF HEATING OR COOLING MEDIUM. STEAM: 0 |
| 17. *DESCRIPTION OF HEAT TRANSFER SURFACE. TUBE NEST: 0 |
| 17. *DESCRIPTION OF HEAT TRANSFER SURFACE. SPIRAL COILS: 0 |
| 17. *DESCRIPTION OF HEAT TRANSFER SURFACE. RETURN BEND COILS: 0 |
| 17. *DESCRIPTION OF HEAT TRANSFER SURFACE. OTHER (Specify): 0 |
| 16. TYPE OF HEATING OR COOLING MEDIUM. WATER: 0 |
| 16. TYPE OF HEATING OR COOLING MEDIUM. AMMONIA: 0 |
| 16. TYPE OF HEATING OR COOLING MEDIUM. F-11: 0 |
| 16. TYPE OF HEATING OR COOLING MEDIUM. F-12: 0 |
| 16. TYPE OF HEATING OR COOLING MEDIUM. OTHER (Specify): 0 |
| 13. HAS SHELL OPERATING PRESSURE EVER BEEN REDUCED, BASED ON AN OFFICIAL RECOMMENDATION? NO: 0 |
| Other (Specify): |
| Other (Specify): |
| 27. HAS CORROSION INHIBITOR BEEN USED? YES: 0 |
| 27. HAS CORROSION INHIBITOR BEEN USED? NO: 0 |
| 31. DID PRESSURE VESSEL SHOW DEFECTS UNDER THIS PRESSURE? YES: 0 |
| 31. DID PRESSURE VESSEL SHOW DEFECTS UNDER THIS PRESSURE? NO: 0 |
| 32. WAS TEST PRESSURE 1 1/2 TIMES THE MAXIMUM ALLOWABLE WORKING PRESSURE AS RATED BY THE MANUFACTURER? YES: 0 |
| 32. WAS TEST PRESSURE 1 1/2 TIMES THE MAXIMUM ALLOWABLE WORKING PRESSURE AS RATED BY THE MANUFACTURER? NO: 0 |
| 35. ARE THESE VALUES ALSO DESIGNED FOR TEMPERATURE PROTECTION? YES: 0 |
| 35. ARE THESE VALUES ALSO DESIGNED FOR TEMPERATURE PROTECTION? NO: 0 |
| 36. IF NOT, IS THERE ANY TEMPERATURE PROTECTION OR CONTROL? YES: 0 |
| 36. IF NOT, IS THERE ANY TEMPERATURE PROTECTION OR CONTROL? NO: 0 |
| 23A. IF SO, DESCRIBE SAME: |
| 24C. IF SO, TO WHAT EXTENT ARE QUANTITIES CONSIDERED SERIOUS?: |
| 25A. IF SO, TO WHAT EXTENT?: |
| 26A. IF SO, TO WHAT EXTENT?: |
| 27A. IF SO, DESCRIBE SAME: |
| 28. CONDITION OF HEAT TRANSFER SURFACE: |
| 29. CONDITION OF TUBE SUPPORTS: |
| 32A. IF NOT, WHY WAS MAXIMUM PRESSURE NOT APPLIED?: |
| 36A. DESCRIBE SAME: |
| 31A. IF SO, WHERE AND TO WHAT EXTENT?: |
| 23. HAS INTERIOR OF SHELL BEEN PROTECTED AGAINST CORROSION? NO: 0 |
| 24B. DOES VESSEL CONTAIN SCALE? YES: 0 |
| 24B. DOES VESSEL CONTAIN SCALE? NO: 0 |
| 25. WAS PITTING OR CORROSION APPARENT? YES: 0 |
| 25. WAS PITTING OR CORROSION APPARENT? NO: 0 |
| 26. DOES VESSEL SHOW SIGNS OF DISTORTION? YES: 0 |
| 26. DOES VESSEL SHOW SIGNS OF DISTORTION? NO: 0 |
| 24A. DOES VESSEL CONTAIN GREASE? YES: 0 |
| 24A. DOES VESSEL CONTAIN GREASE? NO: 0 |
| 24. DOES VESSEL CONTAIN OIL? YES: 0 |
| 24. DOES VESSEL CONTAIN OIL? NO: 0 |
| 23. HAS INTERIOR OF SHELL BEEN PROTECTED AGAINST CORROSION? YES: 0 |
| 30. SHELL (Hydrostatic) (Pneumatic) PRESSURE OF LBS./SQ. IN. WAS APPLIED: |
| 33. RECOMMENDED MAXIMUM SAFE WORKING PRESSURE AS A RESULT OF THIS TEST. LBS./SQ/ IN: |
| 34. *PRESSURE RELIEF VALVES. SIZE: |
| 51. HAS ADEQUATE PROVISION BEEN MADE FOR FIRE FIGHTING? YES: 0 |
| 52. HOW DO PERSONNEL IN CHARGE OF THIS EQUIPMENT GRADE? COMPETENT: 0 |
| 52. HOW DO PERSONNEL IN CHARGE OF THIS EQUIPMENT GRADE? DOUBTFUL: 0 |
| 52. HOW DO PERSONNEL IN CHARGE OF THIS EQUIPMENT GRADE? INCOMPETENT: 0 |
| 51. HAS ADEQUATE PROVISION BEEN MADE FOR FIRE FIGHTING? NO: 0 |
| 37. STATE CONDITION OF PRESSURE AND/OR TEMPERATURE RELIEF VALVES: |
| 38. DESCRIBE ANY OTHER CONTROLS AND STATE THEIR CONDITIONS: |
| 39A. IF SO, FOR WHAT CONDITIONS?: |
| 40. CONDITION OF PRESSURE VESSEL GAUGES AND THERMOMETERS: |
| 43A. IF SO, STATE CONDITION: |
| 45. CONDITION OF GAUGE GLASS, IF FITTED: |
| 46. CONDITION OF PIPE CONNECTIONS AND ATTACHMENTS: |
| 47. CONDITION OF HEAT TRANSFER HEADER MANIFOLD: |
| 48A. IF SO, DESCRIBE METHOD AND GIVE RESULTS: |
| 50. IF TOXIC GASES ARE USED IN PRESSURE VESSEL, HAS ADEQUATE PROVISION BEEN MADE TO PROTECT PERSONNEL?: |
| GIVE RECOMMENDATIONS REGARDING PERSONNEL: |
| 49. WHAT REPAIRS OR ALTERATIONS HAVE BEEN MADE SINCE LAST INSPECTION AND WHY WERE THEY MADE?: |
| 39. WERE RELIEF VALVES RESET? NO: 0 |
| 42. WERE GAUGES AND THERMOMETERS CORRECTED OR RENEWED? YES: 0 |
| 42. WERE GAUGES AND THERMOMETERS CORRECTED OR RENEWED? NO: 0 |
| 43. DOES VESSEL CONTAIN SAFETY PLUGS? YES: 0 |
| 43. DOES VESSEL CONTAIN SAFETY PLUGS? NO: 0 |
| 44. WERE SAFETY PLUGS RENEWED? YES: 0 |
| 44. WERE SAFETY PLUGS RENEWED? NO: 0 |
| 48. WAS HEAT TRANSFER SYSTEM TESTED FOR TIGHTNESS? YES: 0 |
| 48. WAS HEAT TRANSFER SYSTEM TESTED FOR TIGHTNESS? NO: 0 |
| 39. WERE RELIEF VALVES RESET? YES: 0 |
| 41. WHAT VARIATION IN PRESSURE AND/OR TEMPERATURE EXISTED BETWEEN PRESSURE VESSEL GAUGES AND THERMOMETERS AND INSPECTOR'S TEST GAUGE AND THERMOMETER AT WORKING PRESSURE AND TEMPERATURE?: |
| 53. IN YOUR OPINION IS THIS UNFIRED PRESSURE VESSEL IN A SAFE CONDITION TO BE OPERATED? NO. 53A. IF ANSWER TO QUESTION 53 IS NO, THE INSPECTOR WILL NOTIFY THE CUSTODIAN, OR BUILDING SUPERINTENDENT, IMMEDIATELY IN WRITING, NOT TO SUE SAME AND GIVE COMPLETE DETAILS TO REGIONAL OFFICE BY WIRE.: 0 |
| 53. IN YOUR OPINION IS THIS UNFIRED PRESSURE VESSEL IN A SAFE CONDITION TO BE OPERATED? YES: 0 |
| 54. RECOMMENDATIONS AND REMARKS BY THE INSPECTOR (Include alterations, additions or repairs considered necessary): |
| 55. RECOMMENDATIONS AND REMARKS BY LOCAL OFFICER OR ENGINEER IN CHARGE: |
| 54B. TITLE OF INSPECTOR: |
| 54A. SIGNATURE OF INSPECTOR. DIGITAL SIGNATURE: |
| 55B. OFFICIAL TITLE OF OFFICER IN CHARGE: |
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