Attachment 4 - Boiler Inspection form - NB-7.pdf

PDF 56 KB Posted

Attached to
Boiler Inspection and Labeling Service Federal contract opportunity
Solicitation number
W9124825Q2000
Issued by
Department of the Army Materiel Command Mission and Installation Contracting Command

About this file

This document is a Boiler Inspection form (NB-7) that is used to report the inspection of pressure vessels such as air tanks and water tanks. The form captures details about the equipment location, ownership, type, dimensions, pressure relief devices, and any adverse conditions found during the inspection. It is used to issue a certificate authorizing continued use of the pressure vessel for a specified duration.

The related federal contract opportunity is a solicitation for a non-personal services contract to provide post-wide boiler inspections and proper labeling of all relevant boiler devices and equipment throughout Fort Campbell, KY/TN. The solicitation is issued by the Department of the Army Materiel Command Mission and Installation Contracting Command, a Defense agency.

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Other files for this federal contract opportunity

Other files attached to Boiler Inspection and Labeling Service, newest first.
File Type Posted
W9124825Q2000 P0001.pdf PDF
Attachment 6 - Pricing Schedule.xlsx XLSX spreadsheet
W9124825Q2000.pdf PDF
Questions and Answers 1 to 10 for Boiler Inspections Post-Wide.pdf PDF
Attachment 1 - Service Contract Act Wage Determination.pdf PDF
Attachment 5 - Master Boiler List.xlsx XLSX spreadsheet
Attachment 2 - Example Boiler Inspection Form.docx DOCX document
Attachment 3 - Boiler Inspection form - NB-6.pdf PDF

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Text version

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:

SET PRESSURE: 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.

NB

ASME OR

STD. NO. INT EXT

*CERT –

NO. OF

YEARS TYPE OF OBJECT

YEAR

BUILT MADE BY

ALLOW.

PRESS.

TEMP.

OF

R.V.S.V.

SETTING

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

File details come from the government source that posted it. Updated .