

Date:
Unfired Pressure Vessel Inspection
Report Page: 1
Vessel Information
Unit: Location: P&ID No.: Wo/Not.No:
Equipment No.: Equipment Name: :
Type:r Tower r Drum r Tubular Shell r Filter r Fin – Fan  Reactor  Other ______________
Orientation:rHorizontal rVertical rOn stm r Off stm NDE: r UT r PT r MT r RT r ET r VT r AE
Insulation:rYes rNo rPartially Thk:____ Type:_____ r API r ASME (R) r Plant Spec’s r NBIC
External Visual Inspection Results
Item Condition Comments
No. Item Good Fair Poor N/A (by item no.)
1 Shell
2 Heads, Chann. or Bonnets
3 Nozzles & Bolts, Flanges
4 Manways & Flange Bolts
5 Welds & Seams
6 Platforms & Handrails
7 Ladders & Cages
8 Stairway & Treads
9 Weatherproofing
10 Insulation
11 Coatings % of failure
12 Fireproofing
13 Supports & Foundation
14 Support Base Plate & Bolts
15 Davits
16 Sightglass & Level Gauges
17 Associated Piping
18 Jacket Mat. ___________
19 CUI Evaluation
20 UT Review
21 Expansion joint
22 Safety Valve Discharge RV #- Size Disch to
Lines
Yes No
23 Safety Valve Removed Date of Last Test Setting PSIG
24 RV Anti tamper seal Intact
25 Corrosion (L x W x S x D)
26 Ground Wire Attached
27 Name Plate Attached
28 Visible Leaks
29 Screwed Fittings
30 Visible Distortion
31 Weep Holes Okay
32 FE Leak Tags
33 Shell & Head magnetic?
34 Blistering
35 Photographs
36 Diamond Placard attached
37 OK for Continued Service

38 Nameplate data Nat Bd # Const. Date: Stamped r Yes r No

mawp@temp: S/N: Other:
39 Field operating parameters Temperature *F: Pressure psig Gauge Level: %
Inspector Information
Signature: Printed Name Attachments r Yes r No
 Date:
Unfired Pressure Vessel Inspection
 Report Page: 2

Internal Visual Inspection Results

Item Condition Comments
No. Item Good Fair Poor N/A (by item no.)
40 Shell
41 Heads, Transitions
42 Trays
43 Tray Supports
44 Caps & Risers
45 Downcomers
46 Weirs & Seal Pans
47 Bolting, Bars, & Clips
48 Piping, Baffles, & Sprays
49 Manway & Flange Seats
50 Demister Pad
51 Tube Ends
52 Tube Sheet
53 Tube I.D.
54 Tube O.D.
55 Bonnet(s) & Channel(s)
56 Vortex Breaker
57 Gasket Surfaces
58 Nozzles (cond. and clear)
58 Liquid level &/or Boot
areas
60 Cleaness (How Cleaned?)
61 Associated Piping IDs
62 Supports
63 Distortion
64

65 Ok for continued Service? Yes No

65 Lining Type: % Lined:
66 Liner Damage % Damaged: Exposed Metal:
67 Hydro. Test Test Pressure PSIG Result
68 Corrosion Noted Location Depth Size
69 Errosion Depth: Size:
70 NDT Used Type: Outcome:
Defect Sketching Area

Service Information
Total Service (yrs): Interval: Ext: Int Next Inspection: Years

Signature: Date of Next Inspection: