# PRESSURE VESSEL EXAMINATION REPORT

**JOB #:**

**DATE:**

**VESSEL TYPE:**

**ID x HEIGHT:**

**P. O. #:**

**NATIONAL BOARD #:**

**NOZZLE SIZE/TYPE/LOCATION:**

**HEAT NUMBERS:**

**MTR’s PROVIDED (Y/N):**

**VESSEL MATERIAL:**

**SPEC.:**

**JACKET MATERIAL:**

**INSULATION (Y/N):**

**PRESSURE/TEMP. RATING:**

**SPRAYBALL (Y/N):**

**SUCTION DIFFUSER (Y/N):**

**SURFACE FINISH (ID)*:**

**SURFACE FINISH (OD)*:**

**CONFIRM RECEIPT OF RELEVANT DOCUMENTATION:** ELECTROPOLISH

PASSIVATION SALINE SPRAYBALL COVERAGE ASME U-1

SEISMIC CALCULATIONS PRESSURE TEST WELD MAP

* ATTACH COPY OF APPROVED VENDOR SHOP DRAWING WITH SURFACE FINISH INSPECTION LOCATIONS

**RESULTS:** ACCEPTED  
REJECTED HOLD

**COMMENTS:**

**EXAMINER**