24 July 2003
including Change 1, Jan 2004 and Change 2, March 2005
Instructions for Completing
Unfired Pressure Vessel (UPV) Report
Use a separate form for each UPV. The following subparagraph numbers refer to
number blocks on the report.
Form: Enter the name of inspection department performing the inspection.
To: Enter the title of the activity for which the inspection is being made.
Manufacturer: Enter the name of the manufacturer.
Property No.: Enter the identification number as indicated by the activity.
Manufacturer's Serial No.: Enter the serial number as indicated by the
Building No.: Enter the building or structure number in which the UPV is located.
Year Built: Indicate the calendar year in which the UPV was constructed.
National Board Number: Enter the vessel National Board Number
Pressure: Enter the design, operating, and test pressures (psig).
Capacity: Enter capacity in cubic feet.
UPV Use: Enter the primary purpose of the UPV (shop air, control air, etc.).
Certificate Issued: Enter yes or no.
Boiler Inspector: Signature of authorized inspector. Indicate the Navy Certificate
of Competency number and/or NAVFAC (formerly EFD) License to Inspect. Contract
inspectors are to indicate their NAVFAC Authorization to Inspect.
Reason for Not Issuing Certificate: Enter the reason for not issuing the
Manufacturer: Enter the name of the safety valve manufacturer.
Safety Valves Capacity (CFM): Enter capacity of valves.
Number of Valves: Enter the number of safety valves.
Size of Safety Valves: Enter the size of the safety valves in inches.
Setting (PSI): Enter safety valve setting.