Nbic Form R 2 PDF Details

In the complex and highly regulated field of boiler and pressure vessel inspects and alterations, the NBIC R-2 form serves as a critical document that underscores the adherence to the National Board Inspection Code's strict provisions. This form, diligently prepared for reporting alterations, is not just a formality but a comprehensive record that essentially communicates the concerted efforts of design and construction organizations in ensuring safety and compliance. It necessitates detailed information starting from the identification of the pressure retaining item, including the original manufacturer and myriad identifying numbers that trace its history and specifications. Moreover, it captures the essence of the alteration project, detailing not only the design and construction entities involved but also specifying the original and alteration codes of construction to guarantee that the modifications align with recognized safety standards. By cataloging essential aspects such as the location of installation, the scope of design and construction, pressure tests, replacement parts, and an array of certifications, the form acts as an anchor that ties together various assurances – from the integrity of design changes to the precise conduct of alterations. These certifications, signed by those vested with responsibility and authority, provide a legal and ethical declaration of compliance, ensuring that all materials, construction works, and methodologies uphold the highest standards set by the National Board Inspection Code. This multi-faceted form, through its rigorous requirements and detailed attestations, diligently promotes transparency, safety, and accountability in the critical area of pressure equipment maintenance and alteration.

QuestionAnswer
Form NameNbic Form R 2
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform r 2, nbic r2 form, nbic forms, national board r2 form

Form Preview Example

Form R-2 Report of Alteration

in accordance with provisions of the National Board Inspection Code

(Form “R” Registration no.)

(P.O. No., Job No., etc.)

1a. Design performed by:

 

 

 

 

 

 

(name of “R” organization responsible for design)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1b. Construction performed by:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(name of “R” organization responsible for construction)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

Owner of Pressure Retaining Item:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(name)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Location of Installation:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(name)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Item identiication:

 

 

 

 

 

 

 

Name of original manufacturer:

 

 

 

 

 

 

 

 

 

 

(boiler, pressure vessel, or piping)

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

Identifying nos:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(mfg. serial no.)

 

 

 

(National Board No.)

(Jurisdiction No.)

 

 

 

 

(other)

 

 

(year built)

6.

NBIC Edition / Addenda:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(edition)

 

 

 

(addenda)

 

 

 

 

 

Original Code of Construction for Item:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(name / section / division)

 

 

 

 

 

 

 

(edition / addenda)

 

Construction Code Used for Alteration Performed:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(name / section / division)

 

 

 

 

 

 

(edition / addenda)

7a. Description of Design Scope:

Form R -4, Report Supplementary Sheet is attached

7b. Description of Construction Scope:

Form R -4, Report Supplementary Sheet is attached

Pressure Test, if applied

 

psi

MAWP

 

psi

8.Replacement Parts. Attached are Manufacturer’s Partial Data Reports or Form R-3’s properly completed for the following items of this report:

(name of part, item number, data report type or Certiicate of Compliance, mfg’s. name and identifying stamp)

NB-229, Rev. 6, (03/25/13)

FORM R-2 BACK

9. Remarks:

 

 

 

 

 

 

Design CeRtiFiCAtion

I,

 

 

 

 

, certify that to the best of my knowledge and belief the statements in this report are correct and that

the Design Change described in this report conforms to the National Board Inspection Code.

National Board “R” Certiicate of Authorization No.

 

 

 

expires on

 

 

Date

 

 

 

 

 

Signed

 

 

 

 

 

 

(name of design organization)

 

 

(authorized representative)

 

 

 

 

CeRtiFiCAte oF Design ChAnge Review

I,

 

, holding a valid Commission issued by The National Board of Boiler and Pressure Vessel

Inspectors and certiicate of competency, where required, issued by the jurisdiction of

 

and employed by

 

 

 

of

 

 

have reviewed the design change as described in

this report and state that to the best of my knowledge and belief such change complies with the applicable requirements of the National

Board Inspection Code.

By signing this certiicate, neither the undersigned nor my employer makes any warranty, expressed or implied, concerning the work described in this report. Furthermore, neither the undersigned nor my employer shall be liable in any manner for any personal injury,

 

property damage or loss of any kind arising from or connected with this inspection.

 

 

 

Date

 

 

 

 

Signed

 

 

 

 

 

 

Commissions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(inspector)

 

 

 

 

 

(National Board and jurisdiction no.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ConstRuCtion CeRtiFiCAtion

 

 

 

I,

 

 

 

 

 

 

 

 

, certify that to the best of my knowledge and belief the statements in this report are

 

 

 

correct and that all material, construction, and workmanship on this Alteration conforms to the National Board Inspection Code.

 

 

National Board “R” Certiicate of Authorization No.

 

 

 

 

expires on

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

Signed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(name of alteration organization)

 

 

(authorized representative)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CeRtiFiCAte oF inspeCtion

 

 

 

I,

 

 

 

 

 

 

 

,holding a valid Commission issued by The National Board of Boiler and Pressure

 

 

 

Vessel Inspectors and certiicate of competency, where required, issued by the jurisdiction of

 

 

and employed

 

 

by

 

 

 

 

 

 

 

 

of

 

 

 

 

 

 

 

 

have inspected the work described

 

 

in this report on

 

 

 

 

 

 

and state that to the best of my knowledge and belief this work complies with the applicable

 

requirements of the National Board Inspection Code.

By signing this certiicate, neither the undersigned nor my employer makes any warranty, expressed or implied, concerning the work described in this report. Furthermore, neither the undersigned nor my employer shall be liable in any manner for any personal injury,

property damage or loss of any kind arising from or connected with this inspection.

Date

 

Signed

 

Commissions

 

 

 

 

(inspector)

 

(National Board and jurisdiction no.)

NB-229, Rev. 6, (03/25/13)

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1. To get started, when filling out the nbic forms, beging with the part that includes the subsequent blanks:

Stage number 1 in completing form r 2

2. Now that the last section is complete, you're ready add the needed particulars in Identifying nos, mfg serial no, NBIC Edition Addenda, National Board No, Jurisdiction No, other year built, edition, addenda, Original Code of Construction for, name section division, edition addenda, Construction Code Used for, name section division, edition addenda, and a Description of Design Scope so you're able to move on to the next step.

Part number 2 of filling out form r 2

3. This next part will be straightforward - fill out all the form fields in Form R Report Supplementary Sheet, Pressure Test if applied, psi, MAWP, psi, Replacement Parts Attached are, completed for the following items, name of part item number data, and NB Rev in order to finish the current step.

Stage number 3 of submitting form r 2

4. The following subsection needs your details in the subsequent parts: Remarks, Design CeRtiFiCAtion, I the Design Change described in, Signed, expires on, certify that to the best of my, name of design organization, CeRtiFiCAte oF Design ChAnge Review, I Inspectors and certiicate of, holding a valid Commission issued, and employed by, and have reviewed the design change as. Be sure you provide all of the needed info to go onward.

form r 2 completion process clarified (portion 4)

5. To finish your document, this last subsection features some extra fields. Filling in have reviewed the design change as, Commissions, Signed, inspector, National Board and jurisdiction no, ConstRuCtion CeRtiFiCAtion, I correct and that all material, certify that to the best of my, expires on, Signed, name of alteration organization, CeRtiFiCAte oF inspeCtion, holding a valid Commission issued, I Vessel Inspectors and certiicate, and and state that to the best of my is going to conclude everything and you will be done before you know it!

Completing part 5 of form r 2

As to certify that to the best of my and Commissions, ensure that you take a second look in this section. The two of these are considered the key fields in the PDF.

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