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INDEX for FORMS Under Indian Boiler Regulations, 1950

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INDEX for FORMS Under Indian Boiler Regulations, 1950 INDEX for FORMS under Indian Boiler Regulations, 1950 ___________________________________________________________________________ Form No. Description Page ___________________________________________________________________________ Form I Memorandum of Inspection or Registration Book 1 - 29 Form II Inspecting Authority's Certificate of Inspection during 30 Construction (Reg. 4-C)…… Form II-A Inspecting Authority Certificate of Inspection during Construction in respect of the boiler made to foreign code 31 Form II-B Inspecting Authority Certificate of Inspection during the Inspection of boilers for which variation from standard Have been permitted 32 Form III Constructor's Certificate of Manufacture and Test 33-42 (Reg.4-d) Form III-A Certificate of Manufacture and Test for Steam Pipes 43-44 Form III-A(I) Certificate of manufacture and test of steam pipes for 45-46 Which variations have been permitted Form III-B Certificate of Manufacture and Test for tubes 47-48 Form III-B(I) Certificate of manufacture and test 49-50 Form III-C Certificate of Manufacture and Test of Boiler mounting 51 And Fittings. Form III-D Certificate of Manufacture and Test 52 Form III-E Certificate of Manufacture and Test 53 Form III-F Certificate of Manufacture and Test of casting & forging 54 Form IV Steel Marker's Certificate of Manufacture and results of Test 55 Form IV-A Certificate of Manufacture and Results of Tests in lieu of 56 Form IV. Form V Provisional Order under section 9 of the Indian Boilers 57 Act, 1923 Form VI Certificate for use of a Boiler 58-59 Form VII Inspecting Authority's Certificate of Inspection under 60 Construction Form VIII Constructor's Certificate of Manufacture and Test 61-62 Form IX Memorandum of Inspections of Registration Book 63-72 Form X Provisional Order under the Indian Boilers Act 73 Form XI Certificate for the use of an Economiser 74-75 Form XII Record of Welder's Qualification/Requalification Tests 76-78 Form XIII Qualified Boiler Welder's Certificate 79-81 Form XIV Steam Pipes and Connecting Fittings 82-95 Form XV-A Questionnaire Inspecting Authority 96 Form XB-B Questionnaire Competent Authority 97 Form XV-C Questionnaire Well Known Steel Maker 98 Form XV-D Questionnaire Well Known Foundry/Forge 99 Form XV-E Questionnaire Well Known Tube/Pipe Maker 100 Form XV-F Questionnaire Well Known Material Testing Laboratory 101 Form XV-G Questionnaire for Well known Remnant Assessment Org. 102 Form XVI-A Certificate of Approval for Inspection Authority 103 Form XVI-B Certificate of Approval for Competent Authority 104 Form XVI-C Certificate of Approval for Well Known Steel Maker 105 Form XVI-D Certificate of Approval for Well Known Forge 106 Form XVI-E Certificate of Approval for Well Known Forge 107 Form XVI-F Certificate of Approval for a Well Known Tube Maker 108 Form XVI-G Certificate of Approval for Well Known Pipe Maker 109 Form XVI-H Certificate of Approval as Well Known Material Testing 110 Laboratory Form XVI-I Certificate of approval as Well known Remnant Life 111 Assessment Organisation Form XVII Certificate of Manufacture and Test for Small Industrial 112-113 Boilers Form XVII Questionnaire form for repairer of boilers/ economizer/ steam line /feed water lines, etc under the IBR, 1950 114-115 FORM I (Regulation 386 and 487) National emblem INDIAN BOILERS ACT, 1923 BOILER INSPECTION DEPARTMENT BOILER REGISTRY NUMBER ___________________________________________________________ Memorandum of Inspection OR Registration Book MISCELLANEOUS District: ………………………………………………………………………………………………………………………………………………. Owner: ……………………………………………………………………………………………………………………………………………….. Address of Factory: ………………………………………………………………………………………………………………………………….. ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ Nearest Railway Station ……………………………………………………………………………………………………………………………… Factory is …………………………………… miles by ………………………………………………………………………………. from station Work or Factory: …………………………………………………………………………………………………………………………………….. Working season: : …………………………………………………………………………………………………………………………………….. ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ BOILER registered at : ………………………………………………… on ………………………………………………………………………… REGISTER BOOK No………………………………………………… PAGE ……………………………………………………………………. REGISTRY NUMBER ………………………………………………. verified on: ………………………………………………………………. APPROVED WORKING PRESSURE: ……………………………………………………………………………………………………………... BOILER RATING: ………………………………………………….. INSPECTION FEE: ……………………………………………………… REGISTRATION BOOK filed at ……………………………………. on ………………………………………………………………………… ____________________________________________________________________________________________________________________ Remarks on transfers, etc.: ______________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ PROVISIONAL ORDER AND CERTIFICATE RECORD Fee Date of Date of Certificate No. Period of Working Boiler Rating Evaporation Initials of payment Inspection and date Certificate pressure Inspector PARTICULARS AND DIMENSIONS Type of boiler: ……………………………………………………………...Leading dimensions ………………………………………………… Maker ………………………………………………………………………Intended working pressure:………………………………………….. Place and year of make: ………………………………………………….. Maker’s number: ……………………………………………………. Description of boiler: ………………………………………………………………………………………………………………………………… ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ Facsimile of } Makers’ stamp } Position of stamp: ……………………………………………………………………………………………………………………………………. MAKER’S CERTIFICATES {Name: ………………………………………………………………………………………………………………………………. Boiler Maker { {Manufacture, hydraulic test to …………………………. lbs. Drawing No ………………………………………………received Inspecting {Name: ………………………………………………………………………………………………………………………………. Authority { {Tests of material, construction, supervision, hydraulic test ……………………………. received ………………………………. { {Name: ……………………………………………………………………………………………………………………………… {Plates{ { {Process: …………………………………………………………………………………. received ……………………………… Steel { {Name: ……………………………………………………………………………………………………………………………… Makers{Bars { { {Process …………………………………………………………………………………. received ……………………………… { {Name: : ……………………………………………………………………………………………………………………………… {Rivets{ { {Process …………………………………………………………………………………. received ……………………………… PARTICULARS AND DIMENSIONS – contd. MAKER’S CERTIFICATE – contd. Rolling {Plates …………………………………………………………………………………. received ……………………………… Mill {Bars: …………………………………………………………………………………. received ……………………………… {Rivets: …………………………………………………………………………………received ………………………………. TEST RESULTS {Shell ………………….T ………… to …………... tons E ………… to ……………% in ………………...in. ………………… {Gusset Stays ………….T ………… to …………... tons E ………… to ……………% in ………………...in. ………………… Plates {Girders ……………….T ………… to …………... tons E ………… to ……………% in ………………...in. ………………… {End and side ………….T ………… to …………... tons E ………… to ……………% in ………………...in. ………………… {Fire & Flanged ……….T ………… to …………... tons E ………… to ……………% in ………………...in. ………………… {…………..…………….T ………… to …………... tons E ………… to ……………% in ………………...in. ………………… {………..……………….T ………… to …………... tons E ………… to ……………% in ………………...in. ………………… {Bars ..………………….T ………… to …………... tons E ………… to ……………% in ………………...in. ………………… { {Screw ………………….T ………… to …………... tons E ………… to ……………% in ………………...in. ………………… {Bars …..……………….T ………… to …………... tons E ………… to ……………% in ………………...in. ………………… Rivet { {Manufactured ...……….T ………… to …………... tons E ………… to ……………% in ………………...in. ………………… {Plates ………………….T ………… to …………... tons E ………… to ……………% in ………………...in. ………………… Bends { {Bars ..………………….T ………… to …………... tons E ………… to ……………% in ………………...in. ………………… Branding {Plates ………………….T ………… to …………... tons E ………… to ……………% in ………………...in. ………………… Analysis Phosphorus Sulphur % % PARTICULARS AND DIMENSIONS – contd. CYLINDRICAL SHELL (a) (b) (c) Shell or Fire-box Barrel or Mud Drum Steam & Water Drum or Casing Crown Dome Names of parts………………………………………………………………
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