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Inspection Identification

Facility / unit name

Equipment ID / tag number

Equipment type

Inspection date and time

Inspector name and title

Pressure Vessel Condition

External surfaces free of active leaks, bulging, cracks, or visible deformation critical (required)

Yes No N/A

Photo evidence (optional)

Corrosion, pitting, or erosion within acceptable limits

Nameplate, MAWP, and identification markings legible critical (required)

Yes No N/A

Photo evidence (optional)

Supports, saddles, anchors, and foundations intact and secure critical (required)

Yes No N/A

Insulation, cladding, and weatherproofing show no signs of moisture intrusion or hidden damage

Yes No N/A

Piping and Valves

Piping shows no active leaks, abnormal vibration, or unsupported spans critical (required)

Yes No N/A

Photo evidence (optional)

Flanges, gaskets, threaded joints, and welds show no visible deterioration or seepage critical (required)

Yes No N/A

Photo evidence (optional)

Valve bodies, stems, and actuators operate smoothly and show no external damage

Yes No N/A

Pipe supports, hangers, guides, and expansion joints are secure and serviceable critical (required)

Yes No N/A

Line identification, flow direction, and service labels are present and legible

Yes No N/A

Photo evidence (optional)

Relief Devices and Instrumentation

Pressure relief device nameplate and set pressure are legible and match the equipment record critical (required)

Yes No N/A

Photo evidence (optional)

Relief device discharge path is unobstructed and routed safely critical (required)

Yes No N/A

Photo evidence (optional)

Evidence of tampering, corrosion, plugging, or leakage at relief device is absent critical (required)

Yes No N/A

Pressure, temperature, level, and flow instruments are intact, calibrated, and within due date critical (required)

Yes No N/A

Photo evidence (optional)

Instrument impulse lines, tubing, and transmitters show no damage, blockage, or loose connections

Yes No N/A

Maintenance History and Corrective Actions

Last preventive maintenance date

Last internal inspection / thickness test date

Outstanding deficiencies or open work orders reviewed critical (required)

Yes No N/A

Corrective actions documented for all identified deficiencies critical (required)

Yes No N/A

Maintenance records available and consistent with observed condition

Yes No N/A

Final Compliance Review

Inspection completed in accordance with applicable OSHA 29 CFR 1910 mechanical integrity program requirements and site procedure critical (required)

Yes No N/A

Applicable ASME/API/NFPA references verified for this equipment and service

Yes No N/A

Equipment is approved for continued service critical (required)

Yes No N/A

Inspector signature

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Run: Mechanical Integrity Inspection Report

Inspection Identification

Pressure Vessel Condition

Piping and Valves

Relief Devices and Instrumentation

Maintenance History and Corrective Actions

Final Compliance Review

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