AB-088 Application for In-Service Pressure Equipment ...
APPLICATION FOR IN-SERVICE
PRESSURE EQUIPMENT
INSPECTOR CERTIFICATION
AB-88 2021-05
|PERSONAL INFORMATION (Please Print) | |A- |
| |File No: | |
|Name of Applicant: | | (previous applicants |
| | |only) |
| | | |
| | | |Date of Birth: | |
| (Last Name) (First | |
|Name) |(yyyy/mm/dd) |
|Address: |
|Home Phone No.: | |Work Phone No.: | |Cell Phone No.: | |
| | | |
|E-Mail Address (Required): | | |
| | | | |
|Signature of Applicant: | |Date: | |
If you are required to write the exam, pick a preferred exam month and location. Please indicate 1st and 2nd choice.
(Enter “1” for 1st choice, “2” for 2nd choice):
| Edmonton | Fort McMurray | Calgary | Red Deer | Lethbridge | Medicine Hat | Grande Prairie |
| Jan |
2. Initial application for In-Service Inspector (ISI) certification (check off only one subsection)
1. In-Service Pressure Equipment Inspector Certification
(See AB-526 ”In-Service Pressure Equipment Inspector Certification Requirements”)
Boilers, Pressure Vessels and Pressure Piping (ISI-BPVPP)
Pressure Vessels and Pressure Piping (ISI-PVPP)
Pressure Piping (ISI-PP)
Fee: $259.00 (Application Fee ($162.00, non-refundable) and Examination Fee ($97.00))
2. Rewrite Certification Examination (Failed the certification examination and this is the first/second
attempt at rewriting the examination. You are not required to resubmit your documentation)
Fee: $97.00
Applicant – Please submit the following mandatory documents with your application. See the check list attached to this application and the ABSA document AB-526 In-Service Pressure Equipment Inspector Certification Requirements for more information.
3. Education:
(See AB-526, Section 4.3)
• Applicants must attach a copy of their Technical Degree or Technical Diploma or First/Second Class Power Engineering Certification or High School Diploma/GED.
• Applicants who hold any post secondary degree/diploma are not required to submit the copy of a High School Diploma.
• Applicants who have obtained a Technical Degree, Technical Diploma or High School Diploma from outside of Canada must provide ABSA with an evaluation, completed by a third party credential evaluation service such as International Qualifications Assessment Service (IQAS), World Education Services (WES) or International Credential Evaluation Service (ICES), certifying that their credentials are equivalent to a Canadian degree, diploma or high school diploma.
I have attached proof of my Post Secondary Education/Training for verification
| |APPLICATION FOR IN-SERVICE |
| |PRESSURE EQUIPMENT |
| |INSPECTOR CERTIFICATION |
| |AB-88 2021-05 |
4. Technical Training in Pressure Equipment Inspection
(Applicable for those who have only High School/GED as their basic educational qualification)
(See AB-526, Section 4.3)
Technical training includes continuing education, correspondence courses, code courses, courses leading to certification in NDE methods, corrosion courses and certification, etc.
|Name of Course: | |Documents Attached | |
| | |Documents Attached | |
|Name of Course: | | | |
| | |Documents Attached | |
|Name of Course: | | | |
5. Mandatory Certification:
(See AB-526, Section 4.4)
Certifications May Include:
• National Board In-service Commission(passed examination)
• API 510 Certification
• API 570 Certification
I have attached supporting documentation.
6. Pressure Equipment Experience:
(See AB-526, Section 4.3)
Notes: Experience requirement are as follows;
a) Technical degree (2 years including one year In-service inspection experience)
b) Technical diploma (3 years including one year In-service inspection experience)
c) High school diploma or GED (4 years including one year In-service inspection experience and technical training)
You must provide a detailed resume, showing your pressure equipment experience, including one year In-Service pressure equipment inspection experience.
Resume Attached
APPLICATION FOR IN-SERVICE
PRESSURE EQUIPMENT
INSPECTOR CERTIFICATION
AB-88 2021-05
7. In-service Inspection Experience:
(See AB-526, Section 4.3)
Declaration of Chief Inspector
By my signature, I ________________________________ (Name of Chief Inspector) ISI # ______________, declare that, to the best of my knowledge, the minimum requirement of one-year in-service pressure equipment inspection experience for ___________________________ (Name of Applicant) to be true and complete and that the applicant is competent in carrying out inspections of in-service pressure equipment.
| | | |
|Signature | |Date (YYYY-MM-DD) |
8. Payment:
|Cheque payable to: |Amount: |$ |Cash** , Cheque , MC , Visa* , Debit** , AMEX |
|ABSA, | | | |
|the pressure equipment safety authority | | | |
|9410 – 20th Avenue | | | |
|Edmonton, AB T6N 0A4 | | | |
|N.S.F. Cheques Subject to $25.00 Fee | | | |
| | | | |
|Phone: (780) 437-9100 | | | |
|Fax: (780) 437-7787 | | | |
|Exams Toll Free Line: 1-888-4543926 | | | |
|absa.ca | | | |
|email to: exams@absa.ca | | | |
| | | | |
|Please fax, e-mail or mail application with | | | |
|payment. | | | |
| |Application fee is $162.00 and is non-refundable. Examination fee is $97.00. |
| |GST is not required. |
| |*Debit Visa not accepted |
| |**Cash and debit payments may only be made in person at an ABSA office. |
| |Cardholder Name: | | |
| | | | |
| |Card Number: | | |
| | | | | |
| | | (mm/yy) | |ABSA Use only | |
| |Expiry Date: | | |Auth. # | |
| |Cardholder Signature: | | |
| | | | | | |
| | | | | | |
| | | | | | |
|ABSA USE ONLY: |I have reviewed this application and my recommendation is: |ISI-BPVPP ISI-PVPP ISI-PP Not Approved |
| |Date(yyyy/mm/dd): | |
|Signature: | | |
APPLICATION FOR IN-SERVICE
PRESSURE EQUIPMENT
INSPECTOR CERTIFICATION
AB-88 2021-05
APPLICATION CHECK LIST:
| |1. Educational Certificate (Degree/Diploma/High School/GED) |
| |(Supporting Documentation Attached) |
| |2. Pressure Equipment Certification (National Board |
| |Commission/ API 510/570) |
| |(Supporting Documentation Attached) |
| |3. Pressure Equipment Experience |
| |(Resume Attached) |
| |4. Foreign Educational Qualifications (IQAS/WES/ICES or other agency) if applicable |
| |(Supporting Documentation Attached) |
| |5. Signature/Declaration by Chief Inspector |
| |(Application Signed and Dated) |
| |6. Applicant’s Signature |
| |(Application Signed and Dated) |
| |7. Payment Information |
| |(Section 6 of Application Completed) |
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