AB-088 Application for In-Service Pressure Equipment ...



APPLICATION FOR IN-SERVICE

PRESSURE EQUIPMENT

INSPECTOR CERTIFICATION

AB-88 2020-03

|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 2020-03 |

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 2020-03

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 2020-03

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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