Request for a Canadian Registration Number (CRN) in Multiple Jurisdictions Boilers, Pressure Vessels or Fittings to be Registered in Multiple Provincial or Territorial Jurisdictions in Canada Note: To register a design in a single jurisdiction, for example site specific installations, please contact the required jurisdiction directly.

Date of Application:Surveyor:

New Addition/ RevisionPlease indicate the type of design Application to amend, revise or renew an existing CRN:1. To retain an existing registration number, please initiate the registration process with the original registering jurisdiction, if not, a new registration number may be issued.2. Please include with the amended documents, all remaining original relevant documents, clearly distinguishing between the changes and the original documentation.

This will ensure the complete registration record is considered.

New Brunswick (NB)*

Documents when registered will be sent to the submitter.

P.O. No.or Billing Ref.:

Address:

City/Town:

Prov./State:

Country: Postal/Zip Code: Telephone:

E-mail:

Submitter's Work Order No. / Job No.: Design information:

Drawing/Catalog No.:

Address:

City/Town: Prov./State: Postal code: Country:

Contact Name:

Telephone:

Same as A:

Ontario (ON) Alberta (AB)

Manitoba (MB)

Calculations (Document No., Rev.No.):

Nunavut (NU)*Yukon (YT)*

All Jurisdictions (all of Canada) Registration is requested for:

Renewal (Only Fitting Registrations)

Contact name:

E-mail:

Section B: Registered to (manufacturer's) full legal company name and address:(Registrant assumes full legal responsibility)

Company Name:

Contact Name:

E-mail:

Telephone: Prov./State:

Country:Postal code:

City/Town:

Address:

Same as A:

or C:

or B:

British Columbia (BC)

Saskatchewan (SK) Quebec (QC)

Nova Scotia (NS)*

Prince Edward Island (PE)*

Newfoundland and Labrador (NL)*

Northwest Territories (NT)*

FittingPressure Vessel Heat ExchangerBoiler Existing CRN

For Office Use Only Date received:

Section C: Billing client: Company Name:

Section A: Submitter's full legal company name and address:

Company Name:

Page 1 of 2

Received by:

File No.:

or select the individual provinces and territories you require:

Original signed statutory declaration form(s) (Required for fitting registration only.)Scope of registration: a list of products, sizes and any other variables to be registered. (Required for fitting registrations only.)Copy of valid quality program certificate(s).List of plant sites if more then one or different from Section B, page 1.If amending, revising or renewing an existing CRN, please include with the amended documents, all remaining original relevant documents, clearly distinguishing between the changes and the original documentation. Drawings/fitting catalogue(s), technical specifications and calculations or proof test reports

ASME B31.1ASME B31.3ASME B31.5

ASME Section I ASME Section IV ASME PVHO-1

E – Strainers/ Filters /Separators / Steam traps F – Measuring Devices G – Certified Pressure Relief Devices H – Other

A – Pipe fittings B – FlangesC – Valves - all line valvesD – Expansion Joints / Flexible Connections / Hose Assemblies

Request for a (CRN) in Multiple Jurisdictions Design Information and Technical Requirements Required documentation:

please select design category (check one)

Volume: Surface area:

Boiler:Wetted heating surface:

Maximum output:

Overall length:

Minimum safety relief valve capacity:

Other (specify): Year of code edition:

ASME Section VIII, Division 1ASME Section VIII, Division 2ASME Section VIII, Division 3

Compliance Declaration (please complete if requesting registration in BC)to be completed by a registered professional engineer or identify the qualifications of the declarer that established their suitability for making the following declaration in I declare that the above:

Information is complete and correct, and the submitted design complies with the stated code or standard of design and to the best of my knowledge, is safe for construction and use.

Registration No.Professional engineer or other qualified* person: Association Name:

Name Signature Date:

Qualifications of person identified above if not a professional engineer:

Page 2 of 2

In compliance with: (check one or both as applicable) CSA B51 CSA B52

Please select code/standard of design: (check one or more as applicable)

Pressure Vessel: Heat Exchanger:

Fittings:

Include a copy of your latest CV and qualifications.

Annex B - British Columbia: Compliance Declaration for Design Registration

Applicants must fulfill their responsibilities to ensure that the design complies with

applicable codes and standards.

Applicants responsibilities:

1) To ensure that the design complies with the relevant codes and standards.

2) To present a complete application package.

3) To assume responsibility for the integrity of their design(s).

To meet these responsibilities, the applicant must possess the necessary qualifications

or retain the services of a qualified person to perform the work. A qualified person is one

who has the knowledge and experience to assess the design from a perspective of

code, standard and safe industry practice compliance.

For the purposes of most boiler, pressure vessel and fitting designs, a qualified person

is generally a registered professional engineer. In limited circumstances, Technical

Safety BC may consider other types of qualifications. An example may be where:

• the ASME code covers all details of design and construction, and

• the person and company are known to Technical Safety BC as having

experience designing and manufacturing the type of vessel,

• an accredited ASME manufacturer’s representative may be considered a

qualified person.

Legislation will be established in British Columbia that reflects the role of Professional

Reliance. It is the expectation of the applicant to ensure the submitted package is

prepared and authenticated by a professional engineer as part the package submission.

Weblink – please use to verify latest information

https://www.technicalsafetybc.ca/alerts/information-bulletin-design-registration-changes-technical-

safety-bc-application-process

Annex A – Jurisdiction Specific Requirements for Fitting Registration

Fitting Categories A, B and C - BC, SK, MB, QC

Categories A, B and C fittings may not require registration in BC, SK, MB, QC

as follows:

Category A: pipe fittings, including couplings, tees, elbows, wyes, plugs unions, nipples, pipe

caps and reducers

Category B: flanges

Category C: valves

that comply with the specifications and standards listed in: • Table 126.1 of ASME B31.1-2016 • Table 326.1 of ASME B31.3-2016 • Table 526.1 of ASME B31.5-2016

Fitting Category G - BC, SK, MB

Category G fittings, that is pressure relief devices, which are marked with an ASME or NB

stamp may not require registration.

NOTE: Requests that include the jurisdictions and categories shown above, will be advised if

design registration is required or not.

Weblinks – please use to verify latest information

BC:

https://www.technicalsafetybc.ca/sites/default/files/exemption_from_registration_requirements_f

or_category_a_b_c_and_g_category_fittings_d-bp-2013-03.pdf

SK: https://www.tsask.ca/codes-standards-compliance/fitting-design MB: http://www.firecomm.gov.mb.ca/docs/ofc_its_17_001_fitting_exemptions_4.pdf

QC: http://legisquebec.gouv.qc.ca/en/showDoc/cr/B-1.1,%20r.%206.1?&digest