Title Page
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Building # & Boiler Name
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Building Name
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Inspected by
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Conducted on
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Location in Building
Boiler Room Inspection
Housekeeping
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Is mechanical room safe?
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Is mechanical room clean?
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Are electrical panels closed?
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Is the piping free from leaks?
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Are all pieces of equipment assembled and put together?
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Is the room well lit?
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Are fire extinguishers present?
Boiler
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Is the Boiler flame blue?
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Is the Boiler free of leaks?
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Is the insulation undamaged?
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Is the venting free of leaks and corrosion?
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Are the pumps relatively quiet?
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Is the refractory in good shape?
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Are the pressure & temperature gauges in good shape?
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Is the boiler rust-free?
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Are the pumps free of leaks?
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Is the Boiler maintaining the setpoint?
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Is the Airtron log dated and signed?
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Input Boiler names and any comments
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Pressure Relief PSI & Date?
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Combustion Analysis Date?
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Pressure Relief & combustion analysis pictures