Boiler Inspection Checklist

• Inspection Date and Time

  Date

• Prepared by

• Location
  Address

• Boiler Name

• Boiler Function

Internal Inspection

• Combustion Chamber

  Safe

  At Risk

  N/A

• Brick Work

  Safe

  At Risk

  N/A

• Insulation

  Safe

  At Risk

  N/A

• Fire Water Tubes

  Safe

  At Risk

  N/A

• Burner Nozzle

  Safe

  At Risk

  N/A

• Steam Drum

  Safe

  At Risk

  N/A

• Stack Flue

  Safe

  At Risk

  N/A

• Blow off Valve

  Safe

  At Risk

  N/A

External Inspection

• Programmer

  Safe

  At Risk

  N/A

• Identify Programmer

• Safety Relief Valve

  Safe

  At Risk

  N/A

• Low Water Fuel Cutouts

  Safe

  At Risk

  N/A

• Water Column

  Safe

  At Risk

  N/A

• Pressure Gage

  Safe

  At Risk

  N/A

• Review Record Logs (weekly, monthly)

  Safe

  At Risk

  N/A

• Condensing Neutralizer Installed

  Safe

  At Risk

  N/A

• Hydrostatic Test

  Safe

  At Risk

  N/A

• Backflow Preventer

  Safe

  At Risk

  N/A

• Date of last Combustion Tuning

  Date

• Date of last waterside inspection

  Date

• Date of last 150% Strength Hydro

  Date

Operational

• Gas Boilers:

• • Start in low Fire

  Safe

  At Risk

  N/A

• • Loss of Combustion Air

  Safe

  At Risk

  N/A

• • Low Gas Pressure

  Safe

  At Risk

  N/A

• • High Gas Pressure

  Safe

  At Risk

  N/A

• Fuel Oil Boilers:

• • Start in Low Fire

  Safe

  At Risk

  N/A

• • Loss of Combustion Air

  Safe

  At Risk

  N/A

• • Loss of Atomizing Air

  Safe

  At Risk

  N/A

• • Low Oil Pressure

  Safe

  At Risk

  N/A

• • Burner Draw Switch (if applicable)

  Safe

  At Risk

  N/A

• • Proximity Switch (if applicable)

  Safe

  At Risk

  N/A

• All Boilers:

• • Flame Sensor

  Safe

  At Risk

  N/A

• • LWCO (left Right)

  Safe

  At Risk

  N/A

• • Feed Pump Recirculating Pump

  Safe

  At Risk

  N/A

• • Normal Trip

  Safe

  At Risk

  N/A

• • Flame Pattern Inspection

  Safe

  At Risk

  N/A

• • Water Treatment

  Safe

  At Risk

  N/A

• • High Trip

  Safe

  At Risk

  N/A

• • Emergency Stop

  Safe

  At Risk

  N/A

• • Combustion Tuning

  Safe

  At Risk

  N/A

• • Combustion (Air Fuel) Control System

  Safe

  At Risk

  N/A

• • Test Relief Valve under Pressure

  Safe

  At Risk

  N/A

Boiler Efficiency

• Boiler is:

  Gas Fired

  Oil Fired

• Oxygen %

• CO ppm

• CO2%

• SO2 ppm

• NO ppm

• Stack Temp.

• Safety/Relief Valve:

• Manufacturer

• Size

• PSI

• BTU/Hr

• Gage:

• Manufacturer

• PSI

Completion

• Comments

• Inspector: Name and Signature

  Sign