Title Page

  • Location
  • Date of Overhaul

  • Name of Technician

Water Heater(s)

  • Is there a water heater or hot water maker in the boiler room?

  • What's the make and model of the water heater? [If multiple, enter info for all]

  • What type of ignition does the water heater have?

  • Has the pilot been confirmed to be clean?

  • Has the thermocouple successfully been replaced?

  • Has the pilot been confirmed to be clean?

  • Is the ignitor in good condition?

  • Has the ignitor been pulled, inspected and confirmed to be in good condition?

  • Are there any pumps on the hot water heating system?

  • Have the pumps been lubricated and confirmed to be working properly?

  • Is the water heater free of leaks and corrosion?

  • Is the water heater clean?

Boiler Body and Piping

  • Make and Model of Boiler [Take pics of rating plate]

  • Does the boiler have a power burner?

  • Make and model of burner [Take pics of rating plate]

  • Does the boiler have a front and back fire site glass that you can see through?

  • Are there leaks from the boiler body?

  • Is the boiler jacket in good shape?

  • Is the drain for the boiler working and clear of obstruction?

  • Do any of the pipes in the boiler room look like they are on the verge of collapse due to lack of support?

  • Is the flue/exaust piping in overall good shape?

  • Is there a spill switch at the vent hood?

  • Is there a coil on the boiler?

  • Is the coil free of leaks and severe corrosion?

  • Do the valves for the coil work?

  • What is the reading on the mixing valve?
  • Did the temperature fall within 120-130 degrees after testing?

  • Are any of the near-boiler pipes leaking or heavily corroded?

  • Is the relief valve the correct one for the boiler?

  • What's type of relief valve does it need to be replaced with? [provide pics and details]

  • Are there any signs of leaks or corrosion from the relief valve?

  • Did the relief valve pass a spring test?

  • Does the relief valve have a blow down pipe that ends within 8" above grade?

  • Is there a backflow on the feed line?

  • Is the backflow free of leaks?

  • Is there a spiral vent/air valve?

  • Is it free of rust and leaks, and is it operational?

  • Is the expansion tank properly supported?

  • Is there a way to isolate and test the expansion tank?

  • Is the pressure on the air side of the expansion tank equal to the pressure of the water in the boiler?

  • Are all pumps free of leaks, oiled [if applicable] and operational? [if issues, provide specs for pump(s)]

  • Are the pumps making circulation? [if issues, provide specs for pump(s)]

Boiler Ignition

  • Is the pilot automatic ignition or standing pilot?

  • Were you successful with cleaning all burners?

  • Are all burners free of holes, cracks and rust?

  • Are the pilot and flame sensor in good condition?

  • Were you successful with wiping down the boiler/flue to be free of dust and debris?

  • Were you successful with replacing the thermocouple and pilot tubing?

  • Were you successful with cleaning all burners?

  • Is the pilot in good condition?

  • Are all burners free of holes, cracks and rust?

  • Were you successful with wiping down the boiler/flue to be free of dust and debris?

  • Is the pilot line and pilot in good condition?

  • Are the electrodes [ignition & flame rod] in good operating condition?

  • Is the blower free of dust and debris?

  • Are all louvers and arms free and lubricated?

  • Were you successful in wiping down the burner and general area on boiler?

  • Are there any other items that need to be addressed for safe and proper operation of the boiler and burner?

  • Did the combustion test yield clean results? [provide pictures of final results]

Boiler Controls

  • Which safety controls does the boiler have?

  • Is the LWCO free of leaks and rust?

  • What's the make and model of the LWCO?

  • Did the boiler turn off when flushing the LWCO?

  • Is the LWCO piped at the proper level?

  • Is the aquastat set properly?

  • Is there a temperature/pressure gauge on the boiler?

  • Is the pressure gauge indicator at zero when the boiler is not running for heat?

Chimney

  • Does the chimney have a cleanout? [office to inform customer if no]

  • Does the chimney look clear/safe?

  • Is the breaching of the chimney sealed?

General Safety

  • Is there an emergency switch outside the boiler room?

  • Does the switch work?

  • Is there a CO detector in the boiler room?

  • Does the boiler CO detector work? [replace battery and test, if battery operated]

  • Are there items stored in the boiler room that make it difficult to access the boiler?

  • Is there a sump pump in the boiler room?

  • Is the sump pump functioning?

System Controls

  • Is there a working emergency switch by the boiler?

  • What kind of system control is used to control the heating?

  • Does thermostat work? [Replace batteries if battery-operated and test thereafter]

  • Does thermostat work? [Replace batteries if battery-operated and test thereafter]

  • Are the sensors communicating with the thermostat? [replace batteries if battery-operated]

Other Comments

  • Please detail any other important details pertaining to the boiler

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