Title Page
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Location
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Date of Overhaul
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Name of Technician
Water Heater(s)
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Is there a water heater or hot water maker in the boiler room?
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What's the make and model of the water heater? [If multiple, enter info for all]
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What type of ignition does the water heater have?
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Has the pilot been confirmed to be clean?
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Has the thermocouple successfully been replaced?
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Has the pilot been confirmed to be clean?
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Is the ignitor in good condition?
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Has the ignitor been pulled, inspected and confirmed to be in good condition?
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Are there any pumps on the hot water heating system?
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Have the pumps been lubricated and confirmed to be working properly?
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Is the water heater free of leaks and corrosion?
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Is the water heater clean?
Boiler Body and Piping
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Make and Model of Boiler [Take pics of rating plate]
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Does the boiler have a power burner?
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Make and model of burner [Take pics of rating plate]
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Does the boiler have a front and back fire site glass that you can see through?
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Are there leaks from the boiler body?
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Is the boiler jacket in good shape?
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Is the drain for the boiler working and clear of obstruction?
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Do any of the pipes in the boiler room look like they are on the verge of collapse due to lack of support?
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Is the flue piping in overall good shape?
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Is there a spill switch at the vent hood?
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Is there a coil on the boiler?
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Is the coil free of leaks and severe corrosion?
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Do the valves for the coil work?
What is the reading on the mixing valve?
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Did the temperature fall within 120-130 degrees after testing?
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Are any of the near-boiler pipes leaking or heavily corroded?
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Are there any signs of leaks or corrosion from the relief valve?
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Did the relief valve pass a spring test?
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Does the relief valve have a blow down pipe that ends within 8" above grade?
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Is there a backflow on the feed line?
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Is the backflow free of leaks?
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Is there a basement loop?
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Does the basement loop work?
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Can the basement loop be bled properly?
Boiler Ignition
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Is the pilot automatic ignition or standing pilot?
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Were you successful with cleaning all burners?
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Are all burners free of holes, cracks and rust?
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Are the pilot and flame sensor in good condition?
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Were you successful with wiping down the boiler/flue to be free of dust and debris?
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Were you successful with replacing the thermocouple and pilot tubing?
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Were you successful with cleaning all burners?
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Is the pilot in good condition?
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Are all burners free of holes, cracks and rust?
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Were you successful with wiping down the boiler/flue to be free of dust and debris?
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Is the pilot line and pilot in good condition?
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Are the electrodes [ignition rod & flame rod] in good operating condition?
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Is the blower free of dust and debris?
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Are all louvers and arms free and lubricated?
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Were you successful in wiping down the burner and general area on boiler?
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Are there any other items that need to be addressed for safe and proper operation of the boiler and burner?
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Did the combustion test yield clean results? [provide pictures of final results]
Boiler Controls
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Is the boiler control manifold piped correctly?
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Are the pigtails all clear?
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Which safety controls does the boiler have?
- Primary LWCO
- Secondary LWCO
- Pressuretrol
- Manual Reset Pressuretrol
- Automatic Feeder
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Is the LWCO free of leaks and rust?
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What's the make and model of the LWCO?
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Did the boiler turn off when flushing the LWCO?
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Is the LWCO piped at the proper level?
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Did the boiler turn off when flushing the LWCO?
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Does the boiler turn off when activating the pressuretrol manually and turn back on automatically after test?
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Does the boiler turn off when activating the pressuretrol manually and turn back on after resetting the control?
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Does the automatic feeder work?
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Are the valves for the gauge glass open and functioning?
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Is the gauge glass clear and free of cracks?
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Is there a pressure gauge on the boiler?
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Is the pressure gauge indicator at zero when the boiler is not running for heat?
Chimney
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Does the chimney have a cleanout? [Office to inform customer, if no]
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Does the chimney look clear/safe?
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Is the breaching of the chimney sealed?
General Safety
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Is there a working emergency switch outside the boiler room?
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Is the switch working?
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Is there a CO detector in the boiler room?
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Does the boiler CO detector work? [replace battery and test, if battery operated]
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Are there items stored in the boiler room that make it difficult to access the boiler?
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Is there a sump pump in the boiler room?
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Is the sump pump functioning?
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Are there any other notes or comments pretaining to the boiler that should be relayed to management?
System Controls
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Is there a working emergency switch by the boiler?
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What kind of system control is used to control the heating?
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Does thermostat work? [Replace batteries if battery-operated and test thereafter]
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Does thermostat work? [Replace batteries if battery-operated and test thereafter]
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Are the sensors communicating with the thermostat? [replace batteries if battery-operated]