Boiler inspection checklist

Unit Identification (Boiler) Steam or Hot Water Heat

Manufacturer’s Name _____________________ Manufacturer’s Model # ______________
Year Built ______________ Nat. Bd # _______________ MN-B # ____________________
Boiler Unit Description (Fire Tube, Water Tube, etc.) _________________________________
If Modular (no. of modules) _____________________________________________________
Boiler Max Input (Btu/KW)________________________________________
Boiler horsepower __________________ Heating Surface _________________________
MAWP ______________________ Psig Maximum Temp. _____________________ F
Minimum required Safety Valve Capacity________________________LB/HR or BTU
Safety Relief Valve Set Pressure __________________Capacity______________________
Lowest Permissible water level marking __________________________________________
Pressure / Temperature Gage: Range________________ Mounting___________________
Piping: Water Column, Sight Glass, Cross Tees, Bottom Blow, Safety Valve, Low Water Cut-off
*****Hydrostatic Test Pressure _________________Duration ___________________
Combustion Air Requirements(NBIC Part 1, 2.5.4 & 3.5.4): Satisfactory Unacceptable
Boiler Clearances (NBIC Part 1) (Manf. Req. acceptable): Satisfactory Unacceptable
Stop Valve(s) When required Satisfactory Unacceptable ______________________________________
Water Column/Sight glass Location Satisfactory Unacceptable _____________________________________
Venting (Chimney) Satisfactory Unacceptable ______________________________________
Observation Port Satisfactory Unacceptable ______________________________________
Lowest Permissible water level Satisfactory Unacceptable ______________________________________

Requirements in Accordance with ASME CSD-1 Most Current Edition

(2012)
Pilot Type: Continuous Intermittent Interrupted Direct Ignition Hot Surface
Boiler Control/Device Set Points Acceptable Location of Control/Device Test Date, Result
Low-Water Fuel Cutout
(Steam 2, HWH 1) (3/4” Drain) _______________________________________________________________________

Forced Circulation Flow Switch __________________________________________________________________________

Steam Pressure Control __________________________________________________________________________

High Pressure Limit __________________________________________________________________________

Water temperature Control __________________________________________________________________________

High Temperature Limit ___________________________________________________________________________

Gas Fuel Train Safety Controls:
Control/Device Set Points Acceptable Location of Control/Device Test Result

Drip leg __________________________________________________________________________

Manual shut off valve __________________________________________________________________________

Fuel Safety Shutoff Valve, Main ___________________________________________________________________________

(proof of closure)

Pilot Safety Shutoff Valve ___________________________________________________________________________

Combustion Air Switch ___________________________________________________________________________

High Gas Pressure ___________________________________________________________________________

Low Gas Pressure ___________________________________________________________________________

Flame Safeguard (Primary) ___________________________________________________________________________

(Fire Eye)

Purge Air Flow (Sail Switch) ___________________________________________________________________________

Gas Regulator ___________________________________________________________________________

Vent Valve and Lines ___________________________________________________________________________

Bleed Lines ___________________________________________________________________________

Relief Lines ___________________________________________________________________________

Oil, Fuel Train Safety Controls

Atomizing Medium Switch ___________________________________________________________________________

Filters / Strainers ___________________________________________________________________________

Low Oil Pressure ___________________________________________________________________________

High Oil Temperature ___________________________________________________________________________

Safety Shutoff Valves ___________________________________________________________________________

Loss of Combustion air switch ___________________________________________________________________________

Emergency Shutdown Switch __________________________________________________________________________

Low-Fire Start Switch _____________________________________________________________________________

(required for 2,500,000 btu, 20 gph and greater)

Comments: ________________________________________________________________________

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Code Violations:_______________________________________________________________________

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