Yearly Boiler Inspection Report SL Series Boilers

Boiler Details:
Model Number_____________ Serial Number ______________Years of boiler Installation
Date of Installation Address of installation

User contact information

Installer Information Company
Address
Phone/Fax/E mail ______________________________________________________________
Combustion Readings: On arrival High Fire
CO2______ % O2_______% CO _______ ppm CO/O2 _______ ppm EX air______%
Flue temperature Return water temperature (measure simultaneously with flue temp.)
Without a call for heat: (G1 or G2) Remove the Blower control wire allow the blower to operate
at its Max RPM. Record the fan pressure. Found under "Diagnostics -> Fan Operation".
~ ______ Compare this value yearly.
(G3 revision boiler) tap the "Vent Test" tab and use your magnehelic attached to the vent pressure
port of the heat exchanger. ______ Compare this value yearly.
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As a general rule: if all of the combustion values are good and the ignition of the burner is “normal”. Do not remove
the igniter, for a yearly inspection. Do not remove the burner for yearly inspection. Look through the sight glass and
inspect the combustion and heat exchanger. If there is an excessive amount of debris and build up observed,
reference the fan pressure above for yearly increases of the fan pressure value. If it is determined that the Heat
exchanger must be inspected, remove the burner assembly. Inspect the ignitor, and burner. Clean the HX as needed.

Safety and Fitness Inspection:

List external safteys _______________________________ Fuel ⃝ Natural Gas ⃝ Propane
Gas Supply Pressure (Static)______Inches w.c. Measured ∆P at ignition (>1”w.c.)______Inches w.c. Gas
Supply Pressure (high fire)_______Inches w.c. Measured Rate of Input (high fire)______Btu/hr
Leak testing completed ⃝ gas piping ⃝ venting system ⃝ Fan and combustion components ⃝
Type/concentration of any glycol_______________________ Chemistry checked ⃝ Inhibitor added ______
System Filled (PSIG) ____ Air purge completed ⃝ TDS _______ Grains of Hardness ________ PH _______
Relief Valve correctly installed and piped ⃝ Relief valve “try lever” test performed _________

Condensate trap emptied and inspected ⃝ Condensate trap Clip installed ⃝

Condensate trap filled ⃝ Condensate drain clear and free flowing ⃝
Condensate Neutralization? Yes/No Ignition Safety Shutoff test completed ⃝

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 Yearly Boiler Inspection Report SL Series Boilers

Combustion Readings: At Exit, High Fire

CO2______ % O2_______% CO _______ ppm CO/O2 _______ ppm EX air______%
Flue temperature Return water temperature (measure simultaneously with flue temp.)
Flame current reading - High fire _______ µA Low fire ______ µA

Yearly inspection has been completed as listed on this report - Owner Signature

Yearly inspection has been completed as listed on this report - Servicer Signature

Notes:________________________________________________
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2 of 2
Exit notes and signature lines are found on the second page of this document. This document is not
complete without signatures.