For Boiler:
[_____]
Checklist Item
Q
M
E
T
C
D
O
U
Installation
a.
Boiler flue installed.
___ ___
X
___ ___ ___ ___ ___
b.
Boiler hot water piping installed.
___ ___
X
___ ___ ___ ___ ___
c.
Boiler hot water piping tested.
___ ___
X
X
___ ___ ___ ___
d.
Boiler makeup water piping installed.
___ ___
X
___ ___ ___ ___ ___
e.
Boiler fuel oil piping installed.
___ ___
X
X
X
___ ___ ___
f.
Boiler fuel oil piping tested.
___ ___
X
X
X
___ ___ ___
g.
Boiler gas piping installed.
___ ___
X
X
X
___ ___ ___
h.
Boiler gas piping tested.
___ ___
X
X
X
___ ___ ___
i.
Manufacturer's required maintenance
clearance provided.
___ ___
X
___ ___ ___ ___ ___
Startup
a.
Boiler system cleaned and filled with
treated water.
___ ___
X
___ ___ ___ ___ ___
b.
including high temperature burner shut-off,
low water cutoff, flame failure, pre and post
purge, have been tested.
___ ___ ___
X
___ ___ ___ ___
c.
Verify that PRV rating conforms to boiler
rating.
___ ___ ___
X
___ ___ ___ ___
d.
Boiler water treatment system functional.___ ___
X
X
___ ___ ___ ___
e.
Boiler startup and checkout complete.
___ ___
X
X
___ ___ ___ ___
f.
___ ___
X
___
X
___ ___ ___
Electrical
a.
Verify that power disconnect is located
within sight of the unit served.
___ ___ ___
X
___ ___ ___ ___
Controls
a.
Hot water pump interlock installed.
___ ___ ___
X
___ ___ ___ ___
b.
Hot water pump interlock tested.
___ ___ ___
X
___ ___ ___ ___
c.
___ ___
X
X
___ ___ ___ ___
SECTION 15995A
Page 20