Printable Inspection Template for
Hydronic Heating Unit (Boiler)
Number of Heating Units_______
Location of unit(s) :_________________________________________
Brand(s)_____________________Serial #(s)____________________
Age of unit(s)____________________Last service date____________
Distance off floor_______________Overhead Clearance____________
Evidence of Water Damage? Y____N____ Describe_______________
Note Rust / Corrosion_______________________________________
Doors / Access Panels in place? Y____N____
Note evidence of soot / improper ignition________________________
Proper Ventilation clearance for heating unit? Y____N____
FUEL SOURCE
Oil_____Propane_____Natural Gas_____Other___________________
Fuel storage location_______________Evidence of Leakage? Y__N___
Note Fuel Odors___________________________________________
Fuel Line Material: Copper___Black Pipe___Galvanized____Other____
Fuel line routing:___________________________________________
Condition of Fuel Storage Tank(s)______________________________
Fuel Filter Present? Y____N____Type__________Size_____________
CIRCULATION PUMPS
Number of Circ. Pumps_____Condition_________________________
Shutoffs present for each pump? Y____N____Notes:_______________
Type of Shutoff Valves (if present)______________________________
Evidence of Leakage at Valves? Y____N____Notes:_______________
PIPING - SUPPLY and RETURN
Supply Line Material________________________________________
Return Line Material________________________________________
Size of Supply Lines_____________Return Line(s)________________
Condition of Piping Material__________________________________
Evidence of Leakage? Y____N____Notes:______________________
Single Pipe System_____Double_____Double Reverse____________
CONTROLS / SAFETY
Presence of Safety Shutoff Y____N____Location__________________
Proximity of Shutoff to Heating Unit:_____________________________
Thermostat present for each circ. pump (zone)? Y____N____
Thermostat Location(s)______________________________________
Thermostat(s) Operational? Y____N____Notes:___________________
If Gas unit, drip leg present? Y____N____
Pressure Relief Valve present? Y____N____Notes:________________
OPERATION
Was heating unit operated? Y____N____If no, reason:______________
________________________________________________________
Able to operate heating unit with normal op. controls? Y____N____
Notes:___________________________________________________
Gas Units: Ignition - Standing Pilot____Direct Ignition____
Expansion Tank(s) present? Y____N____Location_________________
Firing: Note evidence of improper ignition________________________
Yellow Flame? Y____N____Height of Flame______________________
Circulation Pumps operate properly during cycle? Y____N____
Circulation Pumps shut down properly after cycle? Y____N____
Supply Line Water Pressure____________________________________
Boiler Operating Pressure_____________________________________
EXHAUST
Unit exhausted to: Chimney____Direct Vent_____Notes:_____________
Vent Material______________________________________________
Condition of Exhaust Vent Material______________________________
Evidence of gaps / leakage of exhaust gases? Y____N____
Test for Carbon Monoxide / Exhaust Gases? Y____N____
Is Chimney shared with another combustion appliance? Y___N____
OUTLETS / RADIATORS / CONVECTORS
Type of Outlets: Cast Iron____Fin type____Baseboard Units____
Presence of Heat Source in each room? Y____N____
Evidence of Leakage at Radiators? Y____N____
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