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1<br />
HWAB<br />
HWAB Make / Model<br />
Step: 2 5 6 7<br />
After<br />
reopening<br />
drained sight<br />
glass, does<br />
level rise<br />
quickly?<br />
Level rises<br />
above top of<br />
sight glass<br />
before alarm<br />
sounds?<br />
Alarm tripping<br />
level (inches<br />
from bottom<br />
of sight glass)<br />
Is tripping<br />
point ≥ 1"<br />
below top of<br />
sight glass?<br />
Yes Yes Yes<br />
in<br />
No No No<br />
PASS<br />
HWAB<br />
FAIL<br />
Notes:<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
2<br />
LWA, LWCO & ALWCO<br />
LWA Make/Model LWCO Make/Model ALWCO Make/Model<br />
LWA<br />
LWCO<br />
ALWCO<br />
Step: 1 2 3 9, 15 4<br />
10 11<br />
Does unit have<br />
a working<br />
shunt?<br />
Float for one,<br />
probe for the<br />
other?<br />
Is LWCO or<br />
ALWCO auto<br />
restart?<br />
Tripping point<br />
on sight glass<br />
(inches from<br />
bottom)<br />
in<br />
Are all tripping points visibly<br />
separte on sight glass?<br />
Does LWA<br />
sound before<br />
cutoffs?<br />
Installed<br />
correctly to<br />
include<br />
shunts?<br />
Does unit<br />
function<br />
correctly?<br />
Yes Yes Yes<br />
No No No<br />
No Yes Yes<br />
in<br />
Yes No No<br />
No Yes Yes<br />
in<br />
Yes No No<br />
LWA, LWCO &<br />
ALWCO<br />
PASS<br />
FAIL<br />
Notes:<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Page 1 of 23
3<br />
RBSPLS & NRBSPLS<br />
Normal operating steam psi:<br />
Step 2 Step 7<br />
Lowest SVB set point psi: →<br />
RBSPLS Make/Model<br />
NRBSPLS Make/Model<br />
Step:<br />
RBSPLS<br />
NRBSPLS<br />
3<br />
5, 8<br />
12, 16 17<br />
Is setpoint ≥<br />
10 psi above Is NRBPLSsetpoint ≥ 5 psi of<br />
Did switch<br />
RBSPLS setpoint & ≥ 5 psi or<br />
1<br />
normal steam<br />
Trip point work<br />
psi? more less than lowest SVB<br />
correctly?<br />
psi Range Set point setpoint?<br />
PASS FAIL<br />
psi<br />
psi<br />
Yes<br />
No<br />
Yes<br />
No<br />
psi<br />
psi<br />
Yes<br />
No<br />
Yes<br />
No<br />
BSPL Switches<br />
Notes:<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Page 2 of 23
4<br />
SVB<br />
SVB 1 Make/Model<br />
SVB 2 Make/Model<br />
Step 2:<br />
Boiler MAWP →<br />
Boiler capacity (lbs./hr) →<br />
Normal boiler psi →<br />
Step: 9 18 19 1<br />
3, 4, 6, 7 13 17 21, 22, 23<br />
SVB's pass<br />
Water flows Is SVB vent Heated vent<br />
Is lift and<br />
Capacity<br />
Are set points<br />
Psi<br />
reseat psi accumulation SVBs<br />
freely down directed line touches<br />
Range Set Point<br />
lbs./hr<br />
adequate?<br />
vent drains? outside? drip pan?<br />
Lift Reseat correct? test? PASS FAIL<br />
SVB1<br />
SVB2<br />
SVB3<br />
Yes Yes Yes Yes Yes Yes<br />
psi<br />
psi<br />
psi<br />
No No No No No No<br />
Yes Yes Yes Yes Yes Yes<br />
psi<br />
psi<br />
psi<br />
No No No No No No<br />
Yes Yes Yes Yes Yes Yes<br />
psi<br />
psi<br />
psi<br />
No No No No No No<br />
15, 21<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
5<br />
FSMFO<br />
Step:<br />
1<br />
4 5<br />
Flame Scanner: Make/Model<br />
Is scanner UV-Self Checking<br />
and not rebuilt?<br />
Time lapse for<br />
fuel valves to<br />
close.<br />
Lapse for fuel<br />
valves to close<br />
≤ 4 seconds?<br />
PASS<br />
FSMFO<br />
FAIL<br />
Yes<br />
No<br />
secs<br />
Yes<br />
No<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
Page 3 of 23
6<br />
FSNSIS & IT<br />
Programmer: Make/Model<br />
Step: 1 6 7 6 8 9<br />
Scanner UV-<br />
Self checking<br />
and not<br />
rebuilt?<br />
Duration<br />
voltage tic<br />
illuminated<br />
Did tic<br />
illuminate for<br />
10 seconds?<br />
Spark duration<br />
(in seconds)<br />
Was spark<br />
duration > 10<br />
seconds?<br />
Did scanner<br />
show flame?<br />
Yes Yes Yes Yes<br />
secs<br />
secs<br />
No No No No<br />
FSNSIS & IT<br />
PASS<br />
FAIL<br />
Notes:<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
7<br />
MFIT<br />
Programmer: Make / Model<br />
Step: 4 5<br />
Time from<br />
#4 ≤ 14<br />
opening to<br />
seconds?<br />
closed<br />
Yes<br />
secs<br />
No<br />
PASS<br />
MFIT<br />
FAIL<br />
Notes:<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Page 4 of 23
8<br />
LFPS<br />
LFPS on<br />
NG<br />
LFPS on<br />
FO<br />
LFPS on<br />
FD<br />
Damper<br />
Make/Model<br />
Step 3<br />
Correct switch<br />
Step 5<br />
set up? (see Did switch<br />
Trip Point below) work<br />
correctly?<br />
Yes<br />
No<br />
Yes<br />
No<br />
Yes<br />
No<br />
Yes<br />
No<br />
Yes<br />
No<br />
Yes<br />
No<br />
PASS<br />
LFPS<br />
FAIL<br />
For single point positioning control systems (via drilled and pinned linkage), only one LFPS is required.<br />
For parallel positioning systems (with no mechanical linkage) a LFPS is required on the gas flow control valve, the oil flow control valve, and the inlet air<br />
damper (three switches in all, directly activated by the actuator that is monitored by the LFPS).<br />
In cases of VFD fan control: this test is valid only if damper controls air flow at low fire. For all other cases where a VFD controls air flow at low fire, an<br />
appropriate alternate procedure must be developed and reviewed by CFM/OCAMES prior to operation.<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
9<br />
OBPS<br />
Step 3<br />
OBPS Make/Model<br />
Switch worked<br />
correctly?<br />
Yes<br />
No<br />
PASS<br />
OBPS<br />
FAIL<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
Page 5 of 23
10 CAPS<br />
This SOP is only applicable when using a constant speed forced draft fan (no VFD's).<br />
CAPS Make/Model<br />
Step 5<br />
Step 8<br />
= 80% of<br />
lowest<br />
Combustion Air Pressure (inwc)<br />
combustion air<br />
Boiler tripping Does boiler trip at or above CAPS<br />
pressure calculated value?<br />
Low Fire Mid Fire High Fire pressure<br />
PASS FAIL<br />
inwc<br />
Step 4<br />
inwc<br />
inwc<br />
inwc<br />
inwc<br />
Step 9<br />
Yes<br />
No<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
11<br />
FDMIS<br />
Step: 3 6 9<br />
Leg 1 worked<br />
correctly?<br />
Leg 2 worked<br />
correctly?<br />
Leg 3 worked<br />
correctly?<br />
PASS<br />
FDMIS<br />
FAIL<br />
Yes Yes Yes<br />
No No No<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
12<br />
FPI<br />
Step: 4 5 9 10<br />
FPI Make/Model<br />
Highest<br />
furnace<br />
pressure in<br />
firing range<br />
Break/Set<br />
Point = #4 x<br />
1.2 (120%)<br />
Does switch<br />
work<br />
normaly?<br />
Yes<br />
No<br />
Actual Furnace<br />
Trip Point<br />
PASS<br />
FPI<br />
FAIL<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
Page 6 of 23
13<br />
PPT<br />
Boiler type<br />
and required<br />
AC<br />
AC V fireside m<br />
Required Air<br />
Changes<br />
Step 1<br />
Boiler Fireside<br />
Volume<br />
Maximum<br />
Boiler Capacity<br />
Step 2<br />
Required Minimum Purge =<br />
RMP<br />
V fireside = boiler Volume in ft 3 (see manufacturer)<br />
m = maximum boiler capacity in lb/hr of steam<br />
AC = required Air Changes (water tube = 4, fire tube = 8)<br />
Water Tube:4<br />
Fire Tube: 8<br />
ft 3<br />
lb/hr<br />
secs<br />
Step: 6 8 9 10 12 14 15 Step 16<br />
Low Fire to<br />
High Fire<br />
secs<br />
Time lapse at<br />
"Purge<br />
Complete"<br />
secs<br />
Time in High<br />
Fire = Time in<br />
Purge =<br />
#6 minus #4<br />
secs<br />
Did Time in<br />
Purge (#7) last<br />
at least 60<br />
seconds?<br />
Yes<br />
No<br />
Time lapse at<br />
"Moving to<br />
Ignition"<br />
secs<br />
Time lapse at<br />
PTFI<br />
secs<br />
Time in<br />
"Moving to<br />
Ignition" to<br />
PTFI<br />
secs<br />
( ( #4 + #13 ) / 2 ) + #7 = EHFP (#14)<br />
Equivalent<br />
High Fire<br />
Purge = EHFP<br />
secs<br />
Step: 17 20 21<br />
Is EHFP ≥<br />
RMP?<br />
Yes<br />
No<br />
Time in Post<br />
Purge<br />
secs<br />
Is Post Purge ≥<br />
15 seconds?<br />
Yes<br />
No<br />
PASS<br />
PPT<br />
FAIL<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
Page 7 of 23
14<br />
PAPS<br />
PAPS Make/Model<br />
Step: 3<br />
4 11 10, 15, 17<br />
Highest differential pressure<br />
between "low" and "full open"<br />
#3 x 0.8 = 80%<br />
PAPS set<br />
point<br />
Actual PAPS<br />
make point<br />
Switch worked<br />
correctly?<br />
Yes<br />
No<br />
PASS<br />
PAPS<br />
FAIL<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
15<br />
FDDWOPS<br />
Step: 2 4 5 7 8 9<br />
11<br />
FDDWOPS Make/Model<br />
Meter showed<br />
switch open<br />
when boiler<br />
off?<br />
Make points during purge<br />
% load when<br />
switch opens<br />
% load when<br />
switch closes<br />
Incoming air<br />
Damper vanes<br />
at wide open<br />
reading<br />
90% of #7 =<br />
Minimum<br />
switch set<br />
point<br />
Are make<br />
points ><br />
minimum set<br />
point<br />
Did purge stay on "high<br />
air" with switch disconnected<br />
(no start of countdown)?<br />
FDDWOPS<br />
PASS<br />
FAIL<br />
Yes<br />
No<br />
Yes<br />
No<br />
Yes<br />
No<br />
If switch is not directly activated by damper, then all linkages to switch must be drilled and pinned.<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
Page 8 of 23
16<br />
OSDPI<br />
If normal boiler operation does not require a non-modulating damper, no<br />
OSDPI is required if stack damper is welded in "open" position.<br />
OSDPI Make/Model<br />
Step: 1, 2 3 6 10 11 12 14<br />
16, 18<br />
Is OSDPI<br />
installed<br />
correctly?<br />
When boiler is<br />
off, does<br />
meter show<br />
switch is<br />
open?<br />
% load when<br />
switch opens<br />
at high air flow<br />
= make pt.<br />
Exhaust air<br />
Damper vanes<br />
at wide open<br />
reading<br />
80% of #10 =<br />
Minimum set<br />
point<br />
Is make point<br />
(#6) ><br />
minimum set<br />
pt. (#8)<br />
Did purge stay on "high<br />
air" with switch disconnected<br />
(no start of countdown)?<br />
Does switch<br />
work correctly<br />
via toggles?<br />
Yes Yes Yes Yes<br />
Yes<br />
No No No No<br />
No<br />
PASS<br />
OSDPI<br />
FAIL<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
17<br />
LFGOLI<br />
Step: 1 3, 9 4, 10 11<br />
LFGOLI Make/Model<br />
Minimum<br />
O 2 % at 200 ppm<br />
CO /<br />
combustibles.<br />
O 2 % at trip<br />
point<br />
LFGOLI<br />
activated at <<br />
#1?<br />
Is device both<br />
an interlock<br />
and alarm?<br />
PASS<br />
LFGOLI<br />
FAIL<br />
Natural Gas<br />
Fuel Oil<br />
% %<br />
%<br />
%<br />
Yes<br />
No<br />
Yes<br />
No<br />
Yes<br />
No<br />
Yes<br />
No<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
Page 9 of 23
18<br />
FGRDRI<br />
FGRDRI Make/Model<br />
Step: 1, 2 4, 5 8 9, 10 11 12 14 16<br />
Is FGRDRI<br />
installed<br />
correctly?<br />
Is more purge<br />
time needed<br />
for open<br />
damper?<br />
Damper<br />
position<br />
required for<br />
purge<br />
Is damper at<br />
least 80%<br />
opened or<br />
closed as<br />
required?<br />
Make point on<br />
firing start<br />
Multimeter<br />
shows open<br />
during firing<br />
(voltage)?<br />
"Un-make"<br />
point on shut<br />
down<br />
Does prepurge<br />
hold<br />
with switch<br />
removed?<br />
Yes Yes Yes Yes Yes<br />
No No No No No<br />
PASS<br />
FGRDRI<br />
FAIL<br />
Notes:<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
19<br />
LFGPCS<br />
LFGPCS Make/Model<br />
Step: 1 2 3 4 5 13 14<br />
Is switch<br />
installed in<br />
correct<br />
location?<br />
Are there<br />
snubbers or<br />
dampeners on<br />
gas line?<br />
LFGPSC range<br />
Regulated<br />
pressure on<br />
main line after<br />
PRV<br />
#4 x 0.8 (80%)<br />
= LFGPCS set<br />
point<br />
LFGPCS<br />
tripping point<br />
Did LFGPCS<br />
trip at or<br />
above set<br />
point?<br />
Yes No Yes<br />
No Yes No<br />
PASS<br />
LFGPCS<br />
FAIL<br />
Notes:<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Page 10 of 23
20<br />
HFGPCS<br />
HFGPCS Make/Model<br />
Step: 1 2 3 4 5 13 14<br />
Is switch<br />
installed in<br />
correct<br />
location?<br />
Regulated<br />
pressure on<br />
main line after<br />
PRV<br />
#3 x 1.2<br />
(120%) = HFGPCS device<br />
HFGPCS make set point<br />
point<br />
Is #4 ≤ make<br />
point?<br />
HFGPCS<br />
tripping point<br />
Did HFGPCS<br />
trip at or<br />
below make<br />
point?<br />
Yes Yes Yes<br />
No No No<br />
PASS<br />
HFGPCS<br />
FAIL<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
21<br />
AFGSOV & AFGSVV<br />
Step: 8 3, 18, 22<br />
AFGSVV<br />
Upstream<br />
AFGSOV<br />
Downstream<br />
AFGSOV<br />
Make/Model<br />
Does valve<br />
open on boiler<br />
shut down?<br />
Yes<br />
No<br />
Zero bubbles<br />
in 2 minutes?<br />
Yes<br />
No<br />
Yes<br />
No<br />
Yes<br />
No<br />
AFGSOV &<br />
AFGSVV<br />
PASS<br />
FAIL<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
Page 11 of 23
22<br />
LRVOPS<br />
LRVOPS-A<br />
LRVOPS-B<br />
Make/Model<br />
Installed with<br />
Step: 2 3 view port and<br />
4<br />
5 9, 16 10, 17 12, 19<br />
back pressure<br />
MAPP regulator?<br />
Lift pressure<br />
LRVOPS-A<br />
LRVOPS-B<br />
Regulated oil<br />
supply psi<br />
Capacity in<br />
gal/hr<br />
Psi<br />
Range<br />
SRVOPS set<br />
point<br />
Is set point <<br />
(#1+10psi) and<br />
< MAPP<br />
Is lift psi < (#1<br />
+ 10psi)?<br />
Yes Yes Yes<br />
psi<br />
psi<br />
psi<br />
No No No<br />
Yes Yes Yes<br />
psi<br />
psi<br />
psi<br />
No No No<br />
Reseat<br />
pressure<br />
psi<br />
psi<br />
PASS<br />
LRVOPS<br />
FAIL<br />
Notes:<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
23<br />
LFOPCS<br />
LFOPCS Make/Model<br />
Step: 1 2 3 4 8 7<br />
Is a snubber or<br />
dampener is<br />
use?<br />
No<br />
Yes<br />
LFOPCS<br />
pressure range<br />
Lowest oil<br />
pressure<br />
during<br />
run-up<br />
#3 x 0.8 (80%)<br />
= LFOPCS set<br />
point<br />
Oil tripping<br />
pressure<br />
Is #8 ≥ #4?<br />
Yes<br />
No<br />
PASS<br />
LFOPCS<br />
FAIL<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Page 12 of 23
24<br />
HFOPCS<br />
HFOPCS Make/Model<br />
Step: 1 2 3 7 6<br />
HFOPCS<br />
pressure range<br />
Oil psi during<br />
pre-fire<br />
#2 x 1.2<br />
(120%) =<br />
HFOPCS set<br />
point<br />
Oil tripping<br />
pressure<br />
psi psi psi<br />
Is #7 ≤ #3?<br />
Yes<br />
No<br />
PASS<br />
HFOPCS<br />
FAIL<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
25<br />
LAMPS<br />
Step: 1<br />
2 3 6 5<br />
LAMPS Make/Model<br />
LAMPS psi<br />
range<br />
LAMPS set<br />
point<br />
Atomizing<br />
media<br />
pressure at<br />
low fire<br />
#2 x 0.8 (80%)<br />
= MTP<br />
LAMPS<br />
tripping<br />
pressure<br />
Did boiler<br />
LAMPS trip at<br />
or above<br />
MTP?<br />
Yes<br />
No<br />
PASS<br />
LAMPS<br />
FAIL<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
26<br />
27<br />
LAMDPS<br />
LAMFS<br />
Only required if oil pressure is higher than atomizing media pressure (prevents possible flow of oil into atomizing media lines)<br />
Page 13 of 23
28<br />
AFOSV-LT<br />
Step 5, 10<br />
Upstream<br />
AFOSV<br />
Downstream<br />
AFOSV<br />
Make/Model<br />
Is constant<br />
drip rate < 1<br />
drop in 10<br />
seconds?<br />
Yes<br />
No<br />
Yes<br />
No<br />
AFOSV-LT<br />
PASS<br />
FAIL<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
29<br />
POC-AFOSV<br />
Step:<br />
10, 17 13, 20<br />
Upstream<br />
AFOSV<br />
Downstream<br />
AFOSV<br />
Make/Model<br />
Did POC switch "open" before<br />
AFOSOV opens enough to<br />
allow flow?<br />
Yes<br />
No<br />
Yes<br />
No<br />
Did AFSOV, in "open" status,<br />
allow boiler to fire?<br />
No<br />
Yes<br />
No<br />
Yes<br />
POC-AFOSV<br />
PASS<br />
FAIL<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
Page 14 of 23
30<br />
PPBS<br />
Did boiler start on propane<br />
pilot?<br />
Yes<br />
No<br />
PASS<br />
PPBS<br />
FAIL<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
31<br />
APFGSOV & APFGSVV<br />
Step: 8 3, 18,22<br />
Upstream<br />
APFGSOV<br />
Downstream<br />
APFGSOV<br />
APFGSVV<br />
Make/Model<br />
Does valve<br />
open when<br />
boiler shuts<br />
down?<br />
Yes<br />
No<br />
Did valve leak<br />
after closing?<br />
No<br />
Yes<br />
No<br />
Yes<br />
No<br />
Yes<br />
APFGSOV &<br />
APFGSVV<br />
PASS<br />
FAIL<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
Page 15 of 23
32<br />
LPFGPCS<br />
LPFGPCS Make/Model<br />
Step: 1 2 3<br />
5 6 11 16<br />
LPFGPCS<br />
located in<br />
correct<br />
position?<br />
Are snubbers<br />
or dampeners<br />
involved?<br />
LPFGPCS<br />
Range<br />
LPFGPCS Set<br />
Point<br />
Regulated<br />
Pilot Pressure<br />
Is #3<br />
80%<br />
of #5?<br />
LPFGPCS Trip<br />
Pressure<br />
Main flame lit<br />
instantly and<br />
smoothly?<br />
Yes Yes Yes Yes<br />
No No No No<br />
LPFGPCS<br />
PASS<br />
FAIL<br />
Notes:<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
33<br />
HWADT, LWACT & DAODS<br />
HWADT Make/Model<br />
LWACT Make/Model<br />
DAODS level sensor Make/Model<br />
HWADT<br />
LWACT<br />
DAODS<br />
Step: 1 3, 9, 16 2<br />
4, 10, 17 12 13 20, 25, 28 21, 26, 29<br />
Set Point<br />
Is set point<br />
located at<br />
acceptable<br />
level?<br />
Level sensor type<br />
Is sensor<br />
correct type?<br />
Is drain<br />
controlled via<br />
electric valve?<br />
Does DAODS<br />
have a flow<br />
sight on drain<br />
line?<br />
Tripping level<br />
Is tripping<br />
point at<br />
acceptable<br />
level?<br />
Did device<br />
function<br />
correctly?<br />
Yes Yes Yes Yes<br />
No No No No<br />
Yes Yes Yes Yes<br />
No No No No<br />
Yes Yes Yes Yes Yes Yes<br />
No No No No No No<br />
HWADT, LWACT<br />
& DAODS<br />
PASS<br />
FAIL<br />
Notes:<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Page 16 of 23
34<br />
LWADT & HWACT<br />
LWADT Make/Model<br />
HWACT Make/Model<br />
HWACT<br />
LWADT<br />
Step: 1 3, 8 2<br />
4, 9 12, 14 13, 15<br />
Set Point<br />
Is set point<br />
located at<br />
acceptable<br />
level?<br />
Level sensor type<br />
Is sensor<br />
correct type?<br />
Tripping level<br />
Is tripping<br />
point at<br />
acceptable<br />
level?<br />
Did device<br />
function<br />
correctly?<br />
Yes Yes Yes Yes<br />
No No No No<br />
Yes Yes Yes Yes<br />
No No No No<br />
LWADT &<br />
HWACT<br />
PASS<br />
FAIL<br />
Notes:<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Page 17 of 23
35<br />
DASV<br />
DA Tank Make/Model<br />
Step 1<br />
Date of most recent passing DA-WMPT<br />
DA MAWP<br />
psi<br />
Step: 2 3 5 19 20<br />
DA Tank<br />
passed DA-<br />
WMPT < 6<br />
yrs?<br />
Does DA Tank<br />
have a vacuum<br />
breaker?<br />
Water flows<br />
freely down<br />
vent drains?<br />
Vent<br />
Is DASV vent<br />
directed<br />
outside?<br />
Heated vent<br />
line touches<br />
drip pan?<br />
Yes Yes Yes Yes Yes<br />
No No No No No<br />
Step: 7<br />
8 9 14 17 15, 18<br />
DASV<br />
Capacity DASV<br />
lbs./hr<br />
Range<br />
Set Point<br />
psi<br />
Is #8 = 5 psi<br />
above DA Tank<br />
psi?<br />
DASV capacity<br />
1000<br />
lbs/hour?<br />
Lift<br />
Reseat<br />
Is lift and<br />
reseat psi in<br />
correct range?<br />
Did DASV<br />
function<br />
correctly?<br />
Yes Yes Yes Yes<br />
psi<br />
psi<br />
No No No No<br />
PASS<br />
DASV<br />
FAIL<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Notes:<br />
Page 18 of 23
36 SVFPRV<br />
This test is applicable to any safety pressure relief valve following any PRV in the boiler plant.<br />
SVFPRV Make/Model<br />
Step: 2 27 28 4<br />
6 7<br />
SVFPRV Vent<br />
If SVFPRV serves DA:<br />
Capacity<br />
Range Set Point<br />
SVFPRV lbs./hr<br />
DASV set point<br />
Water flows<br />
freely down<br />
vent drain?<br />
Is vent<br />
directed<br />
outside?<br />
Heated vent<br />
line touches<br />
drip pan?<br />
Is SVFPRV<br />
about<br />
5 psi > #5<br />
Yes Yes Yes Yes<br />
psi<br />
psi<br />
No No No No<br />
Step: 8<br />
9 10 11 12 18 21 19, 21 24<br />
Upstream psi<br />
before SVFPRV<br />
psi<br />
psi on steam<br />
line following<br />
SVFPRV<br />
psi<br />
PRV bypass<br />
valve size<br />
in.<br />
Bypass valve<br />
wide open<br />
capacity<br />
lbs/hr<br />
PRV wide<br />
open capacity<br />
lbs/hr<br />
Is SVFPRV<br />
capacity > #9<br />
and #10<br />
SVFPRV Lift<br />
SPFPRV Reseat<br />
Is lift and<br />
reseat psi in<br />
correct range?<br />
During acc.<br />
test, is psi ><br />
6% above #4<br />
set point?<br />
Did SVFPRV<br />
function<br />
correctly?<br />
Yes Yes Yes Yes<br />
psi<br />
psi<br />
No No No No<br />
PASS<br />
SVFPRV<br />
FAIL<br />
Notes:<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
37<br />
38<br />
39<br />
40<br />
LWCOHW & ALWCOHW<br />
LRVHW<br />
HWTS<br />
FS<br />
For systems with hot water only boilers<br />
Page 19 of 23
41<br />
CMA & CGA<br />
CMA Make/Model<br />
CGA Make/Model<br />
CMA<br />
CGA<br />
Step: 1 2 3 4 5 6 7 8 10<br />
Number of<br />
alarms<br />
Are number<br />
and locations<br />
adequate?<br />
Alarm set<br />
point<br />
Test gas<br />
concentration<br />
Carbon Monoxide (CO)<br />
Is set point<br />
≤ 50 ppm?<br />
Is test gas at<br />
≤ 50 ppm?<br />
Combustible Gas<br />
Is set point ≤<br />
10% of LEL?<br />
Is test gas at ≤<br />
10% of LEL?<br />
Did units pass<br />
mfr.'s testing<br />
SOP's?<br />
Yes Yes Yes Yes<br />
ppm<br />
ppm<br />
No No No No<br />
Yes Yes Yes Yes<br />
% %<br />
No No No No<br />
CMA & CGA<br />
PASS<br />
FAIL<br />
Notes:<br />
Inspector's Name →<br />
Signed →<br />
Date →<br />
Page 20 of 23
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