DEPARTMENT OF VETERANS AFFAIRS

BOILER SAFETY DEVICES - OPERATION CHECK LIST

HOSPITAL_________________________PROJECT NO. _______________DATE_________BOILER NO. ________________
BOILER MAKE AND MODEL
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BURNER MAKE AND MODEL
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TECHNICIAN AND COMPANY
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VA REPRESENTATIVE
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Not
Item
OK
OK
Set Point - Remarks
Low Water Cutoff
Aux. Low Water Cutoff
High Water Alarm
Low Water Alarm
Low Water Cutoff Shunt Switch
Aux. Low Water Cutoff Shunt Switch
High Steam Press. Cutout - Recycle
High Steam Press. Cutout - Non-Recycle
Steam Safety Valve No. 1 - Pop
Blowdown
Steam Safety Valve No. 2 - Pop
Blowdown
Steam Safety Valve No. 3 - Pop
Blowdown
Steam Safety Valve No. 4 - Pop
Blowdown
Main Gas
High Pressure Cutoff
Low Pressure Cutoff
Safety Shut-Off Valves Proof of Closure
Leak Test Safety Shut-Off Valves

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Oil
High Pressure Cutoff
Low Pressure Cutoff
High Temperature Cutoff (Heated Oil)
Low Temperature Cutoff (Heated Oil)
Low Atomizing Pressure
Low Atomizing/Oil Differential Pressure
Oil Burner Position Switch
Safety Shut-Off Valves Proof of Closure
Leak Test Safety Shut-Off Valves
Cold Start/Steam Atomizing Burners
LP Gas Ignitor Operation

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Ignitor (Pilot)
Low Gas Pressure
Leak Test Safety Shut-Off Valves

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Forced Draft Motor Interlock

F. D. Damper Open Wide for Purge
Outlet Damper Open Wide for Purge
Purge Air Flow Interlock
Purge Timing
Ignition Timing
Low Fire Position Interlock
Combustion Air Flow Interlock
Main Flame Out - Time to Close Valves
Ignition Flame Out - Time to Close Valves
Minimum Ignitor Flame Test
Scanner Not Sensing Ignition Spark
Control Air Pressure Interlock
Sound Level - High Fire

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Fan Motor Amps

Low Oxygen Alarm
Boiler Soot Blower Operation and Alignment
Economizer Soot Blower Operation
Flue Gas Recirculation Damper Set for Prepurge
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VACO 183A
2/7/00

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