# UP SHEET oiler

Job Name ____  
Job Number ____  
Job Address ____

## Section 5: Equipment Description

| Spec. #: | Submittal #: | P&ID/Dwg #: |
| --- | --- | --- |
| Area Served: |  |  |

Service Type: Hot Water $ \Box $ Steam $ \Box $ Other: $ \Box $ _____

| Data | Design | Actual On Site |
| --- | --- | --- |
| Unit Tag # |  |  |
| Manufacturer |  |  |
| Model # |  |  |
| Serial # |  |  |

## Section 6: Equipment Pre-Installation Inspection

| Step | Inspection Description | Yes | No | N/A | Performed By(Initials & Date) |
| --- | --- | --- | --- | --- | --- |
| 6.2 | Nameplate data matches vendor specifications | $\Box$ | $\Box$ | $\Box$ |  |
| 6.3 | All parts are received | $\Box$ | $\Box$ | $\Box$ |  |
| 6.4 | No visible signs of damage, leak, or defective parts | $\Box$ | $\Box$ | $\Box$ |  |
| 6.5 | Verify electrical service for correct voltage, current and thermal overload protection | $\Box$ | $\Box$ | $\Box$ |  |
| 6.6 | Operational and Maintenance(O&M) manual is available in field. | $\Box$ | $\Box$ | $\Box$ |  |
| 6.7 | Start-up technicians have reviewed factory start-up procedures in O&M manual. | $\Box$ | $\Box$ | $\Box$ |  |

Comments/Observations

Performed By

(Therma)

Reviewed By

(Owner/Representatives)

| Print Name | Signature | Date |
| --- | --- | --- |
|  |  |  |
|  |  |  |

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## START-UP SHEET Boiler

## Section 7: Installation Inspection

| Step | Inspection Description | Yes | No | N/A | Performed By (Initials & Date) |
| --- | --- | --- | --- | --- | --- |
| 7.2 | Unit is installed in approved room and properly protected from weather and drafts. | □ | □ | □ |  |
| 7.3 | No negative pressure in the approved room. | □ | □ | □ |  |
| 7.4 | Proper air openings are provided. | □ | □ | □ |  |
| 7.5 | Unit is installed level on a concrete floor or non-combustible base. | □ | □ | □ |  |
| 7.6 | Tag # is attached to the unit. | □ | □ | □ |  |
| 7.7 | Service clearance is adequate for maintenance. | □ | □ | □ |  |
| 7.8 | Proper earth ground is connected to green ground screw in panel. | □ | □ | □ |  |
| 7.9 | Relief valve type, setting, and capacity are correct. | □ | □ | □ |  |
| 7.10 | Gas lines are bled of air. | □ | □ | □ |  |
| 7.11 | Draft hood or barometric damper is installed. | □ | □ | □ |  |
| 7.12 | Vent stack is proper height and size. | □ | □ | □ |  |
| 7.13 | Unrestricted vent cap on top to protect from weather and down drafts. | □ | □ | □ |  |
| 7.14 | Gas inlet piping is properly installed. | □ | □ | □ |  |
| 7.15 | Main and pilot gas valves are installed. | □ | □ | □ |  |
| 7.16 | Hot water supply outlet is proper size. | □ | □ | □ |  |
| 7.17 | Hot water return inlet is proper size. | □ | □ | □ |  |
| 7.18 | Make up water supply has proper shut-off and back flow device. | □ | □ | □ |  |
| 7.19 | Drain valve is installed. | □ | □ | □ |  |

| Print Name | Signature | Date |
| --- | --- | --- |
|  |  |  |
|  |  |  |
| 7.20 | Temperature and pressure gauges are installed. | □ | □ | □ |  |
| 7.21 | High limit and operating controls are installed. | □ | □ | □ |  |
| 7.22 | Tube surfaces are inspected. | □ | □ | □ |  |
| 7.23 | Make-up water pressure regulator is installed. | □ | □ | □ |  |
| 7.24 | Expansion tank is installed. | □ | □ | □ |  |
| 7.25 | Pressure & temperature test ports are provided. | □ | □ | □ |  |
| 7.26 | Air separation device is properly installed. | □ | □ | □ |  |
| 7.27 | Pump(s) are installed. | □ | □ | □ |  |
| 7.28 | Pot feeder is installed. | □ | □ | □ |  |
| 7.29 | System has been cleaned and treated. | □ | □ | □ |  |
| 7.30 | Isolation valves are installed. | □ | □ | □ |  |
| 7.31 | Water treatment is installed. | □ | □ | □ |  |
| 7.32 | Steam check valves are installed. | □ | □ | □ |  |
| 7.33 | Steam traps are installed. | □ | □ | □ |  |
| 7.34 | Steam condensate is returned to steam make-up tank or sent to a tempering device before drain. | □ | □ | □ |  |

## Section 8: Operational Inspection

| Step | Inspection Description | Yes | No | N/A | Performed By(Initials & Date) |
| --- | --- | --- | --- | --- | --- |
| 8.2 | Unit vibration is acceptable. | $\Box$ | $\Box$ | $\Box$ |  |
| 8.3 | Heating components perform per manufacturer's specification. | $\Box$ | $\Box$ | $\Box$ |  |

| Comments/ Observations |  |
| --- | --- |
|  |  |

| Print Name | Signature | Date |
| --- | --- | --- |
|  |  |  |
|  |  |  |

---

### START-UP SHEET Boiler

| Step | Inspection Description | Yes | No | N/A | Performed By(Initials & Date) |
| --- | --- | --- | --- | --- | --- |
| 8.4 | Natural gas supply pressure is at manufacturer's specification. | □ | □ | □ |  |
| 8.5 | Manifold pressure is at manufacturer's specification. | □ | □ | □ |  |
| 8.6 | Make sure thermostat is set. | □ | □ | □ |  |
| 8.7 | Record start up operating parameters in the Supplementary Forms(FN 8.028.2 or FN 8.028.3). |  |  |  |  |

End of Section

Comments/ Observations

Comments/ ____

---

Performed By

(Therma)

Reviewed By

(Owner/Representatives)

| Print Name | Signature | Date |
| --- | --- | --- |
|  |  |  |
|  |  |  |