Boiler Inspection Checklist
No.BIC-2026-07-14-009
1. General Information
| Inspection date | 7/14/2026 | Address | Boiler Room, Building A, 10 Factory Lane, Leeds LS1 1AA |
2. Object of Inspection
| Object type | not filled in | Object name | Boiler BLR-A-001 |
| Technical condition | not filled in | Operating Hours, hours | 5000 |
| Release date | 3/15/2019 |
3. Check Items
| Shell Condition | Satisfactory | Tube Condition | Satisfactory |
| Burner Operation | Satisfactory | Safety Valve Condition | Needs Maintenance |
| Pressure Gauge Condition | Accurate | Water Level Indicator Condition | Clear |
4. Nonconformities
| No. | Damage description | Photos |
|---|---|---|
| 1 | - | not filled in |
5. Additional Information
| Identification was carried out | Boiler ID: BLR-A-001 |
| There are remarks | All components checked. Safety valve needs maintenance. Overall condition good. |
6. Inspection Participants
| No. | Full name | Position / status | Comment |
|---|---|---|---|
| 1 | Peter Jones | Boiler Inspector | Performed inspection |