24 July 2003
including Change 1, Jan 2004 and Change 2, March 2005
Instructions for Completing
Inspection Report - Boiler
Use a separate form for each boiler. The following subparagraph numbers refer to
number blocks on the report.
From: Enter the name of inspection department performing the inspection.
To: Enter the title of the activity for which the inspection is being made.
Manufacturer: Enter the name of the manufacturer.
Property No.: Enter the identification number as indicated by the activity.
Manufacturer's Serial No.: Enter the serial number as indicated by the
Manufacturer's Model No.: Enter the model number as indicated by the
Building No.: Enter the building or structure number in which the boiler is located.
Year Built: Indicate the calendar year in which the boiler was constructed.
Capacity: Show capacity in millions of BTUs per hour. One (1) pound per hour of
steam is approximately equal to 292.8 W (1,000 BTUs.) One (1) boiler horsepower is
approximately equal to 9809.1 W (33,500 BTUs) per hour.
National Board Number: Enter the boiler National Board Number
Pressure: Enter the design, operating, and test pressures (psig).
12. Fuel: Enter appropriate fuel, e.g., natural gas, No. 2 to 6 fuel oil, propane, coal,
solid waste, etc.
Type: Enter type of boiler, e.g., cast iron, watertube, firetube.
Certificate Issued: Enter yes or no.
15. Boiler Inspector: Signature of authorized inspector. Indicate the Navy Certificate
of Competency number and/or NAVFAC (formerly called EFD) License to Inspect.
Contract inspectors are to indicate their NAVFAC Authorization to Inspect.
Reason for Not Issuing Certificate: Enter the reason for not issuing the certificate.
Boiler Feedwater Treatment: Enter if treatment is Satisfactory or Unsatisfactory.