Boiler Preventive Maintenance Checklist
Use this checklist to inspect and maintain boiler systems to ensure safe operation, efficiency, and compliance with safety standards.
Boiler Information
Boiler ID / Asset Tag
*
Boiler Type
*
Please Select
Fire-Tube
Water-Tube
Electric
Steam Boiler
Hot Water Boiler
Location
*
Manufacturer & Model
*
Inspection Date
*
-
Month
-
Day
Year
Date
Technician Name
*
First Name
Middle Name
Last Name
Operating Conditions
Operating Pressure
*
Operating Temperature
*
Fuel Type
*
Please Select
Gas
Oil
Electric
Other
Noise Level
*
Please Select
Normal
Abnormal
Maintenance Actions
Maintenance Performed
*
Cleaning
Blowdown
Adjustment
Repair
Parts replacement
Parts Replaced
Issues & Corrective Actions
Issues Identified
*
Corrective Actions Taken
*
Further Service Required
*
Yes
No
Final Section
Boiler Condition
*
Please Select
Good
Needs Maintenance
Critical
Technician Signature
*
Completion Date
*
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: