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Boiler Devices
Boiler Safety Device Testing Data Sheet Boiler No. ______ Date___________ Department of Veterans Affairs Facility _______________________________________________
Boiler Make, Type and Model, Year Built _________________________________________________________________________________________ Burner Make, Type, Fuels, Year Built____________________________________________________________________________________________ Test Personnel/Company_____________________________________________________________________________________________________ VA Personnel _____________________________________________________________________________________________________________
Operation - Normal System Trip Point Operation Remarks - Device OK/Adjusted/Replaced Pressure Vessel High water alarm inches up Normal water level _____inches up Low water alarm inches up Low water cutout (slow drain) inches up Aux low water cutout (slow drain) inches up Low water cutout shunt switch OK Failed Aux low water cutout shunt switch OK Failed High steam press cutout (recycle) psi Header____ psi High steam press cutout (non-recycle) psi Steam safety valve No.1 - pop psi Set _____psi - blowdown psi Steam safety valve No. 2 - pop psi Set _____psi - blowdown psi Steam safety valve No. 3 - pop psi Set _____psi - blowdown psi Steam safety valve accumulation test OK Failed
Main Gas High pressure cutoff psi/in.wc PRV set at ____psi/in.wc Low pressure cutoff psi/in.wc Safety shut off valves proof of closure OK Failed Leak test safety shut off valves (seats) OK Failed Leak test vent valve (seats) OK Failed
Oil High pressure cutoff psi Operating ____ psi Low pressure cutoff psi High temperature cutoff (heated oil) degrees F Operating ____deg F Low temperature cutoff (heated oil) degrees F Low atomizing pressure (No. 1 switch) psi psi Low atomizing pressure (No. 2 switch) psi Low atomizing/oil differential pressure psi psi Oil burner position switch (if provided) OK Failed Safety shut off valves proof of closure OK Failed Leak test safety shut off valves (seats) OK Failed Cold start steam atom burners on compr air OK Failed LP gas igniter operation OK Failed Atomizing air compressor motor interlock OK Failed
Igniter Gas (Pilot) Low gas pressure psi/in. WC psi/in. WC Leak test safety shut off valves (seats) OK Failed Leak test vent valve (seats) OK Failed
Combustion Air, Flue Gas, Burner Management Programming Forced draft fan motor energized interlock OK Failed Forced draft damper wide open for purge OK Failed Outlet dmpr (if provided) wide open for purge OK Failed Prepurge airflow interlock in. WC in. WC@100% Prepurge timing sec sec Ignition timing sec 10 sec* Postpurge timing sec 15 sec Low fire position interlock OK Failed Combustion air flow interlock in. WC in.WC min Low flue gas oxygen interlock %O2 High /furnace/boiler outlet/ pressure (if prov) in. WC in. WC Pneumatic control air press interlock (if prov) psi psi FGR damper(if provided) set for prepurge OK Failed Main flame out - time to close SSO valves sec 4 sec Ignition flame out - programmed shutdown sec sec Minimum igniter flame test OK Failed Scanner not sensing ignition spark (UV only) OK Failed
* 15 seconds allowed on No. 5 and No. 6 oil. VACO 183A 08/22/07 Reference - Test Methods: VHA Boiler Plant Safety Devices Testing Manual, Fourth Ed., October 2017
Calibration
Checklist - Boiler Plant Inspections, Calibrations and Tests - One Year Period Department of Veterans Affairs Facility ________________________ Year 2____
Boiler Safety Devices - Testing - Twice per year (Utilize "Boiler Safety Device Testing Data Sheet".) First Test Date Corrections Completed Second Test Date Corrections Completed Boiler No. 1 Boiler No. 2 Boiler No. 3 Boiler No. 4
Boiler Internal and External Inspections - Once per year (Qualified professional inspector - provide detailed reports.) Internal Inspection Date Corrections Completed External Inspection Date Corrections Completed Boiler No. 1 Boiler No. 2 Boiler No. 3 Boiler No. 4
Feedwater Deaerator Internal Cleaning and Visual Inspection - Once per year Internal Insp and Cleaning Date Corrections Completed
Feedwater Deaerator Internal Inspection and Weld Testing -Every 6 years (Qualified professional inspection - provide detailed report.) Intnl Insp and Weld Testing Date Corrections Completed
Controls and Instruments Calibration -Twice per year (Technicians must provide detailed reports.) First Calib Date Corrections Completed Second Calib Date Corrections Completed Boiler controls Combustion Oxygen trim Flue gas recirculation (FGR) Outlet draft Feedwater level controls Master pressure
Instrumentation Steam flow Gas flow Oil flow Flue gas oxygen Stack temperature Boiler draft gages Economizer temperatures Pressure transmitters Temperature transmitters Pressure gages Thermometers Annunciators Recorders and indicators Computer work station
Feedwater Deaerator High level alarm Low level alarm Overflow Safety valve Vacuum breaker Water level controls
Condensate Storage Tank High level alarm Low level alarm Overflow Water level controls
Building combustion air intake interlock Building dangerous gas detection system Steam Safety Valves ( non-boiler) and Liquid Relief Valves (Oil Pumps and Economizers) Testing - Once per year Test Date Corrections Completed Steam PRV station safety valves Steam PRV station safety valves Oil pump relief valves Economizer relief valves
Burner Performance Testing Dates - Twice per year (Refer to testing data sheets.) First Test Date Corrections Completed Second Test Date Corrections Completed Boiler No. 1 Boiler No. 2 Boiler No. 3 Boiler No. 4 Reference - Testing Requirements: VHA Directive 1810, Boiler Plant Operations VACO 183A 1/19/07
Combustion Gas
BOILER NATURAL GAS COMBUSTION PERFORMANCE TEST DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER__________________________________ DATE_________________ Boiler No. ____ Boiler Make, Model, Type_______________________________________________ Burner Make, Model, Type____________________________________________ Clock Time for Test Point Hour - Min Firing Rate Control Output 0 - 100% Fuel Flow Control Valve 0 - 100% Combustion Air Damper 0 - 100% Forced Draft Fan VFD Hz Flue Gas Analyses O2 - Test Instrument % CO - Test Instrument PPM NOX-Test Instrument PPM O2 - Plant Data System % Flue Gas Temp. Boiler Outlet Degrees F Economizer Outlet Degrees F Draft Windbox / Furnace In WC Boiler Outlet / Econ Outlet In WC Fuel Data Regulator Press - Inlet PSI Regulator Press - Outlet PSI / In WC Burner Press PSI / In WC Flow Rate SCFH Energy Input BTU/HR Flame Appearance Boiler Steam Output Flow Rate LB/HR Press - Boiler / Header PSI Boiler Water Level % Glass Feedwater Press - Econ In / Out PSI Press - Control Valve Inlet PSI Temp - Econ In / Out Degrees F Temp - Boiler Inlet Degrees F Deaerator Steam Press PSI
Test Personnel: __________________________________________________________________________________________________________________________________________ Notes: Reference - Test Methods: Refer to VA Master Spec for the boiler, Part 3, Inspections and Tests. VACO 183A 1/19/07
Combustion Oil
BOILER NO. 2 FUEL OIL COMBUSTION PERFORMANCE TEST DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER__________________________________DATE_________________ Boiler No. ____ Boiler Make, Model, Type_______________________________________________ Burner Make, Model, Type____________________________________________ Clock Time for Test Point Hour - Min Firing Rate Submaster 0 - 100% Fuel Flow Control Valve 0 - 100% Comb. Air Damper 0 - 100% FD Fan VFD Hz Flue Gas Analyses O2 - Test Instrument % CO - Test Instrument PPM NOX-Test Instrument PPM O2 - Plant Data System % Smoke Flue Gas Temp. Boiler Outlet Degrees F Economizer Outlet Degrees F Draft Windbox / Furnace In WC Outlet - Boiler / Econ In WC Fuel Data Press - Header / Fuel Train PSI Burner Press - Oil / Atom PSI Flow Rate GPH Energy Input BTU/HR Flame Appearance Boiler Steam Output Flow LB/HR Press - Boiler / Header PSI Boiler Water Level % Glass Feedwater Press - Econ In / Out PSI Press - Control Valve Inlet PSI Temp - Econ In / Out Degrees F Temp - Boiler Inlet Degrees F Deaerator Steam Press. PSI
Test Personnel: __________________________________________________________________________________________________________________________________________ Notes: Reference - Test Methods: Refer to VA Master Spec for the boiler, Part 3, Inspections and Tests. VACO 183A 1/19/07
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Updated Jul 29, 2020 .