Boiler Repair Inspection

Client :
Date :

Details and description

a) Contact Person :
1)____________________________________________
2) ____________________________________________
3) ____________________________________________

b) Boiler Details :

PMD no : ____________________ Boiler S/N : _____________________________

Maker : ______________________ Year : ___________
Design Code : ______________________________________________
Tube / Furnace/ Part size : _________________________________________________________
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Material Spec : __________________________________________________________________
Shell material : __________________________________________________________________
Pipe material : __________________________________________________________________
Design Pressure : _______________________ Design Temp. : __________________________
Hydrostatic Pressure : ___________________ Hydrostatic Test Date : ___________________
Access to waterside : Yes / No : _____________

c) Boiler Condition :
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d) Observation & Suggestion

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Corrective action:
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e) Remarks
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Clients :

_______________
Date:

Inspection By:

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Date : Date :