Boiler Room HVAC Inspection Form
Date
Time
Inspector Name
General Information
Facility Name
Location
Boiler Model / Serial #
Visual Inspection
Area Clean & Free of Debris
No Visible Leaks
All Labels Legible
All Access Panels Secure
System Checks
Power Supply Checked
Thermostat Functioning
Valves Inspected
Safety Controls Checked
Vents Clear
Temperature & Pressure Readings
Supply Temperature
Return Temperature
Pressure Reading
Additional Observations
Inspector Signature
Date