Boiler Safety Audit

Facility ____________________  Area ___________________

Auditor ___________________    Date __________

Area	Satisfactory	Action Required	Corrective Action (date)
Employee Knowledge
Last date of training
Normal Operating Procedures
Emergency Operating Procedures
Program Administration
Last audit date
Written Program
Boiler Supervisor Assigned
Records
Training
Inspections - Weekly
Inspections - Internal
Inspections - External
Water chemistry records
Test records
Relief valve test records
Fuel tests
Safeguards
Engineering Safeguards
Administrative Safeguards
Training Safeguards
Equipment Inspection
Controls
Alarms
Pumps
Valves
Blowers
Insulation
Area Inspection
Chemical storage
No leaks
Lighting
No flammable material
Notes