Boiler Room Log (Maintenance Check List)
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1BOILER ROOM LOG (MAINTENANCE CHECK LIST)
Month ____________________ Year ____________
FUEL DELIVERIES:
(___________ / ______________)
Date
Gallons
(___________ / ______________)
Date
Gallons
(___________ / ______________)
Date
Gallons
(___________ / ______________)
INITIALS
INITIALS
INITIALS
INITIALS
INITIALS
Date
Gallons
DATE
DAILY
WEEKLY
MONTHLY
QUARTERLY
YEARLY
Remarks
: ___________________
1
2
____________________________
3
____________________________
4
____________________________
5
____________________________
6
____________________________
7
8
____________________________
9
____________________________
10
____________________________
11
____________________________
12
____________________________
13
14
____________________________
15
____________________________
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1) Record all equipment repair
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or replacements.
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2)
Report
any
abnormal
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condition.
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3) Initial required entries under
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appropriate column and date.
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(Rev. 5/06)
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