MODU-FIRE® Forced Draft Gas-Fired Boiler
54
8.0 MODU-FIRE® FORCED DRAFT BOILER FIRE TEST REPORT
Boiler Serial #:
Model#:
Installation Name:
City:
State:
Zip:
Phone:
Installer Name:
1. Factory Fire-Test: (copy from boiler label)
2. Sealed Combustion:
YES
or
NO
High
Low
2a. Combustion Air Temperature:
° F
Inlet Gas
"w.c.
"w.c.
2b. Approximate Elevation:
Ft.
Oxygen (O2)
%
%
3. Water Inlet Temperature:
° F
Carbon Dioxide (CO2)
%
%
4. Water Outlet Temperature:
° F
Carbon Monoxide (CO)
ppm
ppm
gpm
Stack Temperature
° F
° F
5a. Glycol ?
YES
or
NO
Main Flame Signal
Yes/No
Yes/No
6. Operating Temperature Setpoint:
° F
Inlet AirTemperature
° F
° F
(from internal OR external control)
8. Approximate Stack Lengths:
Ft. Horizontal
Ft. Vertical
Flue Pipe Diameter
Start-Up Field Test: DATE:
9. Stack Pressure (measured where stack exits boiler):
High
Low
"w.c. (High)
Inlet Gas
"w.c.
"w.c.
"w.c. (Low)
Oxygen (O2)
%
%
10. Electrical Supply Power: L1 to L2
Volts
Carbon Dioxide (CO2)
%
%
L1 to N
Volts
Carbon Monoxide (CO)
ppm
ppm
Less than 1 volt between neutral and ground: YES or NO
Stack Temperature (net)
° F
° F
11. Total Cycles:
Main Flame Signal
Yes/No
Yes/No
12. Total Hours:
Inlet Air Temperature
° F
° F
13. Any Faults? Describe with
code, time and description:
14. Condensate drain from boiler connected to stack drain with Stainless Steel or High-Temp (500
o
F) Silicon piping or tubing, and then trapped:
YES or NO
Performed by:
Additional Comments:
Please return a copy to Harsco Industrial, Patterson-Kelley, ATTN: Boiler Technical Service
Harsco Industrial, Patterson-Kelley · 100 Burson Street · E. Stroudsburg, PA 18301
Phone: (570) 476-7261 Fax: (570) 476-7247 www.harscopk.com
5. Water Flow:
7. Gas Valve a. Low Fire Setting (N)
b. High Fire Setting (V)
Type of Installation:
Date:
Address:
MODU-FIRE
®
FORCED DRAFT BOILER
START-UP REPORT
Contact:
