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Check off steps as completed:
❏ 1. Boiler and heat distribution units filled
with water?
❏ 2. Automatic air vent, if used, opened one
full turn?
❏ 3. Air purged from system? Piping checked
for leaks?
❏ 4. Air purged from oil piping? Piping checked
for leaks?
❏ 5. Flue cap in place and tightened? Burner
door closed, sealed and nut tight? Burner
plugged in and service switch on?
Obtain gas-tight seal to
prevent possible flue gas
leakage and carbon monoxide emissions,
leading to severe personal injury or death.
❏ 6. Proper draft and burner flame? Final
adjustment made with combustion
test equipment?
❏ 7. Test limit control: While burner is
operating, move indicator on limit control
below actual boiler water temperature.
Burner should go off while circulator
continues to operate. Raise setting on limit
control above water temperature and
burner should re-ignite.
❏ 8. Test additional field-installed controls: If
boiler has a low water cutoff, additional
high limit or other controls, test for
operation as outlined by manufacturer.
Burner should be operating and should go
off when controls are tested. When controls
are restored, burner should re-ignite.
❏ 9. Limit control set to system temperature
requirements (max. 220°F)?
❏ 10. For multiple zones, flow adjusted to
distribute heat in all zones?
❏ 11. Thermostat heat anticipator setting (if
available) set properly? Refer to “Connect
wiring,” page 19.
❏ 12. Boiler cycled with thermostat? Raise to
highest setting and verify boiler goes
through normal start-up cycle. Lower to
lowest setting and verify boiler goes off.
❏ 13. Observed several operating cycles for
proper operation?
❏ 14. Set room thermostat(s) to desired
room temperature?
❏ 15. Completed Installation and Service
Certificate below?
❏ 16. Reviewed Maintenance and Service Manual
with owner or maintenance person and
instructed person to keep for future reference?
❏ 17. Returned all instructions provided with
boiler to its envelope and placed with boiler
for future reference?
Check-Out Procedure
Date Installed: ______________________________________________
Boiler Model Number: __________________ Series: _________
CP Number(s):______________________________________________
Measured Btu or GPH Input: _____________________________
❏ Installation instructions have been followed.
❏ Check-out procedure has been performed.
❏ Above information is certified to be correct.
❏ Information received and left with owner/
maintenance person.
Installation and Service Certificate
Installer:__________________________________________________________________________________________________________________________
(Company) (Address) (Phone)
_________________________________________________________________
(Installer’s Signature)
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