Charaibatee: FIRST INSPECTION REPORT OF TEXAS DEPARTMENT OF LICENSING AND REGULATION BOILER COMPLIANCE

FIRST INSPECTION REPORT OF TEXAS DEPARTMENT OF LICENSING AND REGULATION BOILER COMPLIANCE ON JULY 21, 2011

1 Purpose

1.1 The purpose of this procedure is to describe how to complete the First Inspection Report.

2 Scope

2.1 This form will be used when an object is registered with the State for the first time. It is used for identification purposes and does not mean it is authorized to operate.

3 General

3.1 The form to be used for the first inspection is known as TDLR FORM 005BLR.

3.2 Use black or blue ink to complete the form.

4 Description

4.1 The die stamps, corrosion-resistant metal tags and the Texas Boiler Number decals are controlled by the Boiler Program, TDLR and are issued upon successful completion of the Texas Commission exam. More metal tags and decals, in packages of fifty, are issued upon request.

4.2 The procedure for use of the Texas Boiler Number, when stamping of the boiler is allowed, applying the numbered decal or the use of the corrosion-resistant metal tag, is described in the Texas Boiler Law and Rules, ref: 65.60(c)

4.3 Complete all blanks as described below:

Side 1 (Exhibit 1a)

(1) Place the lower portion of the boiler decal, containing the Texas Boiler Number, in this area. This will be the number you put on the object.

(2) Enter the complete manufacturer's name (not assembler) as shown on the ASME stamping or nameplate. Do not put trade or model names.

(3) Enter the National Board number as shown on the ASME Code stamping or nameplate.

. If boiler has more than one National Board number, put the lowest number in the space provided and list the other numbers in the "Conditions" section.

. If the boiler does not have a National Board number, write "NONE" in the space provided.

. All boilers except cast iron boilers require National Board registration. If registration is required and the boiler does not have a National Board number, it must be identified as a violation in the violation section of the report.

(4) Enter Manufacturer's serial number as shown on the ASME Code stamping or nameplate.

(5) Enter the year built as shown on the ASME stamping or nameplate.

(Note: This is a mandatory entry. If estimated, "est." will be entered in front of year.)

(6) Enter the appropriate inspection interval, A - “Annual”, B - “Biennial”, T - “Triennial”.

(7) Enter the boiler type from the choices below:

C - Cast Iron

CA - Cast Aluminum

CK - Steam Pressure Cooker

DC - Direct Contact

E - Electric

F - Fire Tube

FW - Fire/Water Tube

O - Other (must be fully explained in conditions section)

PG - Process Steam Generator

SJ - Steam Jacketed Kettle

U - Unfired

W - Water Tube

(8) Enter the boiler use from the choices below:

H - Hot Water Heating (provisions for thermal expansion must be addressed)

HT - High Temp Water Boiler

O - Other (must be fully explained in the conditions section)

P - Power

PP Portable Power

R - Process

S - Steam Heat

SJ - Steam Jenny

W - Hot Water Supply (provisions for thermal expansion may be required)

(9) Enter the year installed.

(Note: This is a mandatory entry. If estimated, "est." will be entered in front of year.)

(10) Heating Surface (square feet) - The heating surface should only be indicated in square feet if available. Do not use kilowatts (kW) or horsepower (H.P.). To convert kW to heating surface, see Exhibit 2.

(11) For Section IV potable water heaters and heating boilers, steam or hot water, enter the gallon capacity.

(12) Check the appropriate block to indicate whether the boiler has a manhole.

(13) This is asking if the object was built to ASME Code. Check the appropriate block.

(14) Enter the ASME Code stamp(s) shown on the boiler. All boilers except special designed (Texas Special) boilers must be stamped to the applicable Section of the ASME Code. If the boiler does not have a stamp and block 13 is “No”, enter “NONE” in the space provided and enter a “V” in the requirements section of the report.

A - Boiler Assembly (in conjunction with “S” stamp)

H - Heating Boilers

HLW - Water Heaters

M - Miniature Boilers

O - Other (explain)

S - Power Boilers

U - Pressure Vessels

U2 - Division 2 Pressure Vessels

E Electric

(15) Max Design Steam Cap – Enter the maximum design steam capacity in lbs/HR from either the Manufacturer’s Data Report or the nameplate/Code stamping.

(16) Enter the manufacturer’s model number if shown.

(17) Enter the appropriate fuel from the choices below:

(Note: If the boiler is fueled by more than one source, enter all fuel sources with the primary fuel first.)

AL - Alcohol

BD Biodiesel

BG - Bagasse

BL - Black Liquor

BU - Butane

CK - Coke

CO - Coal

E - Electricity

FO - Fuel Oil

HS - Hydrogen Sulphide

HY - Hydrogen

KE - Kerosene

LD - LP/Diesel

ME - Methane

NF - Natural Gas/Fuel Oil

NG - Natural Gas

NM - Natural Gas/Methane

NP - Natural Gas/Propane

NR - Natural Gas/Recovered Heat

NS Sulfur/Natural Gas

NW - Natural Gas/Wood

O - Other (explain)

PR - Propane

RE Recovered Heat/Electric

RH - Recovered Heat

RN - Recovered Heat/Natural Gas

SE - Solar/Electric

SG - Sewer Gas

SN - Solid Waste/Natural Gas

SO - Solar

ST - Steam

SU - Sulphur

SW - Solid Waste-GRBG

WD - Wood

WS - Water/Steam

WT - Water

(18) Enter the appropriate method of firing from the choices below:

A - Automatic

M - Manual

NF - Not Fired

(19) Enter the Btu/hr input as shown on stamping or nameplate information. For electric boilers, convert kW to Btu/hr (Exhibit 2). If information is not shown or is not applicable, enter unknown or N/A. This information is mandatory for all heating boilers.

(20) Enter Btu/hr output as shown on stamping or nameplate information.

(21) Check the appropriate block.

(22) Enter the number of sections if the boiler is cast iron.

(23) Enter the number of drums and/or shells.

(24) Enter the diameter in ID or OD for shell(s) and/or drum(s).

(25) Enter overall length of shell or drum in feet and inches.

(26) Enter the number of installed gage glasses.

(27) Enter the number of gage cocks per gage glass if gage cocks are installed.

(28) Provide installer's name and address, if known.

(29) Indicate the Code or non-Code status of the installed expansion tank. Note: Provision for thermal expansion is mandatory for hot water heating boilers. For closed systems operating above 30 psig, ASME Code Section VIII, Division 1 construction and stamping is required. If the system is of the open type, clearly indicate in the condition section of the report the provisions for thermal expansion. If this block is not applicable to the installation, check N/A.

(30) Enter the maximum allowable working pressure of the tank.

(31) Enter the capacity of the tank in gallons.

(32) Check the appropriate block indicating Code status of boiler external piping. This applies to Section I boilers and Section VIII, unfired boilers and process steam generators.

(33) Enter the stamped maximum allowable working pressure as shown on the ASME stamping or nameplate.

(34) Enter the complete business name at the boiler location.

(35) Enter the boiler location address. Do not list post office boxes unless it is shown in conjunction with the actual location address and has the same zip code. Do not put "SAME".

(36) Enter the boiler location address if an additional address line is needed.

(37) Enter the city where the boiler is located.

(38) Enter the zip code for the boiler location address.

(39) Enter the county where the object is located.

(40) Enter the telephone number (if any) at the location. Include the area code.

(41) Enter the location on site (i.e., boiler room, laundry room, etc.).

(42) Enter owner's complete business name. Do not enter “same”.

(43) Enter owner's complete mailing address. Do not enter “same”.

(44) Enter owner's complete mailing address if an additional address line is needed.

(45) Enter owner's city.

(46) Enter owner's state (two letter abbreviation).

(47) Enter owner's mailing address zip code.

(48) Enter owner's phone number. Include the area code.

(49) Check the appropriate block. If other, provide the information in the "Conditions" section.

(50) Enter the nature of the business.

Side 2 (Exhibit 1b)

(51) Double Block and Bleed – Complete this block when two or more boiler are connected to a common steam header, or when a single boiler is connected to a header having another steam source, the connection from each boiler having a manhole opening is fitted with two stop valves having an ample free-blow drain between them. This includes all piping from the boiler proper up to and including the second stop valve and the free-blow drain valve.

(52) Enter the MAWP of the low water fuel cutoff(s). Note: The low water fuel cutoff device(s) must be equal to or greater than the MAWP for the boiler.

(53) Check the type of installed low water fuel cutoff(s). Other acceptable codes, not listed as a check box, are Expansion Ring and Thermalcouple. If other, describe.

(54) Enter the size of the safety relief valve(s) inlet and outlet in inches.

(55) Enter the safety relief valve set pressure. This pressure cannot exceed the pressure allowed unless documented as a violation.

(56) Enter the safety relief valve capacity and check appropriate block to indicate Btu/hr or lbs. of steam per hour.

(57) Minimum SV/SRV Capacity (Section IV only) – Enter the minimum safety/safety relief valve capacity in lbs/HR as indicated on the valve body data plate.

(58) Give the overall condition of the boiler. Enter any other applicable information as addressed in previous blocks (i.e., other billing address, additional National Board numbers, etc.).

(59) List all Code violations or additional requirements, which must be met prior to issuance of a Certificate of Operation. See AIA Procedure 6 for violations.

(60) Enter the alpha code shown in the left column for the appropriate fee type:

B - Heating Boiler; no Manhole

C - Heating Boiler; with Manhole

D - Non-heating Boiler

(61) Enter appropriate fee.

(62) Check the appropriate block for the type of inspection performed. Where construction will permit, all boilers must receive an internal inspection.

(63) Check the appropriate block or blocks.

(64) Enter the physical inspection date.

(65) This block is for TDLR use only. Do not make an entry.

(66) Sign your name. Copies of signatures are unacceptable.

(67) Enter your 4 digit Texas Commission number.

(68) Enter your inspecting organization number.

(69) Have the person present at the time of inspection or contact person sign the inspection report. This is mandatory.

(70) Have the contact person enter the date they signed the report.

(71) Have the contact person provide their phone number.

(72) Based on the condition of the boiler, check the appropriate block to indicate your recommendation for issuance of the Certificate of Operation. Note: If violations exist on the boiler per the Texas Boiler Law and Rules, the “No” block must be checked and a repair requirements form must be completed and submitted with the report. Reference AIA Procedure 6.

(73) Enter the Texas Boiler number assigned.

(74) Enter the physical inspection date.

(75) Check appropriate block.

(76) Enter your inspecting organization name.

(77) Enter your Texas Commission number.

(78) Check appropriate block.

4.4 Remove the bottom portion and give to the owner/operator as proof of inspection.

4.5 Mail completed inspection report, repair requirements form, when applicable and the Manufacturer’s Data Report (if one can be obtained) to TDLR within 30 days of inspection.

4.6 Should you need additional information, contact TDLR at (800) 722-7843 or (800) 803-9202.

Approved:

Luis Ponce, Chief Inspector

July 21, 2011

TEXAS DEPARTMENT OF LICENSING AND REGULATION

BOILER COMPLIANCE

FIRST INSPECTION REPORT Exhibit 1a

TX BOILER# DECAL

MANUFACTURER

NAT’L BOARD#

SERIAL NUMBER

YR BUILT

INTVL

BOILER TYPE

BOILER USE

YEAR INSTALLED

HEATING SURFACE

CAPACITY (GAL)

MANHOLE?

ASME CODE?

ASME CODE STAMP

MAX DESIGN STEAM CAP

YES NO

YES13 NO

MFGR MODEL #

FUEL

FIRING METHOD

Btu/hr INPUT

Btu/hr OUTPUT

NEW 21

SECOND-HAND

C.I. SECTIONS

SHELL OR DRUM

SHELL OR DRUM DIA.

OVERALL LENGTH

GAGE GLASS

GAGE COCKS

NO: 22

NO: 23

24 OD

25 FT. IN.

BOILER INSTALLER’S NAME AND ADDRESS

NAME 28

ADDRESS(2)

ADDRESS(1)

CITY/ST/ZIP

EXPANSION TANK ASME?

BOILER INSPECTION ADDRESS

OWNER ADDRESS INFORMATION

LOCATION NAME

OWNER NAME

YES NO

N/A

EXPANSION TANK MAWP

LOCATION STREET ADDRESS(1)

OWNER MAILING ADDRESS(1)

EXPANSION TANK CAP. (GAL)

LOCATION STREET ADDRESS(2)

OWNER MAILING ADDRESS(2)

CITY

ZIP CODE

CITY

ZIP CODE

EXTERNAL PIPE ASME?

YES NO

N/A 32

COUNTY

LOCATION PHONE

OWNER PHONE

SEND BILL TO:

( ) 40

( ) 48

LOCATION OWNER OTHER (IF OTHER, SPECIFY IN “CONDITIONS”)49

STAMPED BOILER MAWP

LOCATION ON SITE

NATURE OF BUSINESS

Exhibit 1b

DOUBLE BLOCK & BLEED			LOW WATER CUTOFF MAWP		LOW WATER CUTOFF TYPE
51 YES NO N/A			52		PROBE TYPE FLOAT & CHAMBER TRANSMITTER FLOW SWITCH PRESSURE DIFFERENTIAL OTHER___ 53___
SAFETY-RELIEF VALVE SIZE:			SAFETY-RELIEF VALVE SET PRESSURE:			SAFETY-RELIEF VALVE CAPACITY:
1. 54“X “			1. 55 PSI			1. 56 Btu/hr #/hr
2. “X “			2. PSI			2. Btu/hr #/hr
MINIMUM SV/SRV CAPACITY (SECTION IV ONLY)			57
CONDITIONS With respect to the internal surface describe and state location of any scale, oil or other deposits. Give location and extent of any corrosion and state whether active or inactive. State location and extent of any erosion, grooving, bulging, warping, cracking or similar condition. Report on any defective rivets, bowed, loose or broken stays. State condition of all tubes, tube ends, coils, nipples, etc. Describe any adverse conditions with respect to pressure gage, water column, gage glass, gage cocks, safety valves, etc. Report condition of setting, linings, baffles, supports, etc. Describe any major changes or repairs made since last inspection. 58




REQUIREMENTS (LIST CODE VIOLATIONS) 59





FEE TYPE	FEE AMT($)	INSPECTION TYPE 62		TEXAS BOILER # IDENTIFIED BY 63			DATE INSPECTED		CERTIFICATE EXPIRATION DT
60	61	INTERNAL EXTERNAL		DECAL STAMPED TAGGED			_______64______ (MM/DD/YY)		_____65_______ (MM/DD/YY)
I HEREBY CERTIFY THAT THIS IS A TRUE REPORT AS A RESULT OF MY INSPECTION. ________________66___________________ _____67_______ ___68____ SIGNATURE OF INSPECTOR TX COMM. # INSP. ORG. ________________69________________________________ ______70____________ SIGNATURE OF INDIVIDUAL PRESENT AT INSPECTION DATE (MM/DD/YY) _(____)_________71___________ INDIVIDUAL’S PHONE #								IS CONDITION OF OBJECT SUCH THAT A CERTIFICATE MAY BE ISSUED? YES NO 72 (IF NO, EXPLAIN FULLY UNDER CONDITIONS.)
UPON COMPLETION OF THE INSPECTION, RETURN THIS REPORT TO TDLR IMMEDIATELY. LEAVE THE RECEIPT BELOW WITH THE OWNER/OPERATOR.

THIS IS YOUR PROOF OF INSPECTION ONLY. TEXAS

BOILER #

THIS IS NOT A CERTIFICATE OF OPERATION. ____73______

INSPECTION VIOLATIONS INSPECTING INSPECTOR

DATE NOTED? ORGANIZATION NUMBER

74 YES 75 NO ______76_______ ____77_____

AN INVOICE WILL FOLLOW FOR THE CERTIFICATE/INSPECTION

78 FEE OF: $70.00 (AIA INSP.) $110.00 (STATE INSP.) $140.00 (STATE INSP.)

FEE IS INCURRED FOR EACH BOILER INSPECTED.

TDLR FORM 005BLR 12/07

Exhibit 2

This formula should be used to convert kW to Sq. Ft. heating surface.

Alternating Current

Sq. Ft. = kW x 3413.0 x 3.8

33475

This formula should be used to convert amperes/volts to kilowatts.

Direct Current	Alternating Current
Direct Current	Single Phase	Three Phase
____I x E____ 1000	___I x E x P.F.__ 1000	I x E x 1.73 x P.F. 1000

I = Amperes

E = Volts

P = Power Factor (Power Factor can be obtained from each city utility company. However, each city in Texas has a Power Factor over .95. Therefore, a Power Factor of .95 can always be used.)

To convert kW to Btu/hr: kW x 3.5 x 1,000 = Btu/hr

Charaibatee

Wednesday, June 18, 2014

FIRST INSPECTION REPORT OF TEXAS DEPARTMENT OF LICENSING AND REGULATION BOILER COMPLIANCE

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