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Run: Steam Boiler Low-Water Cutoff Functional Test

Use this Steam Boiler Low-Water Cutoff Functional Test template to verify primary and auxiliary cutoff devices, confirm burner shutdown on low-water conditio...

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Inspection Details and Test Authorization

Record boiler number, location, manufacturer, model, and serial number.
Document when the functional test was performed.
Record the names and roles of the person performing the test and the boiler operator or responsible facility representative.
Confirm the test was authorized and the boiler was placed in the proper test condition per site procedure.

Safety Preconditions and Test Readiness

Confirm the test is being performed by a competent person or qualified technician familiar with boiler controls and safety devices.
Verify the boiler is in a controlled condition suitable for simulating low-water cutoff operation without creating an unsafe condition.
Confirm lockout-tagout or equivalent energy control measures are applied if required by the site procedure for the test setup.
Verify any tools, gauges, or test equipment needed to simulate low water conditions are available, serviceable, and appropriate for the boiler type.

Visual Condition of Low-Water Cutoff Devices

Confirm the primary low-water cutoff device is accessible, labeled, and identifiable on the boiler.
Confirm the auxiliary low-water cutoff device is accessible, labeled, and identifiable on the boiler.
Inspect both cutoff devices and associated piping, wiring, and fittings for visible leaks, corrosion, damage, blockage, or evidence of tampering.
Verify the boiler water level is within the normal operating range before initiating the functional test.

Functional Test of Primary Low-Water Cutoff

Simulate low-water conditions and verify the primary low-water cutoff causes the burner to shut off as intended.
Confirm the burner stops firing without continued flame, delayed response, or unsafe cycling after the primary cutoff actuates.
Verify the primary low-water cutoff resets and returns to normal operation only after the water level is restored and the device is reset per manufacturer or site procedure.
Record the outcome of the primary cutoff functional test.

Functional Test of Auxiliary Low-Water Cutoff

Simulate low-water conditions and verify the auxiliary low-water cutoff also causes burner shutdown as intended.
Verify the auxiliary low-water cutoff remains in a safe state and requires manual intervention or reset as designed after actuation.
Record the outcome of the auxiliary cutoff functional test.

Exceptions, Corrective Actions, and Approval

Describe any failed checks, abnormal response, delayed shutdown, reset issues, leaks, or other deficiencies observed during the test.
Record the corrective action, responsible party, and target completion date for any deficiency found.
Inspector attestation that the test was performed and results were recorded accurately.

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