Header and items 1 to 7: the boiler
City and state, building, region number, headquarters, date of inspection, number of boilers, plant boiler number, manufacturer, type of boiler and setting, dates made and installed, and service.
GSA349
Inspection Report of Boiler
GSA Form 349, Inspection Report of Boiler, is a General Services Administration, Public Buildings Service form dated November 1962, and GSA hosts it in its forms library. The heading says to make a separate report for each boiler.
The form has 60 numbered items. They cover the building and boiler, the manufacturer's rating and operating pressures, the fuel and tubes, the condition found inside and out, the hydrostatic test, safety valves, gauges and fusible plugs, feeding apparatus and firing equipment, repairs since the last inspection, fire fighting provisions and how the personnel in charge grade. It ends with whether the boiler is safe to operate, the inspector's recommendations and signature, and remarks by the local officer or engineer in charge. Items marked with an asterisk are recorded at the first inspection only.
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City and state, building, region number, headquarters, date of inspection, number of boilers, plant boiler number, manufacturer, type of boiler and setting, dates made and installed, and service.
Capacity and maximum allowable working pressure, operating pressure, hot water and return temperatures, any reduced pressure, last inspection and inspector, fuel, and tube and section data.
Setting condition, grease, scale, embrittlement, grooving, pitting or corrosion, bags or blisters, hammer test, feed water treatment, tubes, nipples, the hydrostatic pressure applied and the recommended maximum safe working pressure.
Safety valves and their pressure test, the boiler gauge against the inspector's test gauge, fusible plugs, gauge glass, water column and try cocks, blow-off valves, and the boiler feeding apparatus.
General internal and external condition, baffles, calking, mounting and stack, hand or stoker firing, oil or gas firing with safety controls, firing efficiency, flue gas temperature, grates, repairs since last inspection and fire fighting provisions.
How personnel in charge grade (competent, doubtful or incompetent), whether the boiler is safe to operate, the inspector's recommendations and signature, and remarks by the officer in charge.
The heading says to make a separate report for each boiler. Enter the building details, date of inspection and plant boiler number.
Items marked with an asterisk, such as the type of setting, dates made and installed and tube data, are recorded at the first inspection only.
Enter the hydrostatic pressure applied, any defects, whether it was 1½ times the maximum allowable pressure and why not if not, and the recommended maximum safe working pressure.
Record the safety valves, their settings and pressure test results, the gauge readings, fusible plugs and other fittings in items 32 to 46.
State whether the boiler is in a safe condition to be operated. If not, item 58A says the inspector notifies the custodian or building superintendent in writing and the regional office by wire.
The inspector signs with a title in item 59, and the officer or engineer in charge adds remarks and signs in item 60. The form says to use additional sheets if necessary.
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The form prints no address. Item 58A mentions the custodian or building superintendent and the regional office for an unsafe boiler.
Item 58A says that if the boiler is not safe to operate, the inspector will notify the custodian or building superintendent immediately in writing not to use it, and give complete details to the regional office by wire.
The form reads GENERAL SERVICES ADMINISTRATION, PUBLIC BUILDINGS SERVICE, and GSA FORM 349 NOV 62. GSA's page lists a current revision date of 11/1962.
The PDF prints no separate instructions, OMB number or privacy statement. Its notes say to make a separate report for each boiler and to use additional sheets if necessary.
Items 59, 59a and 59B are the inspector's recommendations and remarks, signature and title.
Items 60, 60A and 60B are for recommendations and remarks by the local officer or engineer in charge, with their signature and official title.
If item 58 is answered no, the form says the inspector will notify the custodian or building superintendent immediately in writing not to use the boiler.
Item 58A also says the inspector gives complete details to the regional office by wire. The header records the region number.
The form's signature blocks and item 58A show these roles.
The agency’s own page for Form GSA349.
The official blank form, to print or fill by hand.
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The form is headed GENERAL SERVICES ADMINISTRATION, PUBLIC BUILDINGS SERVICE, and marked GSA FORM 349 NOV 62. GSA hosts it in its forms library.
No. The heading says to make a separate report for each boiler. Item 1 records the number of boilers in the building subject to inspection.
The form says items marked with an asterisk are to be recorded at the first inspection only.
Item 58A says the inspector will notify the custodian or building superintendent immediately in writing not to use it, and give complete details to the regional office by wire.
The inspector signs item 59a with a title in 59B. The local officer or engineer in charge signs item 60A with an official title in 60B.
Item 30 asks whether the test pressure was 1½ times the maximum allowable pressure as rated, and item 30A asks why not if the maximum pressure was not applied.