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ADOSH - Boilers - Inspection Form

Arizona Division of Occupational Safety and Health (ADOSH)
Boiler Safety Section

Bill Warren, Director
Email: [email protected]

Phoenix Office
800 W Washington St, Phoenix AZ 85007
(PO Box 19070, Phoenix AZ 85005-9070)
Phone: (602) 542-5795
Toll Free: (855) 268-5251
FAX: (602) 542-1614

Tucson Office
2675 East Broadway, Tucson AZ 85716
Phone: (520) 628-5478
Toll Free: (855) 268-5251
FAX: (520) 322-8008

Phone List of ICA Divisions

Choose a Boiler Inspection Form Type!

The Request for Certificate Inspection of Intallation or Reinstallation of Boiler or Fired Pressure Vessel Form is available in two types. The first is a PDF, which you can type into but not save. This means that after filling it out on your computer, you need to print it. You won't be able to save the form. All that is required is Adobe Reader, which is a free download. You can get it from http://www.adobe.com

Request for Certificate Inspection . . . of Boiler or Fired Pressure Vessel (PDF)

This is a Microsoft Word® form. It opens in Word97® and later editions. If you type into a text box (they are little grey boxes) in the form, it will expand to contain your test. You can save the form and the data will not be lost. You can attach it to an email, or you can print it, then FAX or mail 

Request for Certificate Inspection . . . of Boiler or Fired Pressure Vessel (Word)