ADOSH Request for Boiler Repair Form
An owner, user or licensed contractor must request an inspection prior to performing an alteration or repair of a boiler or a fired pressure vessel in the State of Arizona, in accordance with Arizona Administrative Code, R20-5-404.B, and R20-5-406. This form may be used to make this request.
The following provisions must be met or the request will not be accepted:
- The boiler or fired pressure vessel must be constructed in a manner which meets the standards of the Arizona Administrative Code, Boiler Rules: R20-5-404.
- The owner, user or licensed contractor shall have on-site the Manufacturer's Data Report for the boiler and/or fired pressure vessel, and any other Manufacturer's manuals/documents pertinent to the contemplated alteration or repair.
- Non-weld alterations or repairs shall be performed by an installer holding a current contractor's license issued pursuant to Chapter 10, Title 32, A.R.S. §32-1122, which authorizes the licensee to perform boiler or fired pressure vessel work.
- This Inspection Request is not for welded alterations or repairs. Alteration or repair of a boiler or fired pressure vessel involving welding shall be performed by an organization accredited by the National Board of Boiler and Pressure Vessel Inspectors as stipulated in A.A.C. R20-5-404B.
This form must be completed in its entirety. Failure to do so may cause a delay in processing. It can be submitted online or it can be submitted to ADOSH by mail, fax, or hand-delivery.