BOILER ACCIDENT REPORT

MM/DD/YYYY
Boiler Type






Suspected Cause









Inspection Status

Current Certificate of Operation?

Report Submitted By

MM/DD/YYYY
 

BOILER CONTACT INFORMATION
Brenda McNorton
Chief of Inspections
Office of the State Fire Marshal
800 SW Jackson, Suite 104
Topeka, KS 66612-1216
brenda.mcnorton@ksfm.ks.gov
785-296-3401
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