Boiler, Elevator and Coal
Mine Safety Division

Certificate of Competency Application

I hereby apply for permission to take the examination to qualify as an approved Boiler/Pressure Vessel Inspector in the State of Utah.

  1. Applicant Information
  2. Certification Information
  3. Employer Information
  4. Boiler Shop Experience
  5. Boiler Operating Experience
  6. Boiler Inspection Experience
  7. Signature