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TABLE OF CONTENTS

TAB SAMPLE FORMS


Report Title ........................................................................................................... 1
Certification........................................................................................................... 2
Instrument Calibration Report............................................................................... 3
Air Handling Unit (Central Station)........................................................................ 4
Air Handling Unit (Packaged/Unitary Belt Drive)................................................... 5
Air Handling Unit (Packaged/Unitary Direct Drive) ............................................... 6
Fan Test Report (Belt Drive)................................................................................. 7
Fan Test Report (Direct Drive >1/8 hp)................................................................. 8
Fan Test Report (Direct Drive <1/6 hp)................................................................. 9
Air Outlet Test Report......................................................................................... 10
VAV Terminal Unit Test Report PD .................................................................... 11
VAV Terminal Unit Test Report PI ...................................................................... 12
Fan Terminal Unit Test Report PD ..................................................................... 13
Fan Terminal Unit Test Report PI ....................................................................... 14
Duct Traverse Report (Rectangular)................................................................... 15
Duct Traverse Report (Round) ........................................................................... 16
Hydronic Pump Test Report ............................................................................... 17
Balancing Valve Test Report (Fixed or Adjustable Orifice)................................. 18
Balancing Valve Test Report (Self Adjusting) ..................................................... 19
Ultrasonic Flow Measurement Test Data............................................................ 20

Cooling Coil Test Data (Hydronic) ...................................................................... 21


Cooling Coil Test Data (DX) ............................................................................... 22
Heating Coil Test Data (Hydronic) ...................................................................... 23
Heating Coil Test Data (Steam).......................................................................... 24
Heating Coil Test Data (Electric) ........................................................................ 25
Chiller Test Report (Water Cooled) .................................................................... 26
Chiller Test Report (Air Cooled).......................................................................... 27
Cooling Tower Test Report................................................................................. 28
Hot Water Boiler Test Report.............................................................................. 29
Heat Exchanger Test Report (Water to Water)................................................... 30
Heat Exchanger Test Report (Steam to Water) .................................................. 31
Energy Recovery Wheels Test Data................................................................... 32
Duct Air Leakage Test Data (Optional)............................................................... 33

CERTIFIED TEST, ADJUST, AND


BALANCE REPORT
DATE:_____________
PROJECT:
NAME ________________________________________________________________
ADDRESS______________________________________________________________
______________________________________________________________
DESIGN ENGINEER:
NAME ________________________________________________________________

HVAC CONTRACTOR:
NAME ________________________________________________________________

NEBB TAB FIRM:


NAME ________________________________________________________________
ADDRESS_____________________________________________________________
______________________________________________________________

TAB CERTIFICATION NUMBER: _______________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

Page _____ of _____

CERTIFICATION

PROJECT____________________________________________________________________

THE DATA PRESENTED IN THIS REPORT IS A RECORD OF SYSTEM MEASUREMENTS AND


FINAL ADJUSTMENTS THAT HAVE BEEN OBTAINED IN ACCORDANCE WITH THE CURRENT
EDITION OF THE NEBB PROCEDURAL STANDARDS FOR TESTING, ADJUSTING, AND
BALANCING OF ENVIRONMENTAL SYSTEMS. ANY VARIANCES FROM DESIGN QUANTITIES,
WHICH EXCEED NEBB TOLERANCES, ARE NOTED IN THE TEST- ADJUST- BALANCE REPORT
PROJECT SUMMARY.

SUBMITTED & CERTIFIED BY:


NEBB CERTIFIED TAB FIRM NAME _____________________________________________
CERTIFICATION NO. ____________ CERTIFICATION EXPIRATION DATE___________
REPORT DATE __________________________

SEAL

NEBB QUALIFIED TAB SUPERVISOR NAME _____________________________________


NEBB QUALIFIED TAB SUPERVISOR SIGNATURE________________________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

Page _____ of _____

INSTRUMENT CALIBRATION REPORT

PROJECT ____________________________________________________________________

INSTRUMENT
TYPE

MANUFACTURER

MODEL
NUMBER

SERIAL
NUMBER

DATES OF USE

INSTRUMENT
CALIBRATION
DATE

NEBB TAB FIRM


TAB SUPERVISOR

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

Page _____ of _____

AIR HANDLING UNIT TEST REPORT


(Central Station)

PROJECT
LOCATION

SYSTEM/UNIT
DATE

UNIT DATA
Unit Designation
Manufacturer
Model Number
Serial Number

MOTOR DATA
HP (Kw)
RPM
Rated Volts
Rated Amps
Phase
Operating Hz
Service Factor

DESIGN

ACTUAL

DESIGN

ACTUAL

Operating Volts
Operating Amps

FAN DATA
Supply Air CFM (L/s)
Outside Air CFM (L/s)
Return Air CFM (L/s)
Total Outlet Air CFM (L/s)
Fan Discharge S.P. in.
(Pa)
Fan Suction S.P. in. (Pa)
Fan Total S.P in. (Pa)
External S.P. in. (Pa)

DESIGN

ACTUAL
OTHER DATA
Motor Sheave OD
Motor Sheave Bore
Fan Sheave OD
Fan Sheave Bore
Sheave Center Distance
Number of Belts
Belt Size

Fan RPM

REMARKS:
TEST DATE:
READINGS BY:

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

Page _____ of _____

AIR HANDLING UNIT TEST REPORT


(Packaged/Unitary Belt Drive)

PROJECT
LOCATION

SYSTEM/UNIT
DATE

UNIT DATA
Unit Designation
Manufacturer
Model Number
Serial Number

MOTOR DATA
HP (Kw)
RPM
Rated Volts
Rated Amps
Phase
Operating Hz
Service Factor

DESIGN

ACTUAL

DESIGN

ACTUAL

Operating Volts
Operating Amps

FAN DATA
Supply Air CFM (L/s)
Outside Air CFM (L/s)
Return Air CFM (L/s)
Total Outlet Air CFM (L/s)
External Discharge S.P.
in. (Pa)
External Suction S.P. in.
(Pa)
External S.P. in. (Pa)

DESIGN

ACTUAL
OTHER DATA
Motor Sheave OD
Motor Sheave Bore
Fan Sheave OD
Fan Sheave Bore
Sheave Center Distance
Number of Belts
Belt Size

Fan RPM

REMARKS:
TEST DATE:
READINGS BY:

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

Page _____ of _____

AIR HANDLING UNIT TEST REPORT


(Packaged/Unitary Direct Drive)

PROJECT
LOCATION

SYSTEM/UNIT
DATE

UNIT DATA
Unit Designation
Manufacturer
Model Number
Serial Number

MOTOR DATA
HP (Kw)
RPM
Rated Volts
Rated Amps
r Phase
Operating Hz
Service Factor

DESIGN

ACTUAL

DESIGN

ACTUAL

Operating Volts
Operating Amps

FAN DATA
Supply Air CFM (L/s)
Outside Air CFM (L/s)
Return Air CFM (L/s)

DESIGN

ACTUAL
OTHER DATA

Total Outlet Air CFM (L/s)


External Discharge S.P.
in. (Pa)
External Suction S.P. in.
(Pa)
Fan RPM

REMARKS:
TEST DATE:
READINGS BY:

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

Page _____ of _____

FAN TEST REPORT


(Belt Drive)
PROJECT __________________________________________________________________

FAN DATA
Unit Designation
Type of Service
Manufacturer
Model Number
Serial Number
TEST DATA

FAN NO.

DESIGN

FAN NO.

ACTUAL

DESIGN

ACTUAL

FAN NO.

DESIGN

ACTUAL

Total Airflow CFM (L/s)


Total Outlet Airflow CFM(L/s)
Fan Suction SP in. (Pa)
Fan Discharge SP in. (Pa)
Total SP or ESP in. (Pa)
Motor HP (Kw)
Motor RPM
Motor Rated Volts
Motor Rated Amps
Motor Phase
Motor Operating Hz
Motor Service Factor
Motor Sheave OD
Motor Sheave Bore
Fan Sheave OD
Fan Sheave Bore
Sheave Center Distance
Number of Belts
Belt Size
Fan RPM
Operating Voltage
Operating Amps T1/T2/T3

REMARKS:
TEST DATE _________________________
READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

Page _____ of _____

FAN TEST REPORT


(Direct Drive) >1/8 hp
PROJECT __________________________________________________________________
FAN DATA
Unit Designation
Type of Service
Manufacturer
Model Number
Serial Number
TEST DATA
Total Airflow CFM (L/s)
Total Outlet Airflow CFM(L/s)

FAN NO.

DESIGN

ACTUAL

FAN NO.

DESIGN

ACTUAL

FAN NO.

DESIGN

ACTUAL

Fan Suction SP in. (Pa)


Fan Discharge SP in. (Pa)
Total SP or ESP in. (Pa)
Motor HP (Kw)
Motor RPM
Motor Rated Volts
Motor Rated Amps
Motor Phase
Motor Operating Hz
Motor Service Factor

Operating Voltages
Operating Amperages

REMARKS:
TEST DATE _________________________
READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

Page _____ of _____

FAN TEST REPORT


(Direct Drive) < 1/6 hp
PROJECT __________________________________________________________________
FAN DATA
Unit Designation
Type of Service
Manufacturer
Model Number

TEST DATA
Total Airflow CFM (L/s)

FAN NO.

DESIGN

ACTUAL

FAN NO.

DESIGN

ACTUAL

FAN NO.

DESIGN

ACTUAL

REMARKS:
TEST DATE _________________________
READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

Page _____ of _____

AIR OUTLET TEST REPORT

PROJECT ______________________________ SYSTEM DESIGNATION_____________


OUTLET MANUFACTURER __________________ TEST APPARATUS________________
AREA
SERVED

NO

TYPE

OUTLET
SIZE

DESIGN
VEL
FLOW

AK*

VEL

FINAL
FLOW

* NOTE: If AK = 1.00, velocity information and measurements are not required.

REMARKS:

TEST DATE _________________________


READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

10

Page _____ of _____

VAV TERMINAL UNIT TEST REPORT


(Pressure Dependent)

PROJECT ______________________________ SYSTEM DESIGNATION_____________


OUTLET MANUFACTURER _________________ OUTLET TEST APPARATUS________

VAV TERMINAL DATA


NUMBER
TYPE
SIZE

DESIGN

ACTUAL

PRIMARY MAXIMUM AIRFLOW CFM (L/S)


PRIMARY MINIMUM AIRFLOW CFM (L/S)
HEATING AIRFLOW CFM (L/S)

VAV OUTLET DATA


AREA
SERVED

NO

TYPE

OUTLET
SIZE

AK*

DESIGN
VEL
FLOW

VEL

FINAL
FLOW

VAV TERMINAL DATA


NUMBER
TYPE
SIZE

DESIGN

ACTUAL

PRIMARY MAXIMUM AIRFLOW CFM (L/S)


PRIMARY MINIMUM AIRFLOW CFM (L/S)
HEATING AIRFLOW CFM (L/S)

VAV OUTLET DATA


AREA
SERVED

NO

TYPE

OUTLET
SIZE

AK*

DESIGN
VEL
FLOW

VEL

FINAL
FLOW

* NOTE: If AK = 1.00, velocity information and measurements are not required.

REMARKS:
TEST DATE _________________________
READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

11

Page _____ of _____

VAV TERMINAL UNIT TEST REPORT


(Pressure Independent)

PROJECT _______________________________ SYSTEM DESIGNATION____________


OUTLET MANUFACTURER ______________ OUTLET TEST APPARATUS__________

VAV TERMINAL DATA


NUMBER
TYPE
SIZE
DDC CF

PRIMARY MAXIMUM AIRFLOW CFM (L/S)


PRIMARY MINIMUM AIRFLOW CFM (L/S)
HEATING AIRFLOW CFM (L/S)
DDC MAX/MIN AIRFLOWS CFM (L/S)

DESIGN

ACTUAL

--------

VAV OUTLET DATA


AREA
SERVED

NO

TYPE

OUTLET
SIZE

AK*

DESIGN
VEL
FLOW

VEL

FINAL
FLOW

VAV TERMINAL DATA


NUMBER
TYPE
SIZE
DDC CF

PRIMARY MAXIMUM AIRFLOW CFM (L/S)


PRIMARY MINIMUM AIRFLOW CFM (L/S)
HEATING AIRFLOW CFM (L/S)
DDC MAX/MIN AIRFLOWS CFM (L/S)

DESIGN

ACTUAL

--------

VAV OUTLET DATA


AREA
SERVED

NO

TYPE

OUTLET
SIZE

AK*

DESIGN
VEL
FLOW

VEL

FINAL
FLOW

* NOTE: If AK = 1.00, velocity information and measurements are not required.

REMARKS:
TEST DATE _________________________

COPYRIGHT, NEBB 2005

READINGS BY ______________________

National Environmental Balancing Bureau

12

Page _____ of _____

FAN TERMINAL UNIT TEST REPORT


(Pressure Dependent)
PROJECT ___________________________________ SYSTEM DESIGNATION_______________
OUTLET MANUFACTURER ____________________ OUTLET TEST APPARATUS_____________

VAV TERMINAL DATA


NUMBER
TYPE
SIZE

DESIGN
PRIMARY MAXIMUM AIRFLOW CFM (L/S)
PRIMARY MINIMUM AIRFLOW CFM (L/S)
HEATING AIRFLOW CFM (L/S)
FAN AIRFLOW CFM (L/S)
FAN SPEED (Hi,med,low,variable,etc)

DDC CF

ACTUAL

--------

VAV OUTLET DATA


AREA
SERVED

NO

TYPE

OUTLET
SIZE

AK*

DESIGN
VEL
FLOW

VEL

FINAL
FLOW

* NOTE: If AK = 1.00, velocity information and measurements are not required.

REMARKS:
TEST DATE _________________________
READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

13

Page _____ of _____

FAN TERMINAL UNIT TEST REPORT


(Pressure Independent)

PROJECT _________________________________________ SYSTEM DESIGNATION_______________


OUTLET MANUFACTURER ___________________________ OUTLET TEST APPARATUS____________

VAV TERMINAL DATA


NUMBER
TYPE
SIZE

PRIMARY MAXIMUM AIRFLOW CFM (L/S)


PRIMARY MINIMUM AIRFLOW CFM (L/S)
HEATING AIRFLOW CFM (L/S)
FAN AIRFLOW CFM (L/S)
FAN SPEED (Hi,med,low,variable,etc)
DDC MAX/MIN AIRFLOWS CFM (L/S)

DDC ADDR
DDC CF

DESIGN

ACTUAL

---------------

VAV OUTLET DATA


AREA
SERVED

NO

OUTLET
TYPE
SIZE

AK*

DESIGN
VEL
FLOW

FINAL
VEL
FLOW

* NOTE: If AK = 1.00, velocity information and measurements are not required.

REMARKS:
TEST DATE _________________________
READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

14

Page _____ of _____

DUCT TRAVERSE TEST REPORT


(Rectangular)

PROJECT_______________________________ SYSTEM DESIGNATION____________________


LOCATION ______________________________ TRAVERSE DESIGNATION_________________
INSTRUMENTATION_______________________
DUCT
Size I.D. ____________
Area ft (m)____________
S.P. in. w.g. (Pa)________

POSITION
1
2
3
4
5
6
7
8
9
10
11
12
13

DESIGN AIRFLOW
SCFM (sL/s) _______________
CFM (L/s) _________________

ACTUAL AIRFLOW
SCFM (sL/s) _______________
FPM (m/s) _________________
CFM (L/s) _________________

10

11

12

13

VELOCITY
SUBTOTALS
.

REMARKS:

TEST DATE _________________________


READINGS BY ________________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

15

Page _____ of _____

DUCT TRAVERSE TEST REPORT


(Round)
PROJECT_______________________________ SYSTEM DESIGNATION____________________
LOCATION ______________________________ TRAVERSE DESIGNATION_________________
INSTRUMENTATION_______________________
DUCT
Size Diameter__________
Area ft (m)____________
S.P. in. w.g. (Pa)________

DESIGN AIRFLOW
SCFM (s/Ls) _______________
CFM (L/s) _________________

ACTUAL AIRFLOW
SCFM (s/Ls) _______________
FPM (m/s) _________________
CFM (L/s) _________________

REMARKS:
TEST DATE _________ READINGS BY _______________________
COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

16

Page _____ of _____

HYDRONIC PUMP TEST REPORT

PROJECT _________________________________________________________________________
UNIT DATA
Unit Designation
Type of Service
Manufacturer
Model Number
Design Flow GPM (L/s)
Design Head Ft (kPa)
Impeller Size Inches (mm)
Serial Number
Motor Manufacturer
TEST DATA
Motor Hp (Kw)
Pump/Motor Speed RPM

UNIT NO.

DESIGN

UNIT NO.

ACTUAL

DESIGN

ACTUAL

UNIT NO.

DESIGN

ACTUAL

No Flow Suction Pressure ft (kPa)


No Flow Discharge Pressure ft (kPa)
No Flow Differential Pressure ft (kPa)
Actual Impeller Size
Final Suction Pressure ft (kPa)
Final Discharge Pressure ft (kPa)
Total Dynamic Head ft (kPa)
Final Flow GPM (L/s)
Motor Rated Amperage
Final Operating Voltages
Final Operating Amperages T1/T2/T3
Final Operating HZ

REMARKS:
TEST DATE _________________________
READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

17

Page _____ of _____

BALANCING VALVE TEST REPORT


(Fixed or Adjustable Orifice)

PROJECT
Unit
Designation

Service

Manufacturer

Model
Number

Size

Design Flow
GPM
(L/s)

Valve
Setting/
Position

Final Flow
GPM
(L/s)

REMARKS:

TEST DATE _________________________


READINGS BY ________________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

18

Page _____ of _____

BALANCING VALVE TEST REPORT


(Self Adjusting)

PROJECT
Unit
Designation

Service

Manufacturer

Model
No.

Size

Design
Flow
GPM (L/s)

Operating
Pressure
Range

Final Flow
GPM (L/s)

REMARKS:

TEST DATE _________________________


READINGS BY ________________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

19

Page _____ of _____

ULTRASONIC FLOW
MEASUREMENT TEST DATA

PROJECT
Reading
No. ___

Reading
No. ___

Reading
No. ___

Reading
No. ___

Reading
No. ___

Reading
No. ___

Reading
No. ___

DESIGN
Reading Designation
Service
Location
Design Flow GPM (L/s)
ACTUAL
Pipe Size
Pipe Material
Pipe Wall Thickness
Transducer Size
Spacing Distance
Application
Final Flow GPM (L/s)

REMARKS:

TEST DATE _________________________


READINGS BY ________________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

20

Page _____ of _____

COOLING COIL TEST DATA


(Hydronic)
PROJECT _________________________________________________________________________
Coil
Designation

System
Served

Coil
Location

Design Air
Flow
CFM (L/s)

Design Water
Flow GPM (L/s)

Actual Airflow
CFM (L/s)

Actual Water
Flow GPM (L/s)

REMARKS:
TEST DATE _________________________
READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

21

Page _____ of _____

COOLING COIL TEST DATA


(DX)
PROJECT _________________________________________________________________________
Coil
Designation

System
Served

Coil
Location

Design Airflow
CFM (L/s)

Final Actual
Airflow
CFM (L/s)

REMARKS:
TEST DATE _________________________
READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

22

Page _____ of _____

HEATING COIL TEST DATA


(Hydronic)
PROJECT _________________________________________________________________________
Coil
Designation

System
Served

Coil
Location

Design Air Flow


CFM (L/s)

Design Water
Flow GPM (L/s)

Actual Airflow
CFM (L/s)

Actual Water
Flow GPM (L/s)

REMARKS:
TEST DATE _________________________
READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

23

Page _____ of _____

HEATING COIL TEST DATA


(Steam)

PROJECT ________________________________________________________________
Coil
Designation

System
Served

Coil
Location

Design Air Flow


CFM (L/s)

Actual Airflow
CFM (L/s)

REMARKS:
TEST DATE _________________________
READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

24

Page _____ of _____

HEATING COIL TEST DATA


(Electric)
PROJECT _________________________________________________________________________
Coil
Designation

System
Served

Coil
Location

Design
Airflow
CFM (L/s)

Design
Kw

Design
Voltage

Phase

Actual
Airflow
CFM (L/s)

Actual
Voltage

Actual
Amperage

REMARKS:
TEST DATE _________________________
READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

25

Page _____ of _____

CHILLER TEST REPORT


(Water Cooled)

PROJECT
UNIT DATA
Unit Designation
Manufacturer
Model Number
Serial Number

DESIGN

ACTUAL

UNIT DATA
Unit Designation
Manufacturer
Model Number
Serial Number

DESIGN

ACTUAL

EVAPORATOR DATA
Flow GPM (L/s)
Pressure Drop

DESIGN

ACTUAL

EVAPORATOR DATA
Flow GPM (L/s)
Pressure Drop

DESIGN

ACTUAL

CONDENSER DATA
Flow GPM (L/s)
Pressure Drop

CONDENSER DATA
Flow GPM (L/s)
Pressure Drop

UNIT DATA
Unit Designation
Manufacturer
Model Number
Serial Number

DESIGN

ACTUAL

UNIT DATA
Unit Designation
Manufacturer
Model Number
Serial Number

DESIGN

ACTUAL

EVAPORATOR DATA
Flow GPM (L/s)
Pressure Drop

DESIGN

ACTUAL

EVAPORATOR DATA
Flow GPM (L/s)
Pressure Drop

DESIGN

ACTUAL

CONDENSER DATA
Flow GPM (L/s)
Pressure Drop

CONDENSER DATA
Flow GPM (L/s)
Pressure Drop

REMARKS:
TEST DATE:
READINGS BY:
COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

26

Page _____ of _____

CHILLER TEST REPORT


(Air Cooled)

PROJECT
UNIT DATA
Unit Designation
Manufacturer
Model Number
Serial Number

DESIGN

ACTUAL

UNIT DATA
Unit Designation
Manufacturer
Model Number
Serial Number

DESIGN

ACTUAL

EVAPORATOR DATA
Flow GPM (L/s)
Pressure Drop

DESIGN

ACTUAL

EVAPORATOR DATA
Flow GPM (L/s)
Pressure Drop

DESIGN

ACTUAL

UNIT DATA
Unit Designation
Manufacturer
Model Number
Serial Number

DESIGN

ACTUAL

UNIT DATA
Unit Designation
Manufacturer
Model Number
Serial Number

DESIGN

ACTUAL

EVAPORATOR DATA
Flow GPM (L/s)
Pressure Drop

DESIGN

ACTUAL

EVAPORATOR DATA
Flow GPM (L/s)
Pressure Drop

DESIGN

ACTUAL

REMARKS:
TEST DATE:
READINGS BY:
COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

27

Page _____ of _____

COOLING TOWER TEST REPORT

PROJECT _________________________________________________________________________
Unit
Designation

Manufacturer

Model No.

Serial No.

Design Water
Flow GPM (L/s)

Actual Water
Flow GPM (L/s)

REMARKS:
TEST DATE _________________________
READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

28

Page _____ of _____

HOT WATER BOILER TEST REPORT

PROJECT _________________________________________________________________________
UNIT DATA
Unit Designation
Manufacturer
Model Number
Serial Number

TEST DATA

UNIT NO.

DESIGN

ACTUAL

UNIT NO.

DESIGN

ACTUAL

UNIT NO.

DESIGN

ACTUAL

Water Flow GPM (L/s)


Water Pressure Drop

REMARKS:
TEST DATE _________________________
READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

29

Page _____ of _____

HEAT EXCHANGER TEST REPORT


(Water to Water)
PROJECT ___________________________

UNIT DATA
Unit Designation
Location
Service
Manufacturer
Model No.
Serial No.

TEST DATA

UNIT NO.

DESIGN

ACTUAL

UNIT NO.

DESIGN

ACTUAL

UNIT NO.

DESIGN

ACTUAL

PRIMARY WATER
Water Flow GPM (L/s)
Water Pressure Drop

SECONDARY WATER
Water Flow GPM (L/s)
Water Pressure Drop

REMARKS:

TEST DATE _________________________


READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

30

Page _____ of _____

HEAT EXCHANGER TEST REPORT


(Steam to Water)

PROJECT _________________________________________________________________

UNIT DATA
Unit Designation
Location
Service
Manufacturer
Model No.
Serial No.

TEST DATA
Water Flow GPM (L/s)
Water Pressure Drop

UNIT NO.

DESIGN

ACTUAL

UNIT NO.

DESIGN

ACTUAL

UNIT NO.

DESIGN

ACTUAL

REMARKS:

TEST DATE _________________________


READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

31

Page _____ of _____

ENERGY RECOVERY WHEELS TEST DATA

PROJECT ___________________________________________________________________

DESIGN DATA
Unit System Designation
Service
Location
Manufacturer
Model Number
Serial Number
Primary Air Flow CFM (L/s)
Primary Air P
Secondary Air Flow CFM (L/s)
Secondary Air P

ACTUAL DATA
Primary Air Flow CFM (L/s)
Primary Air P
Secondary Air Flow CFM (L/s)
Secondary Air P

REMARKS:
TEST DATE _________________________
READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

32

Page _____ of _____

DUCT AIR LEAKAGE TEST DATA


(Optional)

PROJECT ______________________________________________________________________

DESIGN DATA

Section
No.

Section
No.

Section
No.

Section
No.

Section
No.

Section
No.

System Designation
Type of Service
Location
Zone
Altitude
Density
Leakage Class
Design Static Pressure
Pressure Class
Seal Class
Airflow CFM (L/s)
Surface Area
Airflow per Surface Factor
Percent Allowable Leakage
ACTUAL DATA
Actual Static Pressure
Test Section Air Leakage
Test Section % Air Leakage
Test Witness

REMARKS:
TEST DATE _________________________
READINGS BY ______________________

COPYRIGHT, NEBB 2005

National Environmental Balancing Bureau

33

Page _____ of _____

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