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HVAC CONTRACTOR:
NAME ________________________________________________________________
CERTIFICATION
PROJECT____________________________________________________________________
SEAL
PROJECT ____________________________________________________________________
INSTRUMENT
TYPE
MANUFACTURER
MODEL
NUMBER
SERIAL
NUMBER
DATES OF USE
INSTRUMENT
CALIBRATION
DATE
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:
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:
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
REMARKS:
TEST DATE:
READINGS BY:
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
REMARKS:
TEST DATE _________________________
READINGS BY ______________________
FAN NO.
DESIGN
ACTUAL
FAN NO.
DESIGN
ACTUAL
FAN NO.
DESIGN
ACTUAL
Operating Voltages
Operating Amperages
REMARKS:
TEST DATE _________________________
READINGS BY ______________________
TEST DATA
Total Airflow CFM (L/s)
FAN NO.
DESIGN
ACTUAL
FAN NO.
DESIGN
ACTUAL
FAN NO.
DESIGN
ACTUAL
REMARKS:
TEST DATE _________________________
READINGS BY ______________________
NO
TYPE
OUTLET
SIZE
DESIGN
VEL
FLOW
AK*
VEL
FINAL
FLOW
REMARKS:
10
DESIGN
ACTUAL
NO
TYPE
OUTLET
SIZE
AK*
DESIGN
VEL
FLOW
VEL
FINAL
FLOW
DESIGN
ACTUAL
NO
TYPE
OUTLET
SIZE
AK*
DESIGN
VEL
FLOW
VEL
FINAL
FLOW
REMARKS:
TEST DATE _________________________
READINGS BY ______________________
11
DESIGN
ACTUAL
--------
NO
TYPE
OUTLET
SIZE
AK*
DESIGN
VEL
FLOW
VEL
FINAL
FLOW
DESIGN
ACTUAL
--------
NO
TYPE
OUTLET
SIZE
AK*
DESIGN
VEL
FLOW
VEL
FINAL
FLOW
REMARKS:
TEST DATE _________________________
READINGS BY ______________________
12
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
--------
NO
TYPE
OUTLET
SIZE
AK*
DESIGN
VEL
FLOW
VEL
FINAL
FLOW
REMARKS:
TEST DATE _________________________
READINGS BY ______________________
13
DDC ADDR
DDC CF
DESIGN
ACTUAL
---------------
NO
OUTLET
TYPE
SIZE
AK*
DESIGN
VEL
FLOW
FINAL
VEL
FLOW
REMARKS:
TEST DATE _________________________
READINGS BY ______________________
14
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:
15
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
16
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
REMARKS:
TEST DATE _________________________
READINGS BY ______________________
17
PROJECT
Unit
Designation
Service
Manufacturer
Model
Number
Size
Design Flow
GPM
(L/s)
Valve
Setting/
Position
Final Flow
GPM
(L/s)
REMARKS:
18
PROJECT
Unit
Designation
Service
Manufacturer
Model
No.
Size
Design
Flow
GPM (L/s)
Operating
Pressure
Range
Final Flow
GPM (L/s)
REMARKS:
19
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:
20
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 ______________________
21
System
Served
Coil
Location
Design Airflow
CFM (L/s)
Final Actual
Airflow
CFM (L/s)
REMARKS:
TEST DATE _________________________
READINGS BY ______________________
22
System
Served
Coil
Location
Design Water
Flow GPM (L/s)
Actual Airflow
CFM (L/s)
Actual Water
Flow GPM (L/s)
REMARKS:
TEST DATE _________________________
READINGS BY ______________________
23
PROJECT ________________________________________________________________
Coil
Designation
System
Served
Coil
Location
Actual Airflow
CFM (L/s)
REMARKS:
TEST DATE _________________________
READINGS BY ______________________
24
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 ______________________
25
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
26
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
27
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 ______________________
28
PROJECT _________________________________________________________________________
UNIT DATA
Unit Designation
Manufacturer
Model Number
Serial Number
TEST DATA
UNIT NO.
DESIGN
ACTUAL
UNIT NO.
DESIGN
ACTUAL
UNIT NO.
DESIGN
ACTUAL
REMARKS:
TEST DATE _________________________
READINGS BY ______________________
29
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:
30
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:
31
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 ______________________
32
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 ______________________
33