NABB FORMS Watermark

7/29/2019 NABB FORMS Watermark

1/35

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


2/35

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


3/35

COPYRIGHT, NEBB 2005 National Environmental Balancing Bureau Page _____ of _____

1

CERTIFIED TEST, ADJUST, AND

BALANCE REPORT

DATE:_____________

PROJECT:

NAME ________________________________________________________________

ADDRESS____________________________________________________________________________________________________________________________

DESIGN ENGINEER:NAME ________________________________________________________________

HVAC CONTRACTOR:NAME ________________________________________________________________

NEBB TAB FIRM:NAME ________________________________________________________________

ADDRESS___________________________________________________________________________________________________________________________

TAB CERTIFICATION NUMBER: _______________


4/35


2

SEAL

PROJECT____________________________________________________________________

THE DATA PRESENTED IN THIS REPORT IS A RECORD OF SYSTEM MEASUREMENTS ANFINAL ADJUSTMENTS THAT HAVE BEEN OBTAINED IN ACCORDANCE WITH THE CURREEDITION OF THE NEBB PROCEDURAL STANDARDS FOR TESTING, ADJUSTING, ABALANCING OF ENVIRONMENTAL SYSTEMS. ANY VARIANCES FROM DESIGN QUANTITIE

WHICH EXCEED NEBB TOLERANCES, ARE NOTED IN THE TEST- ADJUST- BALANCE REPOPROJECT SUMMARY.

SUBMITTED & CERTIFIED BY:

NEBB CERTIFIED TAB FIRM NAME _____________________________________________

CERTIFICATION NO. ____________ CERTIFICATION EXPIRATION DATE___________

REPORT DATE __________________________

NEBB QUALIFIED TAB SUPERVISOR NAME _____________________________________

NEBB QUALIFIED TAB SUPERVISOR SIGNATURE________________________________

CERTIFICATION


5/35


3

PROJECT ____________________________________________________________________

INSTRUMENTTYPE

MANUFACTURER MODELNUMBER

SERIALNUMBER

DATES OF USE INSTRUMENTCALIBRATION

DATE

NEBB TAB FIRM

TAB SUPERVISOR

INSTRUMENT CALIBRATION REPORT


6/35


4

PROJECT SYSTEM/UNIT

LOCATION DATE

UNIT DATA

Unit Designation

Manufacturer

Model Number

Serial Number

FAN DATA DESIGN ACTUAL

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)

Fan RPM

REMARKS:

TEST DATE:READINGS BY:

AIR HANDLING UNIT TEST REPORT

(Central Station)

MOTOR DATA DESIGN ACTUAL

HP (Kw)

RPM

Rated Volts

Rated Amps

Phase

Operating Hz

Service Factor

Operating Volts

Operating Amps

OTHER DATA DESIGN ACTUALMotor Sheave OD

Motor Sheave Bore

Fan Sheave OD

Fan Sheave Bore

Sheave Center Distance

Number of BeltsBelt Size


7/35


5

PROJECT SYSTEM/UNIT

LOCATION DATE

UNIT DATA

Unit Designation

Manufacturer

Model Number

Serial Number

FAN DATA DESIGN ACTUALSupply Air CFM (L/s)




External Discharge S.P.in. (Pa)

External Suction S.P. in.

(Pa)External S.P. in. (Pa)

Fan RPM

REMARKS:

TEST DATE:

READINGS BY:


(Packaged/Unitary Belt Drive)


HP (Kw)

RPM

Rated Volts

Rated Amps

Phase

Operating Hz

Service Factor

Operating Volts

Operating Amps

OTHER DATA DESIGN ACTUALMotor Sheave OD

Motor Sheave Bore

Fan Sheave OD

Fan Sheave Bore


Number of BeltsBelt Size


8/35


6

PROJECT SYSTEM/UNIT

LOCATION DATE

UNIT DATA

Unit Designation

Manufacturer

Model Number

Serial Number

FAN DATA DESIGN ACTUALSupply Air CFM (L/s)




External Discharge S.P.in. (Pa)

External Suction S.P. in.(Pa)

Fan RPM

REMARKS:

TEST DATE:

READINGS BY:


(Packaged/Unitary Direct Drive)


HP (Kw)

RPM

Rated Volts

Rated Amps

r Phase

Operating Hz

Service Factor

Operating Volts

Operating Amps

OTHER DATA DESIGN ACTUAL


9/35


7

PROJECT __________________________________________________________________

FAN DATA FAN NO. FAN NO. FAN NO.Unit Designation

Type of Service

Manufacturer

Model Number

Serial Number

TEST DATA DESIGN ACTUAL DESIGN ACTUAL 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


Number of Belts

Belt Size

Fan RPM

Operating Voltage

Operating Amps T1/T2/T3

REMARKS:

TEST DATE _________________________

READINGS BY ______________________

FAN TEST REPORT

(Belt Drive)


10/35


8

PROJECT __________________________________________________________________


Type of Service

Manufacturer

Model Number

Serial Number

TEST DATA DESIGN ACTUAL DESIGN ACTUAL DESIGN ACTUALTotal 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

Operating Voltages

Operating Amperages

REMARKS:

TEST DATE _________________________

READINGS BY ______________________

FAN TEST REPORT

(Direct Drive) >1/8 hp


11/35


9

PROJECT __________________________________________________________________


Type of Service

Manufacturer

Model Number

TEST DATA DESIGN ACTUAL DESIGN ACTUAL DESIGN ACTUALTotal Airflow CFM (L/s)

REMARKS:

TEST DATE _________________________

READINGS BY ______________________

FAN TEST REPORT

(Direct Drive) < 1/6 hp


12/35


10

PROJECT ______________________________ SYSTEM DESIGNATION_____________

OUTLET MANUFACTURER __________________ TEST APPARATUS________________

AREA OUTLET DESIGN FINAL

SERVED NO TYPE SIZE AK* VEL FLOW VEL FLOW

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

REMARKS:

TEST DATE _________________________

READINGS BY ______________________

AIR OUTLET TEST REPORT


13/35


11

PROJECT ______________________________ SYSTEM DESIGNATION_____________

OUTLET MANUFACTURER _________________ OUTLET TEST APPARATUS________

VAV TERMINAL DATA

NUMBER DESIGN ACTUAL

TYPE PRIMARY MAXIMUM AIRFLOW CFM (L/S)

SIZE PRIMARY MINIMUM AIRFLOW CFM (L/S)

HEATING AIRFLOW CFM (L/S)

VAV OUTLET DATA



VAV TERMINAL DATA





VAV OUTLET DATA

AREA OUTLET DESIGN FINALSERVED NO TYPE SIZE AK* VEL FLOW VEL FLOW


REMARKS:

TEST DATE _________________________READINGS BY ______________________

VAV TERMINAL UNIT TEST REPORT(Pressure Dependent)


14/35


12

VAV TERMINAL UNIT TEST REPORT

(Pressure Independent)

PROJECT _______________________________ SYSTEM DESIGNATION____________

OUTLET MANUFACTURER ______________ OUTLET TEST APPARATUS__________

VAV TERMINAL DATA




DDC CF HEATING AIRFLOW CFM (L/S)

DDC MAX/MIN AIRFLOWS CFM (L/S) -------- /

VAV OUTLET DATA



VAV TERMINAL DATA




DDC CF HEATING AIRFLOW CFM (L/S)

DDC MAX/MIN AIRFLOWS CFM (L/S) -------- /

VAV OUTLET DATA




REMARKS:TEST DATE _________________________ READINGS BY ______________________


15/35


13

PROJECT ___________________________________ SYSTEM DESIGNATION_____________

OUTLET MANUFACTURER ____________________ OUTLET TEST APPARATUS___________

VAV TERMINAL DATA





FAN AIRFLOW CFM (L/S)

DDC CF FAN SPEED (Hi,med,low,variable,etc) --------

VAV OUTLET DATA




REMARKS:

TEST DATE _________________________

READINGS BY ______________________

FAN TERMINAL UNIT TEST REPOR(Pressure Dependen


16/35


14

PROJECT _________________________________________ SYSTEM DESIGNATION_____________OUTLET MANUFACTURER ___________________________ OUTLET TEST APPARATUS___________

VAV TERMINAL DATA





FAN AIRFLOW CFM (L/S)

DDC ADDR FAN SPEED (Hi,med,low,variable,etc) --------

DDC CF DDC MAX/MIN AIRFLOWS CFM (L/S) -------- /

VAV OUTLET DATA

AREA OUTLET DESIGN FINALSERVED NO TYPE SIZE AK* VEL FLOW VEL FLOW


REMARKS:

TEST DATE _________________________

READINGS BY ______________________

FAN TERMINAL UNIT TEST REPORT(Pressure Independent


17/35


15

PROJECT_______________________________ SYSTEM DESIGNATION___________________LOCATION ______________________________ TRAVERSE DESIGNATION________________INSTRUMENTATION_______________________

DUCTSize I.D. ____________

Area ft (m)____________S.P. in. w.g. (Pa)________

DESIGN AIRFLOWSCFM (sL/s) _______________CFM (L/s) _________________

ACTUAL AIRFLOWSCFM (sL/s) _______________FPM (m/s) _________________CFM (L/s) _________________

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

1

2

3

4

5

6

7

8

9

10

11

1213

VELOCITYSUBTOTALS

.

REMARKS:

TEST DATE _________________________

READINGS BY ________________________

DUCT TRAVERSE TEST REPORT

(Rectangular)


18/35


16

PROJECT_______________________________ SYSTEM DESIGNATION____________________

LOCATION ______________________________ TRAVERSE DESIGNATION_________________INSTRUMENTATION_______________________

DUCTSize Diameter__________

Area ft (m)____________S.P. in. w.g. (Pa)________

DESIGN AIRFLOWSCFM (s/Ls) _______________CFM (L/s) _________________

ACTUAL AIRFLOWSCFM (s/Ls) _______________FPM (m/s) _________________CFM (L/s) _________________

REMARKS:TEST DATE _________ READINGS BY _______________________

DUCT TRAVERSE TEST REPOR

(Roun


19/35


17

PROJECT _________________________________________________________________________

UNIT DATA UNIT NO. UNIT NO. UNIT NO.

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


Motor Hp (Kw)

Pump/Motor Speed RPM

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 ______________________

HYDRONIC PUMP TEST REPORT


20/35


18

PROJECT

UnitDesignation

Service Manufacturer ModelNumber

Size Design FlowGPM(L/s)

ValveSetting/Position

P Final FlowGPM(L/s)

REMARKS:

TEST DATE _________________________

READINGS BY ________________________

BALANCING VALVE TEST REPORT

(Fixed or Adjustable Orifice)


21/35


19

PROJECT

UnitDesignation

Service Manufacturer ModelNo.

Size DesignFlow

GPM (L/s)

OperatingPressureRange

P Final FlowGPM (L/s)

REMARKS:

TEST DATE _________________________

READINGS BY________________________

BALANCING VALVE TEST REPORT

(Self Adjusting)


22/35


20

PROJECT

ReadingNo. ___

ReadingNo. ___

ReadingNo. ___

ReadingNo. ___

ReadingNo. ___

ReadingNo. ___

ReadingNo. ___

DESIGN

Reading Designation

Service

Location

Design Flow GPM (L/s)

ACTUAL

Pipe Size

Pipe MaterialPipe Wall Thickness

Transducer Size

Spacing Distance

Application

Final Flow GPM (L/s)

REMARKS:

TEST DATE _________________________

READINGS BY ________________________

ULTRASONIC FLOW

MEASUREMENT TEST DATA


23/35


21

PROJECT _________________________________________________________________________

CoilDesignation

SystemServed

CoilLocation

Design AirFlow

CFM (L/s)

Design WaterFlow GPM (L/s)

Actual AirflowCFM (L/s)

Actual WaterFlow GPM (L/s)

REMARKS:

TEST DATE _________________________

READINGS BY ______________________

COOLING COIL TEST DATA

(Hydronic)


24/35


22

PROJECT _________________________________________________________________________

CoilDesignation

SystemServed

CoilLocation

Design AirflowCFM (L/s)

Final ActualAirflow

CFM (L/s)

REMARKS:

TEST DATE _________________________

READINGS BY ______________________

COOLING COIL TEST DATA

(DX)


25/35


23

PROJECT _________________________________________________________________________

CoilDesignation

SystemServed

CoilLocation

Design Air FlowCFM (L/s)

Design WaterFlow GPM (L/s)



REMARKS:

TEST DATE _________________________

READINGS BY ______________________

HEATING COIL TEST DATA

(Hydronic


26/35


24

PROJECT ________________________________________________________________

CoilDesignation

SystemServed

CoilLocation

Design Air FlowCFM (L/s)


REMARKS:

TEST DATE _________________________

READINGS BY ______________________


(Steam)


27/35


25

PROJECT _________________________________________________________________________

CoilDesignation

SystemServed

CoilLocation

DesignAirflow

CFM (L/s)

DesignKw

DesignVoltage

Phase ActualAirflow

CFM (L/s)

ActualVoltage

ActualAmperage

REMARKS:

TEST DATE _________________________

READINGS BY ______________________


(Electric)


28/35


26

PROJECT

UNIT DATA DESIGN ACTUALUnit Designation

Manufacturer

Model Number

Serial Number

EVAPORATOR DATA DESIGN ACTUALFlow GPM (L/s)

Pressure Drop

CONDENSER DATAFlow GPM (L/s)

Pressure Drop

UNIT DATA DESIGN ACTUAL

Unit Designation

Manufacturer

Model Number

Serial Number


Pressure Drop

CONDENSER DATA

Flow GPM (L/s)

Pressure Drop

REMARKS:

TEST DATE:

READINGS BY:

CHILLER TEST REPORT

(Water Cooled)


Manufacturer

Model Number

Serial Number


Pressure Drop


Pressure Drop


Manufacturer

Model Number

Serial Number


Pressure Drop


Pressure Drop


29/35


27

PROJECT


Manufacturer

Model Number

Serial Number


Pressure Drop

UNIT DATA DESIGN ACTUAL

Unit Designation

Manufacturer

Model Number

Serial Number


Pressure Drop

REMARKS:

TEST DATE:

READINGS BY:

CHILLER TEST REPORT

(Air Cooled)


Manufacturer

Model Number

Serial Number


Pressure Drop


Manufacturer

Model Number

Serial Number


Pressure Drop


30/35


28

PROJECT _________________________________________________________________________

UnitDesignation

Manufacturer Model No. Serial No. Design WaterFlow GPM (L/s)


REMARKS:

TEST DATE _________________________

READINGS BY ______________________

COOLING TOWER TEST REPORT


31/35


29

PROJECT _________________________________________________________________________


Unit Designation

Manufacturer

Model Number

Serial Number


Water Flow GPM (L/s)

Water Pressure Drop

REMARKS:

TEST DATE _________________________

READINGS BY ______________________

HOT WATER BOILER TEST REPORT


32/35


30

PROJECT ___________________________


Unit Designation

Location

Service

Manufacturer

Model No.

Serial No.


PRIMARY WATER

Water Flow GPM (L/s)Water Pressure Drop

SECONDARY WATER


Water Pressure Drop

REMARKS:

TEST DATE _________________________

READINGS BY ______________________

HEAT EXCHANGER TEST REPORT

(Water to Water)


33/35


31

PROJECT _________________________________________________________________


Unit Designation

Location

Service

Manufacturer

Model No.

Serial No.



Water Pressure Drop

REMARKS:

TEST DATE _________________________

READINGS BY ______________________

HEAT EXCHANGER TEST REPORT

(Steam to Water)


34/35


32

PROJECT ___________________________________________________________________

DESIGN DATAUnit System Designation

Service

Location

Manufacturer

Model Number

Serial Number

Primary Air Flow CFM (L/s)

Primary AirP

Secondary Air Flow CFM (L/s)

Secondary AirP

ACTUAL DATA

Primary Air Flow CFM (L/s)

Primary AirP

Secondary Air Flow CFM (L/s)Secondary AirP

REMARKS:

TEST DATE _________________________

READINGS BY ______________________

ENERGY RECOVERY WHEELS TEST DATA


35/35

PROJECT ______________________________________________________________________

DESIGN DATASection

No.Section

No.Section

No.Section

No.Section

No.Section

No.

System Designation

Type of Service

Location

Zone

Altitude

Density

Leakage Class

Design Static PressurePressure Class

Seal Class

Airflow CFM (L/s)

Surface Area

Airflow per Surface Factor

Percent Allowable Leakage

ACTUAL DATAActual Static Pressure

Test Section Air Leakage

Test Section % Air Leakage

Test Witness

REMARKS:

TEST DATE _________________________

READINGS BY ______________________

DUCT AIR LEAKAGE TEST DATA

(Optional)

Documents

NABB FORMS Watermark