HVAC Balance Report Form

HVAC Balance Report Form
Project/Location Information
Project/Location Name
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Date of HVAC Balance
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Testing and Balancing Technician Information
Technician Name
First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
HVAC System Details
HVAC System Description
Equipment ID/Serial Number
Number of Air Handling Units (AHUs)
Number of HVAC Zones
Testing and Balancing Procedures
Air Flow Measurements
Rows Notes
Supply Air Flow (CFM)
Return Air Flow (CFM)
Outdoor Air Flow (CFM)
Temperature Measurements
Rows Notes
Supply Air Temperature (°F)
Return Air Temperature (°F)
Mixed Air Temperature (°F)
Pressure Measurements
Rows Notes
Static Pressure (inches of water)
Differential Pressure (inches of water)
Air Balance
Rows Check
Inlets and outlets inspected for proper air balance 1
Dampers and registers adjusted as needed 2
Please provide any observations, notes, or recommendations related to the testing and balancing process.
I confirm that the HVAC system testing and balancing were completed as per the procedures outlined in this report.
Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature
Clear
Should be Empty:

Rows	Notes
Static Pressure (inches of water)
Differential Pressure (inches of water)

Rows	Check
Inlets and outlets inspected for proper air balance	1
Dampers and registers adjusted as needed	2

Project/Location Information