5900-180 HVAC QI Commission Report

Energy Star Program in the Residential Sector (Renewal)

ESQI_commissionreport_draft080509.xls

Energy Star Program in the Residential Sector: Private Sector

OMB: 2060-0586

Document [xlsx]
Download: xlsx | pdf

Overview

AC-Heat Pump
AC-Furnace


Sheet 1: AC-Heat Pump

ENERGY STAR in Cooperation with ABC Electric Company
Installation Commissioning Report for Central AC and Heat Pump

OMB Control No. xxxx-xxxx





































Site Information
































Customer name (name on electric bill):
































Customer electric utility account number:
































Address:
































City:














State:





Zip:











































Design
































Type of installation:




q Replacement



q New system - existing home







q New system - new home















q AC only



q Heat only







q AC & heat









Area of zone served by unit:













sq ft


# of units in home:













Is the unit self-contained, or is fan/airflow provided by external device (furnace)?
































Heat gain method:




q Manual J v7


q Manual J v8


q None

q Other:











Duct design method:




q Manual D


q None


q Other:















Equipment specification method:








q Manual S


q OEM recommendation





q Other:








Latent heat gain:











BTUh


Sensible heat gain:









BTUh




Total heat gain:











BTUh


Design airflow:









CFM




Duct design static pressure:











IWC


Design heat loss:









BTUh






































Equipment
































Condenser


Manufacturer:














Model:
















Serial number:




























Evaporator


Manufacturer:














Model:
















Serial number:




























System


Metering device:



q TXV

q Fixed orifice


q Other:

















Refrigerant:



q R-22

q R-410a


q Other:













Fan Motor Type:



q Fixed speed (e.g. PSC)





q Variable (e.g. ECM/ICM)





q Other:










Cooling


Latent Capacity:








BTUh


ARI EER/SEER:


















Sensible Capacity:








BTUh


ARI Ref #:


















Total Capacity:








BTUh


















Heating


HSPF:
































At 17oF


Capacity:







BTUh


COP:















At 47oF


Capacity:







BTUh


COP:











Previous equipment - for replacements only

































Cooling



Total capacity:






Btuh


ARI EER/SEER:















Heating



HSPF:
































At 17oF


Capacity:







BTUh


COP:















At 47oF


Capacity:







BTUh


COP:
















































































































































AC & Heat Pump Installation Commissioning Report (Page 2 of 3)


Equipment - continued


































































Does capacity meet requirement of 95-115% (or up to 125% for heat pumps with heat dominated requirements)
































of calculated load or the next nominal size?











q Yes
q No

















































Refrigerant Tests - run system for 15 minutes before testing
































Date:











Outdoor ambient temp. (at condenser):













oF DB




Time of test:











Outdoor relative humidity - optional:
































Barometric pressure - optional:



















Air temperatures measured in duct near evaporator (not in conditioned building space):



































Cooling Mode



Return






oF DB






oF WB
















Supply






oF DB






oF WB











Heating Mode



Return






oF DB
























Supply






oF DB
















Liquid line pressure:









psi



Liquid line temp.:









oF DB





Suction line pressure:









psi



Suction line temp.:









oF DB





Refrigerant Calculations






Condenser sat. temp. (from liquid pressure):














oF DB
















Evaporator sat. temp. (from suction pressure):














oF DB








Subcooling (condensing temp. - liquid line temp.):















oF DB















Superheat (suction line temp. - evaporating temp.):















oF DB















For TXV

































OEM subcooling goal:








oF DB






















Subcooling deviation (subcooling - subcooling goal):















oF DB














For Fixed Orifice

































Superheat goal (from superheat lookup tables, based on outdoor ambient and return air wet bulb temps.):

























oF DB





Superheat deviation (superheat goal - superheat):















oF DB
















































Does system meet requirement of subcooling within ±3oF or superheat within ±5oF of goal?























q Yes
q No





































Electrical Measurements - taken at time of refrigerant tests
































Evaporator/air handler fan:










amps





volts





watts






Condenser fan:










amps





volts





watts






Compressor:










amps





volts





watts








































Electrical Requirements
































Does system meets requirements of ACCA QI 4.3?













q Yes
q No















































Air Flow Tests
































Date:











Outdoor ambient temp. (at condenser):













oF DB




Time of test:











Outdoor relative humidity - optional:
































Barometric pressure - optional:



















Measured air volume at evaporator:












CFM





















































































AC & Heat Pump Installation Commissioning Report (Page 3 of 3)


Air Flow Tests - continued
































Test peformed in heating or cooling mode?











q Heating

q Cooling














Static pressure



Return

Static:




IWC
Measurement location:





















Supply

Static:




IWC
Measurement location:
















Measurement method used:






q TrueFlow

q Pressure matching (with Duct Blaster)








q Anemometer
















q Fan Curve

q Temperature split (heating only)








q Other:








Speed Setting



If fixed
qLow qMed-Low qMed qMed-High qHigh














CFM (at 0.5 IWC):














If variable


Fan set for





CFM/ton


















































Does air flow meet requirement of 350-450 cfm or within range recommended by OEM?























q Yes
q No





































Duct Leakage
































Initial Test



Date:









Time:
















Final Test



Date:









Time:
















Test method used:




q Duct Blaster


q Blower Door Subtraction






q Other:











Existing system duct leakage:










CFM




















Post Installation duct leakage:










CFM


Leakage % reduction ([existing-post]/existing):
















Total % leakage (post leakage/design flow):












OR (post leakage/measured flow):




















































Does duct leakage meet one of the following requirements:
































existing
homes:
q No more than 20% of total air flow


























q A reduction of 50% or more from the initial measurement


























new construction: q Leakage from ducts inside the thermal envelope is no more than 10% of total air flow


























q No more than 6% of total air flow from ducts outside the thermal envelope


























q Less than 4 CFM leakage to outdoors per 100 square feet of conditioned floor area




























































System Controls
































Does system meets requirements of ACCA QI 4.6?













q Yes
q No















































System Documentation & Owner Education
































Copies of this report and OEM manuals left with owner?














q Yes
q No












Demonstrated system for owner?








q Yes
q No




















































Contractor/Technician Information
































Technician name:
































Company:
































Address 1:
































Address 2:
































City:















State:





Zip:








Phone/Email:
































Technician signature:

































































Please send completed forms to: System Implementer, 123 Main St, Town, ST, 01234, FAX 555-123-4567

EPA Form 5900-180
































The government estimates the average time needed to fill out this form is 1.00 hour and welcomes suggestions for reducing this effort.
































Send comments (referencing OMB Control Number) to the Director, Collection Strategies Division, U.S. EPA (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460.

































Sheet 2: AC-Furnace

ENERGY STAR in Cooperation with ABC Electric Company
Installation Commissioning Report for Central AC and Furnace

































Site Information






























Customer name (name on electric bill):






























Customer electric utility account number:






























Address:






























City:














State:





Zip:







































Design






























Type of installation:




q Replacement



q New system - existing home







q New system - new home













q AC only



q Heat only







q AC & heat







Area of zone served by unit:













sq ft


# of units in home:











Heat gain method:




q Manual J v7


q Manual J v8


q None

q Other:









Duct design method:




q Manual D


q None


q Other:













Equipment specification method:








q Manual S


q OEM recommendation





q Other:






Latent Heat Gain:











BTUh


Sensible Heat Gain:









BTUh


Total Heat Gain:











BTUh


Design Airflow:









CFM


Duct Design Static Pressure:











IWC


Design heat loss:









BTUh


































Equipment - AC






























Condenser


Manufacturer:














Model:














Serial number:


























Evaporator


Manufacturer:














Model:














Serial number:


























System


Metering device:



q TXV

q Fixed orifice


q Other:















Refrigerant:



q R-22

q R-410a


q Other:











Fan Motor Type:



q Fixed speed (e.g. PSC)





q Variable (e.g. ECM/ICM)





q Other:








Speed setting



If fixed
qLow qMed-Low qMed qMed-High qHigh














CFM (at 0.5 IWC):












If variable


Fan set for





CFM














Latent Capacity:








BTUh





ARI EER/SEER:













Sensible Capacity:








BTUh





ARI Ref #:













Total Capacity:








BTUh




















Previous equipment - for replacements only































Total capacity:







Btuh





ARI EER/SEER:













































Does capacity meet requirement of 95-115% of calculated load or the next nominal size?























q Yes
q No
































































































































































































































































































AC & Furnace Installation Commissioning Report (Page 2 of 4)

Equipment - Furnace






























Manufacturer:


















Model:










Serial number:


















AFUE:










Gross capacity:








Btuh

Net capacity:







Btuh








































Previous equipment - for replacements only































Gross capacity:







Btuh

Net capacity:







Btuh








Fuel type:


q Gas
q Oil
q Propane


q Other:














Sealed combustion?




q Yes
q No




















Fan Motor Type:



q Fixed speed (e.g. PSC)





q Variable (e.g. ECM/ICM)





q Other:








Speed Setting



If fixed
qLow qMed-Low qMed qMed-High qHigh














CFM (at 0.5 IWC):












If variable


Fan set for





CFM














































Does capacity meet requirement of 100-140% of calculated load or the next nominal size?























q Yes
q No

































Refrigerant Tests - run system for 15 minutes before testing






























Date:











Outdoor ambient temp. (at condenser):













oF DB


Time of test:











Outdoor relative humidity - optional:






























Barometric pressure - optional:

















Air temperatures measured in duct near evaporator (not in conditioned building space):

































Cooling Mode



Return






oF DB






oF WB














Supply






oF DB






oF WB






Liquid line pressure:









psi



Liquid line temp.:









oF DB



Suction line pressure:









psi



Suction line temp.:









oF DB



Refrigerant Calculations






Condenser sat. temp. (from liquid pressure):














oF DB














Evaporator sat. temp. (from suction pressure):














oF DB






Subcooling (condensing temp. - liquid line temp.):















oF DB













Superheat (suction line temp. - evaporating temp.):















oF DB













For TXV































OEM subcooling goal:








oF DB




















Subcooling deviation (subcooling - subcooling goal):















oF DB












For Fixed Orifice































Superheat goal (from superheat lookup tables, based on outdoor ambient and return air wet bulb temps.):

























oF DB



Superheat deviation (superheat goal - superheat):















oF DB












































Does system meet requirement of subcooling within ±3oF or superheat within ±5oF of goal?























q Yes
q No
































































































































































































































































AC & Furnace Installation Commissioning Report (Page 3 of 4)

Electrical Measurements - taken at time of refrigerant tests






























Evaporator/air handler fan:










amps





volts





watts




Condenser fan:










amps





volts





watts




Compressor:










amps





volts





watts




































Electrical Requirements






























Does system meets requirements of ACCA QI 4.3?













q Yes
q No











































Air Flow Tests






























Date:











Outdoor ambient temp. (at condenser):













oF DB


Time of test:











Outdoor relative humidity - optional:






























Barometric pressure - optional:

















Measured air volume at evaporator:











CFM

















Test peformed in heating or cooling mode?











q Heating

q Cooling












Static pressure



Return

Static:




IWC
Measurement location:



















Supply

Static:




IWC
Measurement location:














Measurement method used:






q TrueFlow

q Pressure matching (with Duct Blaster)








q Anemometer














q Fan Curve

q Temperature split (heating only)








q Other:






































Does air flow meet requirement of 350-450 cfm or within range recommended by OEM?























q Yes
q No

































Duct Leakage






























Initial Test



Date:









Time:














Final Test



Date:









Time:














Test method used:




q Duct Blaster


q Blower Door Subtraction






q Other:









Existing system duct leakage:










CFM


















Post Installation duct leakage:










CFM


Leakage % reduction ([existing-post]/existing):














Total % leakage (post leakage/design flow):












OR (post leakage/measured flow):
















































Does duct leakage meet one of the following requirements:






























existing
homes:
q No more than 20% of total air flow
























q A reduction of 50% or more from the initial measurement
























new construction: q Leakage from ducts inside the thermal envelope is no more than 10% of total air flow
























q No more than 6% of total air flow from ducts outside the thermal envelope
























q Less than 4 CFM leakage to outdoors per 100 square feet of conditioned floor area























































































































































































































































































































































































AC & Furnace Installation Commissioning Report (Page 4 of 4)

Gas Combustion Test






























Altitude derating factor (from site elevation):






























Return air:







oF DB



Supply air:







oF DB







Orifice size:












Manifold pressure:









psi





Gas meter test dial size:






























Gas meter seconds for one revolution of meter:












Low:







High:







Gas combustion test calculations































Gas rate (from meter lookup tables):








Low speed:








High speed:










Actual firing rate:








Low speed:








High speed:




















Percent:








Percent:










Temperature rise:








Low speed:






oF
High speed:






oF

































Combustion Analyzer - required for oil systems, optional for other fuels






























O2:







Stack temperature:









oF
Efficiency:








CO:







Draft pressure:








psi











































System Controls






























Does system meets requirements of ACCA QI 4.6?













q Yes
q No











































System Documentation & Owner Education






























Copies of this report and OEM manuals left with owner?














q Yes
q No










Demonstrated system for owner?








q Yes
q No
















































Contractor/Technician Information






























Technician name:






























Company:






























Address 1:






























Address 2:






























City:















State:





Zip:






Phone/Email:






























Technician signature:





























































Please send completed forms to: System Implementer, 123 Main St, Town, ST, 01234, FAX 555-123-4567
File Typeapplication/vnd.ms-excel
AuthorPreferred Customer
Last Modified Byctsuser
File Modified2009-09-17
File Created2006-06-19

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