Building Envelope Commissioning Verification Form

Project Information

Project Name Project Number Location Date Commissioning Agent

Verification Summary

Overall Status Pass Fail Pending Summary Comments

Envelope System Checklist

System/Element	Verified	Comments
Air Barrier	Yes No N/A
Vapor Barrier	Yes No N/A
Insulation	Yes No N/A
Fenestration/Windows	Yes No N/A
Roof System	Yes No N/A
Flashing/Sealants	Yes No N/A
Other	Yes No N/A

Deficiencies Noted

Corrective Actions Taken

Additional Notes

Verified By Date