HVAC Duct Leakage Report
Project & Site Information
Project Name:
Site Address:
Date of Test:
Tested by:
Contractor:
HVAC System ID:
Test Information
System Location
System Type
Total Duct Surface (sq.ft.)
Test Pressure (Pa)
Measured Leakage (CFM)
Leakage Allowance (CFM)
Result (Pass/Fail)
Notes & Observations
Certification
Test Technician Signature:
Date:
Witness/Owner Rep Signature:
Date: