BLOWER DOOR TEST

Owner Information Applicant Information

Name: ______________________________________________ Name: ______________________________________________

Address: ____________________________________________ Address: _____________________________________________

Phone: ____________________Email:____________________ Phone: ____________________Email:_____________________

Location Information TR8 Inspector

Job No: _____________________________________________ Name: ______________________________________________

Address: ____________________________________________ Address: _____________________________________________

____________________________________________ Phone: ____________________Email:_____________________

Testing Company Test Equipment

Name: ______________________________________________ Flow Device: ____________ Serial No:_______________

Address: ____________________________________________ Pressure Gauge: ____________Serial No:_______________

Phone: ____________________Email:____________________ Calibration Date: ____________________

Air Infiltration Test Results

Test Standard:_______________________________________

Results shall be reported as Air Changes per hour and/or CFM/ sq.ft at 50 Pascals and shall be calculated as follows:
ACH50 = (CFM50 x 60) / Volume:______________________
CFM/ sq.ft. of Enclosure : ___________________  Pressurized  Depressurized
Where: CFM50= Blower door fan flow at 50 pascal pressure difference  Pass
Volume= Conditioned floor area of the housing unit x ceiling height  Fail
Enclosure = Walls/fenestration + ceiling(s) + floor(s) of test area
Retest scheduled for:
Certification of Test Results
I hereby certify that the above air infiltration test results demonstrate compliance with New York City Energy Code requirements in
accordance with the New York City Building Code – Energy Conservation.

Technician Signature: _______________________ TR8 Inspector Signature: _______________________

Printed Name: _____________________________ Printed Name: _____________________________

License / Certification No: ____________________ License / Certification No: ____________________

Date:____________________________________ Date:____________________________________

August 2019