One Hour Heating & Air Conditioning of Northwest Austin
Healthy Home Report

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One Hour Heating & Air Conditioning of Northwest Austin — Healthy Home Report

Customer: Date: Tech: Job #:
Address:

1 · Equipment

Outdoor — Heat Pump? Brand
Outdoor ModelSerial
Indoor — type Brand
Indoor ModelSerial
System Age (yrs)Tonnage
Zone System Brand# Zones
Dehumidifier SizeModel / Serial
Fresh-Air Makeup UV / Air Purifier
Media Cabinet TypeFilter Size / MERV

2 · Temperature & Humidity

Return TempRH % @ Return
Supply TempRH % @ Supply
Delta T (°F)Indoor RH % (living)
Outdoor Temp / RHThermostat Setpoint

3 · Static Pressure (in. WC) — required

At the Return
Before the Evaporator Coil
After the Evaporator Coil
Total External Static (TESP)
Mfr. Rated Max TESP
Filter Condition
Static pressures recorded — Tech initials: Time:

4 · Attic / Building Envelope

Insulation TypeDepth (in)
Ventilation TypeVent Count
Roofing TypeExterior
Attic Moisture / Staining Visible Growth

5 · Electrical (Amps)

Indoor Air Handler / Furnace
Blower Motor
Inducer / Draft Motor
Aux. Electric Heat Strips
Outdoor Condenser Unit
Compressor Running (RLA)
Compressor Locked Rotor (LRA)
Condenser Fan Motor
System Pressure
High / Low
Superheat / Subcool
Dual-Run Capacitor (tested)   Reading
Contactor Points

6 · Maintenance Performed

7 · Borescope Inspection — required

LocationPhoto TakenConditionFindings
1 · Evaporator Coil — upstream face
2 · Evaporator Coil — downstream face
3 · Blower Wheel / Housing
4 · Supply Plenum
5 · Return Plenum / Return Drop
6 · Drain Pan / Condensate Line
Tech initials: Date:

Notes / Recommendations

Healthy Home Report — Borescope Photo Attachment

Customer: Date: Job #:
One borescope picture per location. Tap the camera button to take or choose a photo (it is saved on this device immediately), note the condition on page 1, and initial each frame.
1 · Evaporator Coil — upstream face
No photo yet
Initials
2 · Evaporator Coil — downstream face
No photo yet
Initials
3 · Blower Wheel / Housing
No photo yet
Initials
4 · Supply Plenum
No photo yet
Initials
5 · Return Plenum / Return Drop
No photo yet
Initials
6 · Drain Pan / Condensate Line
No photo yet
Initials
Reviewed with customer:   Customer name Tech:
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