13.111 Process Forms for Acceptance Requirements

There are eight forms used to document the completion of these procedures. Each acceptance test form includes yes/no selection fields, check boxes and data entry fields.  When completing the forms, circle yes or no in order to complete the yes/no fields, for example circle yes or no for the “The underfloor electric resistance heater if off” field of the form NRCA-PRC-08-A. Check the check boxes where applicable, for example check the “Field calibrated” check box on the NRCA-PRC-04-A form if the sensors are calibrated in the field. Enter the requested data in the data entry fields, for example enter the pressure in psi for the “Current operating suction pressure” field of the form NRCA-PRC-07-A.

The following acceptance testing forms are located in Appendix A:

      NRCA-PRC-01-A – Compressed Air System Acceptance

      NRCA-PRC-02-A – Commercial Kitchen Exhaust System Acceptance

      NRCA-PRC-03-F – Parking Garage Ventilation System Acceptance

      NRCA-PRC-04-A - Evaporator Motor Fan Controls Acceptance

      NRCA-PRC-05-A - Evaporative Condenser Controls Acceptance

      NRCA-PRC-06-A - Air Cooled Condenser Controls Acceptance

      NRCA-PRC-07-A - Compressor Variable Speed Controls Acceptance

      NRCA-PRC-08-A - Electric Resistance Underfloor Heating System Acceptance.

All these forms are used to document the results for the respective acceptance tests. Each form consists of the following sections:

      Project Information

      Documentation Author's Declaration Statement

      Field Technician’s Declaration Statement

      Responsible Person’s Declaration Statement

      Construction Inspection

      Functional Testing

      Testing Results

      Evaluation

Project Information

      PROJECT NAME is the title of the project, as shown on the Code Compliance forms.

      PROJECT ADDRESS is the address of the project, as shown on the Code Compliance forms.

      SYSTEM NAME OR IDENTIFICATION/TAG is the name or the identification number of the system under test, as shown on the Code Compliance forms, e.g. “Underfloor Heating System #1”, “Condenser LTC” etc.

      SYSTEM LOCATION OR AREA SERVED is the location of the system in the facility.

Documentation Author’s Declaration Statement

      NAME is the name of the person completing this form.

      COMPANY is the name of the company the DOCUMENTATION AUTHOR represents.

      ADDRESS is the address of the COMPANY.

      CITY/STATE/ZIP is the city, state and zip code of the COMPANY.

      SIGNATURE is the signature of the DOCUMENTATION AUTHOR.

      DATE is the date on which the acceptance test was completed and the DOCUMENTATION AUTHOR signed the form.

      CEA OR CEPE CERTIFICATION # is the certification number of the CEA (Certified Energy Auditor) or CEPE (Certified Energy Plans Examiner) certification, in case the DOCUMENTATION AUTHOR is CEA or CEPE certified.

      PHONE is the phone number where the DOCUMENTATION AUTHOR can be reached during regular business hours.

Field Technician’s Declaration Statement

The FIELD TECHNICIAN is responsible for performing and documenting the results of the acceptance procedures on the Certificate of Acceptance forms. The FIELD TECHNICIAN must sign the Certificate of Acceptance to certify that the information he or she provides on the Certificate of Acceptance is true and correct. It is important to note that the FIELD TECHNICIAN is not required to have a contractor’s, architect's or engineer's license.

      COMPANY NAME is the name of the company that the FIELD TECHNICIAN represents.

      FIELD TECHNICIAN’S NAME is the name of the FIELD TECHNICIAN.

      FIELD TECHNICIAN’s SIGNATURE is the signature of the FIELD TECHNICIAN.

      DATE SIGNED is the date on which the acceptance test was completed and the FIELD TECHNICIAN signed the form.

      POSITION WITH COMPANY (TITLE) is the title of the FIELD TECHNICIAN in the company he represents, e.g. SENIOR ELECTRICAL TECHNICIAN.

Responsible Person’s Declaration Statement

A RESPONSIBLE PERSON is eligible under Division 3 of the Business and Professions code in the applicable classification, to take responsibility for the scope of work specified by the Certificate of Acceptance document. The RESPONSIBLE PERSON can also perform the field testing and verification work, and if this is the case, the RESPONSIBLE PERSON must complete and sign both the FIELD TECHNICIAN’s SIGNATURE block and the RESPONSIBLE PERSON’S SIGNATURE block on the Certificate of Acceptance form. The RESPONSIBLE PERSON assumes responsibility for the acceptance testing work performed by the FIELD TECHNICIAN agent or employee.

      COMPANY NAME is the name of the company the RESPONSIBLE PERSON represents.

      PHONE is the phone number where the RESPONSIBLE PERSON can be reached during regular business hours.

      RESPONSIBLE PERSON’S NAME is the name of the RESPONSIBLE PERSON.

      RESPONSIBLE PERSON’S SIGNATURE is the signature of the RESPONSIBLE PERSON.

      LICENSE is the professional license number of the RESPONSIBLE PERSON.

      DATE SIGNED is the date on which the acceptance test was signed by the RESPONSIBLE PERSON.

      POSITION WITH COMPANY (TITLE) is the title of the RESPONSIBLE PERSON in the company he represents, e.g. SENIOR ELECTRICAL ENGINEER.

Construction Inspection

This section consists of check boxes for checking the condition of the sensors, equipment and systems before beginning the actual test. Complete each check box to confirm that the construction inspection is complete for all items.

Functional Testing

This section consists of the steps followed during the acceptance test. Enter data as instructed in each column or answer either yes or no to the yes/no questions.

Testing Results

This section consists of data entry requirements for the results of the test(s). Enter data associated with the appropriate system type as instructed.

Evaluation

This section briefly describes the steps followed during the acceptance test. Enter either Pass or Fail in the boxes next to the steps. Any portion that fails should be explained in the given rows.