Embodied Energy Assessment Form
Use this Embodied Energy Assessment Form to evaluate the embodied energy impact of your project or product. Please complete all sections for a thorough assessment.
Project or Product Name
*
Project or Product Type
*
Please Select
Building
Infrastructure
Consumer Product
Industrial Equipment
Other
Select the primary materials used
*
Concrete
Steel
Timber
Glass
Plastic
Other
Material Quantities and Sources
*
Rows
Quantity (kg)
Source Distance (km)
Concrete
Steel
Timber
Glass
Plastic
Other
Select the main modes of material transportation
*
Truck
Rail
Ship
Air
Rate the energy intensity of production processes
*
1
2
3
4
5
How efficient is the transportation process?
*
Very inefficient
1
2
3
4
Highly efficient
5
1 is Very inefficient, 5 is Highly efficient
Select the recycling or reuse potential of main materials
*
Rows
Recycling Potential
Concrete
High
Moderate
Low
None
Steel
High
Moderate
Low
None
Timber
High
Moderate
Low
None
Glass
High
Moderate
Low
None
Plastic
High
Moderate
Low
None
Other
High
Moderate
Low
None
Overall embodied energy impact
*
Very Low
Low
Moderate
High
Very High
Comments or additional notes
Submit Assessment
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