Industrial Energy Consumption Survey
Use this survey to report your facility’s energy sources, consumption patterns, operating conditions, equipment, efficiency measures, and planned improvements. The title must remain exactly "Industrial Energy Consumption Survey" and the H1 must end with "Form".
Facility Profile
Facility Name
*
Facility Type
Manufacturing
Processing
Warehousing
Data Center
Utilities
Other
Primary Industry/Process Description
*
Energy Consumption Details
Main Energy Sources Used
Electricity
Natural Gas
Diesel
Fuel Oil
Steam
Propane
Other
Average Monthly Energy Consumption
*
Peak Energy Usage Period
Weekday Daytime
Weekday Nighttime
Weekends
Seasonal Peaks
Variable
Equipment and Operations
Major energy-intensive equipment/processes
*
Boilers
Chillers
Compressed air systems
Furnaces/Ovens
Motors and pumps
HVAC systems
Refrigeration
Pumps and fans
Material handling equipment
Production lines
Other
Current operating schedule
*
Rows
1 shift/day
2 shifts/day
3+ shifts/day
Seasonal variation
Days per week
1
2
3
4
Weekdays only
5
6
7
8
Includes weekends
9
10
11
12
24/7 operation
13
14
15
16
Efficiency Measures and Plans
Energy efficiency measures already in place
LED lighting
HVAC optimization
Insulation
Variable frequency drives
Automation
Heat recovery
Power factor correction
Other
Planned energy-saving projects in the next 12 months
Submit Survey
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