Energy Audit Report
School or Site Name
*
Please Select
Option 1
Option 2
Option 3
Principal/Administrator
*
Please Select
Option 1
Option 2
Option 3
Building Status
*
Please Select
Early Morning Unoccupied
Custodial Occupied
Staff Occupied
Fully Occupied
Late Night Unoccupied
Weekend Unoccupied
Long Break Unoccupied
Date and time of the Audit
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Month
-
Day
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Identify any equipment that was running that should not have been...
Plug Load
*
Office Copiers
Faculty Copiers
Office Computers
Office Monitors
Office Printers
PC-Lab Computers
PC-Lab Monitors
Class Computers
Class Monitors
Class Printers
TV-VCR-DVD
AV Equipment
*Vending Machines
*Drinking Fountains
*Personal Devices
Nothing left on!
Lighting
*
Office
Hallway
Classroom
Breakroom
Work Room
Library
Cafeteria
Gym
Locker Rooms
Restrooms
Auditorium
Stage
Storage Rooms
Mechanical Rooms
Work Shops
Nothing Left On!
HVAC
*
Boilers
Pumps
Air Handler (AHU)
Roof Top Unit (RTU)
Baseboard Heaters
Wall Heaters
Vestibule Heaters
Uni-Vent Heaters
Fan-Coil Heaters
Exhaust Fans
Water Heaters
Recirculation Pumps
Kitchen Equipment
Hood Fans
Air Filters Need Replacing
Nothing Left On!
Facility Items Checked/Adjusted, Safety & Security Concerns...
Facility Concerns
*
EMS Schedule
Programmable Thermostats
Non-Programmable Thermostats
Weather Stripping
Door Sweeps
Digital Timers
Mechanical Timers
Interior Plumbing
Outside Plumbing
Sprinkler Systems Ok
Safety Concerns
*
Leaks or Puddles Inside
Leaks or Puddles Outside
Trip Hazards Inside
Trip Hazards Outside
Extension Cords In Use
Ice or Slick Conditions
Security Lights out
Security Lights Adjusted
Unsecured Shelving
Exit Signs Not Working
Exit Maps Missing
¡No Concerns!
Security Concerns
*
Windows Open
Windows Unlocked
Interior Doors Open
Exterior Doors Open
Exterior Doors Unlocked
Doors Propped Open
Cameras Not working
Cameras Need Adjusting
¡No Concerns!
Comments, Questions, Concerns or Work Orders Required...
*
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