Basic Energy Audit

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Basic Energy Audit

Part A - Company Details

Company Name

Company is LTD or PLC?

Company Registered Number

Registered or Head Office Address

Telephone Number

Website

Contact Name

Contact Position

Contact Email Address

Contact Direct Dial Number

How did the client hear about us?

Industry

Brief Description of Business Activities

Number of Employees

Please note that this survey is to be kept confidential. Both consultant and client contact are to sign this document under the declaration section, acknowledging that all details herein are complete and correct to the best of their knowledge.

Part B - Site Details

Site Information

Buildings On Site

Building/Unit Name

Current EPC/DEC Rating

Building Length (metres)

Building Width (metres)

Building Sq. Metreage

Number of Storeys

Ceiling Height (metres)

How many hours is the building occupied per day?

How many days is the building occupied per year?

What (if any) energy saving measures have already been recommended?

Have any of the measures above been completed?

Please detail the measures that have been completed

Heating

Type of fuel used

What is the price per litre?

No. of kWh used per month

Current fuel supplier

Are they in a contract?

Current contract period ends

Is the system vented or unvented?

Location of current boiler

Current boiler make

Current boiler model

Does the boiler provide heating and hot water or heating only?

Current heating delivery system

Current boiler output (kWh)

Describe the access to the boiler (internal and external)

Is there space available for an alternate heating source, i.e biomass?

Is there an existing flue system?

Please describe proposed route for flue

Please draw proposed route

Is a backup system required (if heat is used for manufacturing)?

Lighting

Lighting Location

Location

Number of fittings

Height of fittings

Fitting type

Wattage per bulb

Is the fitting a switch start fluorescent?

Hours on per day

Area usage in hours per day

Recommended fitting type

Number of sensors recommended

Electrical

Current energy supplier is the same as heating fuel?

Current energy supplier

Are they in a contract?

When is the contract end date?

Annual usage (kWh)

Current price per unit

Location of main distribution board

Location of main service head (origin)

Is there half hourly data available on the energy bills?

Is the supply 3 phase or single phase?

Total amps

Total voltage

Maximum demand

MPAN Number

Distribution board make

Distribution model

Spare fuse way in board?

Voltage optimisation installed?

Is there a backup generator?

Glazing & Access

Are draft excluders fitted to all external doors?

Add entrance/exit with NO draft exclusion fitted

Area description

Type of glazing

Is there secondary glazing installed

Recommended replacement windows

Area

Height (mm)

Width (mm)

Frame replacement?

Quick design sketch (show openings)

Percentage of double glazing in property

Recommended replacement windows

Area

Height (mm)

Width (mm)

Frame replacement?

Quick design sketch of window design showing openings

Is energy saving glass installed (after 2002)?

Insulation

Type of wall construction

Is any wall insulation currently installed?

Is there scope to install wall insulation?

Insulation material used

Insulation thickness

Type of roof construction

Is there any roof insulation currently installed?

Is there scope to install roof insulation?

Insulation material used

Insulation thickness

External

Is there a suitable elevation for solar panels?

Length of elevation (metres)

Width of elevation (metres)

Height to guttering

Angle of roof

Angle from south

Percentage shading

Rough sketch of layout

Is there space available for a ground mount solar PV system?

Width of area

Length of area

Sq. meterage of area

Distance to transformer

Rough sketch of layout

Part C - Any Other Information

Is there any other relevant information for this site?

Other information

Place any pictures here

Draw any sketches here

Declaration

I acknowledge that this form has been completed to the best of my knowledge and that all information contained within it is correct. I understand that all the information provided within this document is confidential and I will treat it as such

Signed

I understand that all of the information contained within this report will be kept confidential and only those employed and contracted by CRT will have access to the data provided herein. I understand that signing this document DOES NOT in anyway form a contract or part thereof.

Signed