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Energy Audit Checklist Template

Use this checklist when conducting a basic energy audit and identify the energy consumed by a facility and locate energy conservation measures.

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Energy Audit Checklist Template

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
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