• Conducted on

  • Prepared by

  • Location


  • Building Number / Name

  • Address


  • Is there evidence that the Property Management Office institutes an energy awareness program with tenants involving regular communication of energy issues?

  • Does the Property Management Office take steps to identify and implement any low or no cost energy saving opportunities?

Building Inspection

  • Are energy and water savings devices being utilized throughout the building? (i.e. T8 fluorescent lamps, lighting controls, motion sensors, faucet aerators or water restrictors, automatic shutoff valves, etc.)

  • Are controls in place to reduce lighting levels in unoccupied space?

  • Does the building envelope include energy saving measures? (i.e. Solar Film, blinds, shades, etc.)

  • Is there a Building Operating Plan in place that reflects most efficient operations for the major equipment (chiller, boilers, etc.)?

  • Are computers, other appliances and/or electronic equipment energy efficient? (Energy Star Labels, etc.)

  • Are computers and other electronics turned off when not in use?

  • On review of the EUAS, is the BTUs/GSF and GAL/GSF in the buildings on target with Regional and National Goals?

Measures and Reports

  • Is the Property Management Office reviewing consumption on a regular basis and determining causes and solutions where significant variances occur?

  • Has an Energy Audit been completed within the last ten years?

  • Have all Energy Saving Opportunities identified been completed or scheduled for completion?

  • Has an Energy Audit been scheduled?

  • Are there excessive tenant requests (Service Calls) affecting energy or water consumption that require corrective action?

  • Comments regarding excessive Service Calls

  • Is the Service Center meeting the regional energy reduction target? (btu/gsf/year)

  • Is the Service Center meeting the regional water reduction target? (gal/gsf/year)


  • Program Compliance

  • Program Reviewer

  • Field Office Representative

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.