Energy Audit Template_New

• Mandir Name

• Energy Audit Date

  Date

• Age Of Facility (Yrs)

• P. Vicharan Sant

• Mandir Coordinator

• Facility Admin

• Auditor Names

• Mandir Picture (Take a picture showing the front of the Facility)

  Media

• Online Access to Electricity Provider?

  Yes

  No

  N/A

• Online Access to Gas Provider?

  Yes

  No

  N/A

• Online Access to Water Provider?

  Yes

  No

  N/A

• Online Access to Oil / Propane Provider?

  Yes

  No

  N/A

• Utilities bills reviewed with MC & Admin Team?

  Yes - Monthly

  Yes - Quaterly

  No

  N/A

• Access to Mandir Events Calendar (Date/Time/POC)

  Yes

  No

  N/A

Exterior building elements

• Type of Parking Lot Lights (Pole/Bollards/Perimeter)?

  LED

  Incandesent/CFL

  HPS

  Mix

  N/A

• How are Parking Lot Pole Lights managed?

  Sensor/Photo Cell

  Timer/Schedule

  Switch/Circuit Breaker

  N/A

• How many Parking Lot Pole Lights are there?

• Type of Landscaping Lights?

  LED

  Incandesent/CFL

  HPS

  Mix

  N/A

• How are Landscaping Lights managed?

  Sensor/Photo Cell

  Timer/Schedule

  Switch/Circuit Breaker

  N/A

• How many Landscaping Lights are there?

• Type of Bldg Exterior Lights (attached to building - including decoration Lights)

  LED

  Incandesent/CFL

  HPS

  Mix

  N/A

• How are Bldg Exterior Lights managed?

  Sensor/Photo Cell

  Timer/Schedule

  Switch/Circuit Breaker

  N/A

• How many Bldg Exterior Lights are there?

• Type of Exits Door Wall Fixture?

  LED

  Incandesent/CFL

  HPS

  Mix

  N/A

• How are All Exits Door Wall Fixture managed?

  Sensor/Photo Cell

  Timer/Schedule

  Switch/Circuit Breaker

  N/A

• How many Exit Door Wall Fixture are there?

• What type of Mandir Sign Light is there?

  LED

  Incandesent/CFL

  HPS

  Mix

  N/A

• How are Mandir Sign managed?

  Sensor/Photo Cell

  Timer/Schedule

  Switch/Circuit Breaker

  N/A

• Solar Pannels?

  Yes

  No

  N/A

• Access to Solar Pannels Controls/Generation Data?

  Yes

  No

  N/A

• Solar Pannels Maintenance appraoch?

  Yes - Vendor

  Yes - Volunteers

  None

  N/A

• How are Lawn Sprinklers managed?

  WiFI/Schedule

  Schedule

  Manual

  N/A

• Lawn Sprinkler Maintenance approach?

  Yes - Vendor

  Yes - Volunteers

  None

  N/A

• Any other areas?

Mandir Entrance/Shoe Room

Doors/Windows

• Mandir Entrance - Doors properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Mandir Entrance - Type of Doors?

  Metal

  Wood

  Glass

  Other

Lights

• Mandir Entrance - Type of Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Mandir Entrance - How are the lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Mandir Entrance - How many lights?

• Mandir Entrance - Gaps or Missing Ceiling Tiles?

  No

  Yes

  N/A

HVAC Control

• Mandir Entrance - HVAC Temp Controls?

  Smart Thermostats

  Wi-FI thermostats

  Programmable thermostats

  Non-programmable thermostats

  N/A

• Mandir Entrance - Access to HVAC Controls?

  Sensor Only (No Controls)

  Locked Control

  Anyone can Access

  N/A

• Mandir Entrance - Baseboard Controls?

  Programmable thermostats

  Manual Dial

  N/A

• Mandir Entrance - Current Set Point?

Hallway

Doors/Windows

• Hallway - Exterior Doors properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Hallway - Windows properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Hallway - Type of Windows?

  Double Pane

  Single Pane

  N/A

• Hallway - Blinds/Curtains on Windows?

  Yes - All

  Yes - Partial

  No

  N/A

Lights

• Hallway - Type of Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Hallway - How are the lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Hallway - How many lights?

• Hallway - Type of Special Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Hallway - How are the Special lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Hallway - How many Special lights?

• Hallway - Gaps or Missing Ceiling Tiles?

  No

  Yes

  N/A

HVAC Supply/Return

• Hallway - Supply/Return Vent?

  Compliant

  Non-Compliant

  N/A

• Hallway - Type of Return?

  Vent Return

  Plenum Return

  N/A

• Hallway - Portable Heaters (in Winter) Used?

  No

  Yes

  N/A

HVAC Control

• Hallway - Temp Controls for HVAC?

  Smart Thermostats

  Wi-FI thermostats

  Programmable thermostats

  Non-programmable thermostats

  N/A

• Hallway - Access to HVAC Controls?

  Sensor Only (No Controls)

  Locked Control

  Anyone can Access

  N/A

• Hallway - Baseboard Controls?

  Programmable thermostats

  Manual Dial

  N/A

• Hallway - Current Set Point?

Aksharpith

Doors/Windows

• Aksharpith - Exterior Doors properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Aksharpith - Windows properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Aksharpith - Type of Windows?

  Double Pane

  Single Pane

  N/A

• Aksharpith - Blinds/Curtains on Windows?

  Yes - All

  Yes - Partial

  No

  N/A

Lights

• Aksharpith - Type of Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Aksharpith - How are the lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Aksharpith - How many lights?

• Aksharpith - Gaps or Missing Ceiling Tiles?

  No

  Yes

  N/A

• Aksharpith - Type of Special Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Aksharpith - How are the Special lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Aksharpith - How many Special lights?

HVAC Supply/Return

• Aksharpith - Supply/Return Vent?

  Compliant

  Non-Compliant

  N/A

• Aksharpith - Type of Return?

  Vent Return

  Plenum Return

  N/A

• Aksharpith - Portable Heaters (in Winter) Used?

  No

  Yes

  N/A

HVAC Control

• Aksharpith - Temp Controls for HVAC?

  Smart Thermostats

  Wi-FI thermostats

  Programmable thermostats

  Non-programmable thermostats

  N/A

• Aksharpith - Access to HVAC Controls?

  Sensor Only (No Controls)

  Locked Control

  Anyone can Access

  N/A

• Aksharpith - Baseboard Controls?

  Programmable thermostats

  Manual Dial

  N/A

• Aksharpith - Current Set Point?

Shayona

Doors/Windows

• Shayona - Extrior Doors properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Shayona - Windows properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Shayona - Type of Windows?

  Double Pane

  Single Pane

  N/A

• Shayona - Blinds/Curtains on Windows?

  Yes - All

  Yes - Partial

  No

  N/A

Lights

• Shayona - Type of Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Shayona - How are the lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Shayona - How many lights?

• Shayona - Gaps or Missing Ceiling Tiles?

  No

  Yes

  N/A

• Shayona - Type of Special Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Shayona - How are the Special lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Shayona - How many Special lights?

HVAC Supply or Return

• Shayona - Supply/Return Vent?

  Compliant

  Non-Compliant

  N/A

• Shayona - Type of Return?

  Vent Return

  Plenum Return

  N/A

• Shayona - Portable Heaters (in Winter) Used?

  No

  Yes

  N/A

HVAC Control

• Shayona - Temp Controls for HVAC?

  Smart Thermostats

  Wi-FI thermostats

  Programmable thermostats

  Non-programmable thermostats

  N/A

• Shayona - Access to HVAC Controls?

  Sensor Only (No Controls)

  Locked Control

  Anyone can Access

  N/A

• Shayona - Baseboard Controls?

  Programmable thermostats

  Manual Dial

  N/A

• Shayona - Current Set Point?

Fridge/Freezer

• Shayona - Type of Fridge?

  Energy star (2 Door)

  Energy star (1 Door)

  Other

  N/A

• Shayona - How many?

• Shayona - Average Age of Fridge?

• Shayona - Type of Freezer?

  Energy star (2 Door)

  Energy star (1 Door)

  Other

  N/A

• Shayona - How many?

• Shayona - Average Age of Freezer?

• Shayona - Food Warmers?

  Gas

  Electric

  N/A

• Shayona - Any other equipments?

M/W Restroom (+Family Restrooms)

Doors/Windows

• M/W Bathrooms - Extrior Doors properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• M/W Bathrooms - Windows properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• M/W Bathrooms - Type of Windows?

  Double Pane

  Single Pane

  N/A

• M/W Bathrooms - Blinds/Curtains on Windows?

  Yes - All

  Yes - Partial

  No

  N/A

Lights

• M/W Bathrooms - Type of Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• M/W Bathrooms - How are the lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• M/W Bathrooms - How many lights?

• M/W Bathrooms - Gaps or Missing Ceiling Tiles?

  No

  Yes

  N/A

• M/W Bathrooms - Type of Special Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• M/W Bathrooms - How are the Special lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• M/W Bathrooms - How many Special lights?

• M/W Bathrooms - How many Hand Dryers?

HVAC Supply

• M/W Bathrooms - Supply Vent?

  Compliant

  Non-Compliant

  N/A

• M/W Bathrooms - Exhaust Fans - Adequete Size?

  Compliant

  Non-Compliant

  N/A

• M/W Bathrooms - Exhaust Fans - Controls?

  Timer

  Switch/Connected to Light

  24x7

  N/A

• M/W Bathrooms - Exhaust Fans - How Many?

Plumbing

• M/W Bathrooms - Sink - Aerators intalled?

  Compliant

  Non-Compliant

  N/A

• M/W Bathrooms - Sink - Type of Faucet?

  Sensor Only

  Sensor/Manual

  Manual

• M/W Bathrooms - Urinals Type?

  Sensor Only

  Sensor/Manual

  Manual

• M/W Bathrooms - Toliets Type?

  Sensor Only

  Sensor/Manual

  Manual

Sabha Hall

Doors/Windows

• Sabha Hall - Exterior Doors properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Sabha Hall - Windows properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Sabha Hall - Type of Windows?

  Double Pane

  Single Pane

  N/A

• Sabha Hall - Blinds/Curtains on Windows?

  Yes - All

  Yes - Partial

  No

  N/A

Lights

• Sabha Hall - Type of Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Sabha Hall - How are the lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Sabha Hall - How many lights?

• Sabha Hall - Gaps or Missing Ceiling Tiles?

  No

  Yes

  N/A

• Sabha Hall - Type of Special Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Sabha Hall - How are the Special lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Sabha Hall - How many Special lights?

HVAC Supply or Return

• Sabha Hall - Supply/Return Vent?

  Compliant

  Non-Compliant

  N/A

• Sabha Hall - Type of Return?

  Vent Return

  Plenum Return

  N/A

• Sabha Hall - Portable Heaters (in Winter) Used?

  No

  Yes

  N/A

HVAC Control

• Sabha Hall - Temp Controls for HVAC?

  Smart Thermostats

  Wi-FI thermostats

  Programmable thermostats

  Non-programmable thermostats

  N/A

• Sabha Hall - Access to HVAC Controls?

  Sensor Only (No Controls)

  Locked Control

  Anyone can Access

  N/A

• Sabha Hall - Baseboard Controls?

  Programmable thermostats

  Manual Dial

  N/A

• Sabha Hall - Current Set Point?

• Sabha Hall - Multiple Temperature Sensors acorss Sabha Hall?

  Yes

  No

  N/A

• Sabha Hall - Radiant Heating?

  Yes - Hot Water

  Yes - Electric

  No

  N/A

Stage

Lights

• Stage - Type of Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Stage - How many lights?

• Stage - Gaps or Missing Ceiling Tiles?

  No

  Yes

  N/A

• Stage - Backdrop Type?

  Decoration

  LED

  Projector

  Other

  N/A

• Stage - Number of Projectors?

Garbagruh/Sinhasan

Lights

• Garbagruh/Sinhasan - Type of Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Garbagruh/Sinhasan - How are the lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Garbagruh/Sinhasan - How many lights?

• Garbagruh/Sinhasan - Gaps or Missing Ceiling Tiles?

  No

  Yes

  N/A

• Garbagruh/Sinhasan - Type of Special Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Garbagruh/Sinhasan - How are the Special lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Garbagruh/Sinhasan - How many Special lights?

HVAC Supply or Return

• Garbagruh/Sinhasan - Supply/Return Vent?

  Compliant

  Non-Compliant

  N/A

• Garbagruh/Sinhasan - Type of Return?

  Vent Return

  Plenum Return

  N/A

• Garbagruh/Sinhasan - Portable Heaters (in Winter) Used?

  No

  Yes

  N/A

HVAC Control

• Garbagruh/Sinhasan - Temp Controls for HVAC?

  Smart Thermostats

  Wi-FI thermostats

  Programmable thermostats

  Non-programmable thermostats

  N/A

• Garbagruh/Sinhasan - Access to HVAC Controls?

  Sensor Only (No Controls)

  Locked Control

  Anyone can Access

  N/A

• Garbagruh/Sinhasan - Baseboard Controls?

  Programmable thermostats

  Manual Dial

  N/A

• Garbagruh/Sinhasan - Radiant Heating?

  Yes - Hot Water

  Yes - Electric

  No

  N/A

• Garbagruh/Sinhasan - Current Set Point?

Dining Hall

Doors/Windows

• Dining Hall - Exterior Doors properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Dining Hall - Windows properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Dining Hall - Type of Windows?

  Double Pane

  Single Pane

  N/A

• Dining Hall - Blinds/Curtains on Windows?

  Yes - All

  Yes - Partial

  No

  N/A

Lights

• Dining Hall - Type of Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Dining Hall - How are the lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Dining Hall- How many lights?

• Dining Hall - Gaps or Missing Ceiling Tiles?

  No

  Yes

  N/A

• Dining Hall - Type of Special Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Dining Hall - How are the Special lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Dining Hall - How many Special lights?

HVAC Supply or Return

• Dining Hall - Supply/Return Vent?

  Compliant

  Non-Compliant

  N/A

• Dining Hall - Type of Return?

  Vent Return

  Plenum Return

  N/A

• Dining Hall - Portable Heaters (in Winter) Used?

  No

  Yes

  N/A

HVAC Control

• Dining Hall - Temp Controls for HVAC?

  Smart Thermostats

  Wi-FI thermostats

  Programmable thermostats

  Non-programmable thermostats

  N/A

• Dining Hall - Access to HVAC Controls?

  Sensor Only (No Controls)

  Locked Control

  Anyone can Access

  N/A

• Dining Hall - Baseboard Controls?

  Programmable thermostats

  Manual Dial

  N/A

• Dining Hall - Current Set Point?

• Dining Hall - Radiant Heating?

  Yes - Hot Water

  Yes - Electric

  No

  N/A

Classrooms/Meeting Rooms

Doors/Windows

• Classrooms - Exterior Doors properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Classrooms - Windows properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Classrooms - Type of Windows?

  Double Pane

  Single Pane

  N/A

• Classrooms - Blinds/Curtains on Windows?

  Yes - All

  Yes - Partial

  No

  N/A

Lights

• Classrooms - Type of Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Classrooms - How are the lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Classrooms - How many lights?

• Classrooms - Gaps or Missing Ceiling Tiles?

  No

  Yes

  N/A

• Classrooms - TV or Projectors

  TVs

  Projectors

  Mix

  N/A

HVAC Supply or Return

• Classrooms - Supply/Return Vent?

  Compliant

  Non-Compliant

  N/A

• Classrooms - Type of Return?

  Vent Return

  Plenum Return

  N/A

• Classrooms - Portable Heaters (in Winter) Used?

  No

  Yes

  N/A

HVAC Control

• Classrooms - Temp Controls for HVAC?

  Smart Thermostats

  Wi-FI thermostats

  Programmable thermostats

  Non-programmable thermostats

  N/A

• Classrooms - Access to HVAC Controls?

  Sensor Only (No Controls)

  Locked Control

  Anyone can Access

  N/A

• Classrooms - Baseboard Controls?

  Programmable thermostats

  Manual Dial

  N/A

• Classrooms - Current Set Point?

Storage/Other Rooms

Doors/Windows

• Storage/Other Rooms - Exterior Doors properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Storage/Other Rooms - Windows properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Storage/Other Rooms - Type of Windows?

  Double Pane

  Single Pane

  N/A

• Storage/Other Rooms - Blinds/Curtains on Windows?

  Yes - All

  Yes - Partial

  No

  N/A

Lights

• Storage/Other Rooms - Type of Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Storage/Other Rooms - How are the lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Storage/Other Rooms - How many lights?

• Storage/Other Rooms - Gaps or Missing Ceiling Tiles?

  No

  Yes

  N/A

HVAC Supply or Return

• Storage/Other Rooms - Supply/Return Vent?

  Compliant

  Non-Compliant

  N/A

• Storage/Other Rooms - Type of Return?

  Vent Return

  Plenum Return

  N/A

• Storage/Other Rooms - Portable Heaters (in Winter) Used?

  No

  Yes

  N/A

HVAC Control

• Storage/Other Rooms - Temp Controls for HVAC?

  Smart Thermostats

  Wi-FI thermostats

  Programmable thermostats

  Non-programmable thermostats

  N/A

• Storage/Other Rooms - Access to HVAC Controls?

  Sensor Only (No Controls)

  Locked Control

  Anyone can Access

  N/A

• Storage/Other Rooms - Baseboard Controls?

  Programmable thermostats

  Manual Dial

  N/A

• Storage/Other Rooms - Current Set Point?

Pujari Nivas - Rooms

Doors/Windows

• Pujari Nivas - Rooms - Exterior Doors properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Pujari Nivas - Rooms - Windows properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Pujari Nivas - Rooms - Type of Windows?

  Double Pane

  Single Pane

  N/A

• Pujari Nivas - Rooms - Blinds/Curtains on Windows?

  Yes - All

  Yes - Partial

  No

  N/A

Lights

• Pujari Nivas - Rooms - Type of Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Pujari Nivas - Rooms - How are the lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Pujari Nivas - Rooms - How many lights?

• Pujari Nivas - Rooms - Gaps or Missing Ceiling Tiles?

  No

  Yes

  N/A

HVAC Supply or Return

• Pujari Nivas - Rooms - Supply/Return Vent?

  Compliant

  Non-Compliant

  N/A

• Pujari Nivas - Rooms - Type of Return?

  Vent Return

  Plenum Return

  N/A

• Pujari Nivas - Rooms - Portable Heaters (in Winter) Used?

  No

  Yes

  N/A

HVAC Control

• Pujari Nivas - Rooms - Temp Controls for HVAC?

  Smart Thermostats

  Wi-FI thermostats

  Programmable thermostats

  Non-programmable thermostats

  N/A

• Pujari Nivas - Rooms - Access to HVAC Controls?

  Sensor Only (No Controls)

  Locked Control

  Anyone can Access

  N/A

• Pujari Nivas - Rooms - Baseboard Controls?

  Programmable thermostats

  Manual Dial

  N/A

• Pujari Nivas - Rooms - Current Set Point?

Pujari Nivas - Bathroom

Doors/Windows

• Pujari Nivas - Bathroom - Windows properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Pujari Nivas - Bathroom - Type of Windows?

  Double Pane

  Single Pane

  N/A

• Pujari Nivas - Bathroom - Blinds/Curtains on Windows?

  Yes - All

  Yes - Partial

  No

  N/A

Lights

• Pujari Nivas - Bathroom - Type of Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Pujari Nivas - Bathroom - How are the lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Pujari Nivas - Bathroom - How many lights?

• Pujari Nivas - Bathroom - Gaps or Missing Ceiling Tiles?

  No

  Yes

  N/A

HVAC Supply

• Pujari Nivas - Bathroom - Supply Vent?

  Compliant

  Non-Compliant

  N/A

• Pujari Nivas - Bathroom - Exhaust Fans - Adequate Size?

  Compliant

  Non-Compliant

  N/A

• Pujari Nivas - Bathroom - Exhaust Fans - Controls?

  Timer

  Switch/Connected to Light

  24x7

  N/A

• Pujari Nivas - Bathroom - Exhaust Fans - How Many?

Sant Nivas - Rooms

Doors/Windows

• Sant Nivas - Rooms - Exterior Doors properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Sant Nivas - Rooms - Windows properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Sant Nivas - Rooms - Type of Windows?

  Double Pane

  Single Pane

  N/A

• Sant Nivas - Rooms - Blinds/Curtains on Windows?

  Yes - All

  Yes - Partial

  No

  N/A

Lights

• Sant Nivas - Rooms - Type of Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Sant Nivas - Rooms - How are the lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Sant Nivas - Rooms - How many lights?

• Sant Nivas - Rooms - Gaps or Missing Ceiling Tiles?

  No

  Yes

  N/A

HVAC Supply or Return

• Sant Nivas - Rooms - Supply/Return Vent?

  Compliant

  Non-Compliant

  N/A

• Sant Nivas - Rooms - Type of Return?

  Vent Return

  Plenum Return

  N/A

• Sant Nivas - Rooms - Portable Heaters (in Winter) Used?

  No

  Yes

  N/A

HVAC Control

• Sant Nivas - Rooms - Temp Controls for HVAC?

  Smart Thermostats

  Wi-FI thermostats

  Programmable thermostats

  Non-programmable thermostats

  N/A

• Sant Nivas - Rooms - Access to HVAC Controls?

  Sensor Only (No Controls)

  Locked Control

  Anyone can Access

  N/A

• Sant Nivas - Rooms - Baseboard Controls?

  Programmable thermostats

  Manual Dial

  N/A

• Sant Nivas - Rooms - Current Set Point?

Sant Nivas - Bathroom

Doors/Windows

• Sant Nivas - Bathroom - Windows properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Sant Nivas - Bathroom - Type of Windows?

  Double Pane

  Single Pane

  N/A

• Sant Nivas - Bathroom - Blinds/Curtains on Windows?

  Yes - All

  Yes - Partial

  No

  N/A

Lights

• Sant Nivas - Bathroom - Type of Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Sant Nivas - Bathroom - How are the lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Sant Nivas - Bathroom - How many lights?

• Sant Nivas - Bathroom - Gaps or Missing Ceiling Tiles?

  No

  Yes

  N/A

HVAC Supply

• Sant Nivas - Bathroom - Supply Vent?

  Compliant

  Non-Compliant

  N/A

• Sant Nivas - Bathroom - Exhaust Fans - Adequate Size?

  Compliant

  Non-Compliant

  N/A

• Sant Nivas - Bathroom - Exhaust Fans - Controls?

  Timer

  Switch/Connected to Light

  24x7

  N/A

• Sant Nivas - Bathroom - Exhaust Fans - How Many?

Kitchen

Doors/Windows

• Kitchen - Rooms - Exterior Doors properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Kitchen - Rooms - Windows properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Kitchen - Rooms - Type of Windows?

  Double Pane

  Single Pane

  N/A

Lights

• Kitchen - Rooms - Type of Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Kitchen - Rooms - How are the lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Kitchen - Rooms - How many lights?

• Kitchen - Rooms - Gaps or Missing Ceiling Tiles?

  No

  Yes

  N/A

HVAC Supply

• Kitchen - Rooms - Supply Vent?

  Compliant

  Non-Compliant

  N/A

• Kitchen - Rooms - Portable Heaters (in Winter) Used?

  No

  Yes

  N/A

• Kitchen - Hood Cleaning Contract?

  Yes

  No

  N/A

• Kitchen - Hood Fresh Air Intake?

  Yes

  No

  N/A

HVAC Control

• Kitchen - Rooms - Temp Controls for HVAC?

  Smart Thermostats

  Wi-FI thermostats

  Programmable thermostats

  Non-programmable thermostats

  N/A

• Kitchen - Rooms - Access to HVAC Controls?

  Sensor Only (No Controls)

  Locked Control

  Anyone can Access

  N/A

• Kitchen - Rooms - Current Set Point?

Fridge/Freezer

• Kitchen - Type of Fridge?

  Walk-in Box

  Side-by-Side

  Single/Double Door

  N/A

• Kitchen - How many?

• Kitchen - Air Curtain Installed?

  Yes

  No

  N/A

• Kitchen - Type of Freezer?

  Walk-in Box

  Side-by-Side

  Single/Double Door

  N/A

• Kitchen - How many?

• Kitchen - Air Curtain Installed?

  Yes

  No

  N/A

• Kitchen - Maintenance Contract?

  Yes - Vendor

  Yes - Volunteers

  None

  N/A

Equipments

• Kitchen - Food Warmers/Ovens Type?

  Gas

  Electric

  N/A

• Kitchen - How many Warmers/Ovens?

• Stove

  Electronic Starter

  Pilot

  N/A

• Grill

  Electronic Starter

  Pilot

  N/A

• Pizza Own

  Electronic Starter

  Pilot

  N/A

• Food Warmer

  Electronic Starter

  Pilot

  N/A

• Other Equipments

Janitor Closet

Doors/Windows

• Janitor Closet - Exterior Doors properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Janitor Closet - Windows properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Janitor Closet - Type of Windows?

  Double Pane

  Single Pane

  N/A

• Janitor Closet - Blinds/Curtains on Windows?

  Yes - All

  Yes - Partial

  No

  N/A

Lights

• Janitor Closet - Type of Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Janitor Closet - How are the lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Janitor Closet - How many lights?

• Janitor Closet - Gaps or Missing Ceiling Tiles?

  No

  Yes

  N/A

HVAC Supply

• Janitor Closet - Supply/Return Vent?

  Compliant

  Non-Compliant

  N/A

• Janitor Closet - Type of Return?

  Vent Return

  Plenum Return

  N/A

• Janitor Closet - Portable Heaters (in Winter) Used?

  No

  Yes

  N/A

HVAC Control

• Janitor Closet - Temp Controls for HVAC?

  Smart Thermostats

  Wi-FI thermostats

  Programmable thermostats

  Non-programmable thermostats

  N/A

• Janitor Closet - Access to HVAC Controls?

  Sensor Only (No Controls)

  Locked Control

  Anyone can Access

  N/A

• Janitor Closet - Baseboard Controls?

  Programmable thermostats

  Manual Dial

  N/A

• Janitor Closet - Current Set Point?

Washer/Dryer

• Janitor Closet - How many Washers?

• Janitor Closet - How many dryers?

• Janitor Closet - Type of dryers?

  Gas

  Electric

  N/A

Mechanical/Utility Rooms

Doors/Windows

• Mechanical/Utility - Exterior Doors properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Mechanical/Utility - Windows properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

• Mechanical/Utility - Type of Windows?

  Double Pane

  Single Pane

  N/A

Lights

• Mechanical/Utility - Type of Lights?

  LED

  T8 or T12

  Incandescent

  Mix

  N/A

• Mechanical/Utility - How are the lights managed?

  Sensor Only

  Timer/Schedule

  Sensor/Switch

  Switch Only

  N/A

• Mechanical/Utility - How many lights?

• Mechanical/Utility - Gaps or Missing Ceiling Tiles?

  No

  Yes

  N/A

HVAC Supply or Return

• Mechanical/Utility - Supply/Return Vent?

  Compliant

  Non-Compliant

  N/A

• Mechanical/Utility - Type or Return?

  Vent Return

  Plenum Return

  N/A

• Mechanical/Utility - Portable Heaters (in Winter) Used?

  No

  Yes

  N/A

HVAC Control

• Mechanical/Utility - Temp Controls for HVAC?

  Smart Thermostats

  Wi-FI thermostats

  Programmable thermostats

  Non-programmable thermostats

  N/A

• Mechanical/Utility - Baseboard Controls?

  Programmable thermostats

  Manual Dial

  N/A

• Mechanical/Utility - Current Set Point?

Domestic Water

• Domestic Water - Type of Water Heater?

  Tankless

  Tank

  N/A

• Domestic Water - Type of Unit?

  Gas

  Electric

  N/A

• Domestic Water - How many?

• Domestic Water - Brand?

• Domestic Water - Average Age?

• Domestic Water - PM Checklist Attached?

  Yes - All

  Yes - Partial

  No

  N/A

• Domestic Water - Hot Water Piping Insulated?

  Yes

  No

  N/A

• Domestic Water - Leak/IOT Sensor?

  Yes

  No

  N/A

• Domestic Water - Maintenance Contract?

  Yes - Vendor

  Yes - Volunteers

  None

  N/A

• Domestic Water - Hot Water Pump (For Bathrooms or Kitchen)

  Yes

  No

  N/A

Domestic Water Softener

• Domestic Water Softener - How many?

• Domestic Water Softener - Brand?

• Domestic Water Softener - Average Age?

• Domestic Water Softener - PM Checklist Attached?

  Yes - All

  Yes - Partial

  No

  N/A

• Domestic Water Softener - Maintenance Contract?

  Yes - Vendor

  Yes - Volunteers

  None

  N/A

Furnace

• Furnace - Type of Unit?

  Gas

  Electric

  N/A

• Furnace - How many?

• Furnace - Brand?

• Furnace - Average Age?

• Furnace - PM Checklist Attached?

  Yes

  No

  N/A

• Furnace - Filter Change History Attached?

  Yes

  No

  N/A

• Furnace - Maintenance Contract?

  Yes - Vendor

  Yes - Volunteers

  None

  N/A

Split Unit

• Split Unit - Type of Unit?

  Wall-Mounted

  Single-Zone

  Multi-Zone

  N/A

• Split Unit - How many?

• Split Unit - Brand?

• Split Unit - Average Age?

• Split Unit - PM Checklist Attached?

  Yes

  No

  N/A

• Split Unit - Maintenance Contract?

  Yes - Vendor

  Yes - Volunteers

  None

  N/A

Boilers

• Boilers - Usage for Baseboard/Radiator

  Yes

  No

  N/A

• Boilers - Usage for Infloor Heating

  Yes

  No

  N/A

• Boilers - Type?

  Gas

  Oil

  Electric

  N/A

• Boilers - Brand?

• Boilers - How many?

• Boilers - Average Age?

• Boilers - PM Checklist Attached?

  Yes

  No

  N/A

• Boilers - Maintenance Contract?

  Yes - Vendor

  Yes - Volunteers

  None

  N/A

• Boilers - Pumps (>5hp)?

  Yes

  No

  N/A

Makeup Air Units

• Makeup Air Units - Type?

  Gas

  Electric

  N/A

• Makeup Air Units - How many?

• Makeup Air Units - Brand?

• Makeup Air Units - Average Age?

• Makeup Air Units - PM Checklist Attached?

  Yes

  No

  N/A

• Makeup Air Units - Maintenance Contract?

  Yes - Vendor

  Yes - Volunteers

  None

  N/A

Heatpump

• Heatpump - Type?

  Gas

  Electric

  N/A

• Heatpump - How many?

• Heatpump - Brand?

• Heatpump - Average Age?

• Heatpump - PM Checklist Attached?

  Yes

  No

  N/A

• Heatpump - Maintenance Contract?

  Yes - Vendor

  Yes - Volunteers

  None

  N/A

BMS

• BMS - BMS System Enabled?

  Yes

  No

  N/A

• BMS - Demand Reduction by programming or staggering operations

  Yes

  No

  N/A

Roof

Door/Windows

• Roof Access - Doors properly Insulated & Close?

  Compliant

  Non-Compliant

  N/A

Rooftop Units (RTUs)

• RTUs - Type of Unit?

  Gas

  Electric

  N/A

• RTUs - How many?

• RTUs - Brand?

• RTUs - Average Age?

• RTUs - Filter Change Record?

  Yes

  No

  N/A

• RTUs - PM Checklist Attached?

  Yes

  No

  N/A

• RTUs - Maintenance Contract?

  Yes - Vendor

  Yes - Volunteers

  None

  N/A

• Any General Feedback