ENERGY SERVICES-Energy Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Building Information

• Name of Building:

• Address of Building

• Year Built:

• Total Square Footage:

• Add Room

Room

• Room Name:

• Approximate Size:

• Sketch of Room:

  Drawing

• Add Photo of Room:

Picture

• Photos of Room:

  Media

• Name of Picture:

• Add piece of equipment

Piece of Equipment

• Type of Equipment:

• Manufacturer:

• Serial Number:

• Model Number:

• Size (Include Units):

• Year:

• Efficiency:

• Equipment Information:

• Pictures of equipment:

Picture

• Pictures of Equipment:

  Media

• Name of Picture:

• Additional Comments:

• Add media

  Media

• Name of Picture:

• Add Issues/Areas of Improvement:

Issues/Area of Improvement

• Issue/Area:

• Notes:

• Pictures of Issues/Areas:

Picture of Issues/Areas

• Photos of Issue/Area:

  Media

• Name of Picture:

• Add ECM:

ECM

• Add ECM: