Title Page
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Client / Site
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Conducted on
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Prepared by
Lighting
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Is the facility using the most energy efficient lighting options?
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Are areas clear of excessive or unneeded lighting?
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Is natural sunlight effectively used?
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Are there lighting management equipment such as dimmers, timers and sensors installed?
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Notes
Building Envelope
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Is the building well insulated?<br>
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Is weatherstripping around doors and windows sufficient? <br>
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Are cracks around doors, windows and foundations properly sealed?<br>
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Notes
Heating and Cooling
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Are furnaces, boilers and air conditioning systems operating efficiently?<br>
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Is there a regular maintenance and update schedule for these systems?<br>
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Are filters replaced regularly?<br>
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Is the building properly and efficiently ventilated?<br>
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Notes
Motors and Equipment
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Is equipment maintained so that it is operating at maximum efficiency?<br>
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Are machines shut down when not in use?<br>
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Notes
Energy Behavior
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Are lights, fans, and equipment (computers, printers, etc) turned off and unplugged when not in use?<br>
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Are building temperatures set back when not in use?<br>
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Are thermostats set between 70 to 78 degrees Fahrenheit?<br>
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Notes
Findings and Recommendations
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Summary Report
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Name and Signature of auditor