Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Per-audit Questionairre

  • How many people live in unit?

  • How long have you lived in unit?

  • Any pets?

  • Rodent/mold/asbestos present?

  • What utilities are you responsible for? I.e. (electricity, heat, water)

  • How many hours a day is the unit occupied?

  • Do you have any comfort issues with your unit?

  • Do you have any health issues or concerns related to your apartment?

  • Do you have any cost issues?

  • Any questions or specific information you were looking for from this energy audit?

  • Examine utility bills and discuss issues and concerns

Interior inspection

  • Whole house picture

  • Interior sketch w/ dimensions and solar orientation

  • Thermostat programmable or non programmable

  • Thermostat location

Health and Safety

  • Smoke detectors

  • CO detectors

  • Ambient CO test (if greater than 35 ppm STOP audit)

Weather Stripping & Insulation

  • Doors

  • Windows

  • Insulation

  • Walls

Lighting

  • Bulbs & wattage

Appliances

  • Oven/Stove

  • Refrigerator

  • Dishwasher

  • Washer

  • Dryer

  • Pool pump

  • Spa pump/heater

  • All Others

Electronics

  • Types & energy use

Water

  • Toilet

  • Shower head & faucets

Heating Unit

  • Heating type?

  • Fuel?

  • Location?

  • Is there a reset control?

  • Annual Efficiency% ?

  • Year?

  • Input capacity btu/hr?

Air Conditioning

  • Type?

  • SEER?

  • Year?

  • Total output capacity Btu/hr?

  • Supply Temperature setting?

  • Number of Units?

Hot Water

  • Fuel?

  • Location?

  • Type

  • Size?

  • Energy input?

  • Year?

CO Tests

  • Combustion Appliance 1

  • CO Results in PPM

  • Combustion Appliance 2

  • CO Results in PPM

  • Combustion Appliance 3

  • CO Results in PPM

Gas Leak Test

  • Gas Leak Observations

  • All Tagged

Blower Door Test

  • SEE BLOWER DOOR CHECKLIST!!!

  • Results in CFM50

Post Energy Audit

  • Post energy audit discussion

  • Energy audit report (including carbon footprint & energystar rating)

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.