Information
-
Audit Title
-
Document No.
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
Per-audit Questionairre
-
How many people live in unit?
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
-
How long have you lived in unit?
- 1
- 2
- 3
- 45
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
-
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?
- 1
- 2
- 3
- 4
- 5
- 6
- (7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
-
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?
- Steam Boiler
- Water Boiler
- Electric Baseboard
- Furnace
- Air Source Heat Pump
- Ground Source Heat Pump
- Groundwater Heat Pump
-
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?
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
Hot Water
-
Fuel?
-
Location?
- Attic
- 3rd floor
- 2nd floor
- 1st floor
- unconditioned basement
- conditioned basement
-
Type
- Storage Water Heater
- Dedicated boiler w/ storage tank
- Instantaneous water heater
- Heat Pump water heater
- Boiler w/ storage tank
- Boiler w/ tankless coil
-
Size?
- 20
- 30
- 40
- 50
- 60
- 70
- 80
- 90
- 100
-
Energy input?
-
Year?
CO Tests
-
Combustion Appliance 1
- Oven
- Boiler
- Furnace
- Fireplace
- Wood Burning Stove
- Water Heater
-
CO Results in PPM
-
Combustion Appliance 2
- Oven
- Boiler
- Furnace
- Fireplace
- Wood Burning Stove
- Water Heaters
-
CO Results in PPM
-
Combustion Appliance 3
- Oven
- Boiler
- Furnace
- Fireplace
- Wood Burning Stove
- Water Heater
-
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)