GreenBean Energy Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Per- Audit Questionnaire

• What year was your home built?

  Yes

  No

  N/A

• How long have you lived in your home?

  Yes

  No

  N/A

• How many square ft is our home?

  Yes

  No

  N/A

• How many people live in your home?

  Yes

  No

  N/A

• How many hours in a 24 hr period is your home occupied?

  Yes

  No

  N/A

• Any pets?

  Yes

  No

  N/A

• Any tobacco products being smoked in the house?

  Yes

  No

  N/A

• Any mold/asbestos/rodent problems?

  Yes

  No

  N/A

• How is the heat in your home distributed?

  Baseboard

  radiator

  forced hot air

• Air conditioning type?

  Window units

  central air

  both

  fan

  none

• Average thermostat setting home and away and location/s?

  Yes

  No

  N/A

• Where in your home is Comfortable, chilly, drafty, warm etc.?

  Yes

  No

  N/A

• What do you wish we're different about your home?

  Yes

  No

  N/A

• PLEASE HAVE AVAILABLE 12 MONTHS OF UTILITY BILLS

Exterior Inspection

• Whole house picture

  Media

• Roof Observations

  Yes

  No

  N/A

• Structural Observations

  Yes

  No

  N/A

• Foundation Observations

  Yes

  No

  N/A

• Gutter Observations

  Yes

  No

  N/A

• Venting Observations

  Yes

  No

  N/A

• Penetrations & Thermal Bypasses Observations

  Yes

  No

  N/A

• Exterior Sketch w/ dimensions and solar orientation

  Drawing

• Exterior solar dimensions gathered?

  Yes

  No

  N/A

Spaces

• Spaces (A) location, ceiling height, floor sq/ft, occupied hrs/day

• Spaces (B) Location, ceiling height, floor sq/ft, occupied hrs/day

• Spaces (C) location, ceiling height, floor sq/ft, occupied hrs/day

• Spaces (D) location, ceiling height, floor sq/ft, occupied hrs/day

Walls & Surfaces

• Attic wall & ceiling construct observations

• 3rd floor wall &ceiling construct observations

• 2nd floor wall & ceiling construct observations

• 1st floor wall & ceiling construct observations

• Basement wall & ceiling construct observations

Interior Inspection

• Smoke Dectectors?

  Yes

  No

  N/A

• Carbon Monoxide Detector/s?

  Yes

  No

  N/A

• Thermostat programmable or non programmable

  Programmable

  Non programmable

• Interior to exterior wall construct?

  Yes

  No

  N/A

• Which spaces are heated or unheated?

  Yes

  No

  N/A

• Place thermostats in fridge and freezer

Thermal Image Scan

• TURN ON THERMAL IMAGER

Doors & Windows

• Exterior door/s type, size, location? (3rd floor)<br>

  Yes

  No

  N/A

• Exterior door/s type, size, location? (2nd floor)

  Yes

  No

  N/A

• Exterior door/s type, size, location? (1st floor)

  Yes

  No

  N/A

• Exterior door/s type, size, location? (basement)

  Yes

  No

  N/A

• Window/s type, size & location? (attic)

  Yes

  No

  N/A

• Window/s type, size & location? (3rd floor)

  Yes

  No

  N/A

• Window/s type, size & location? (2nd floor)

  Yes

  No

  N/A

• Window/s type, size & location? (1st floor)

  Yes

  No

  N/A

• Window/s type, size & location? (basement)

  Yes

  No

  N/A

Blower door test

• SEE BLOWER DOOR SETUP CHECKLIST!!!!!

• Blower door test results in CFM50

  Yes

  No

  N/A

Heating Unit

• Location?

  Attic

  3rd floor

  2nd floor

  1st floor

• Heating type?

  Select Air source heat pump Steam boiler Water boiler Electric baseboard Furnace Ground Source heat pump Groundwater source Heat Pump Other

  • Air source heat pump
  • Steam boiler
  • Water boiler
  • Electric baseboard
  • Furnace
  • Ground Source heat pump
  • Groundwater source Heat Pump
  • Other

• Fuel?

  Natural gas

  Electricity

  Oil

• Input capacity BTU/hr?

  Yes

  No

  N/A

• Year?

  Yes

  No

  N/A

• Annual efficiency % ?

  Yes

  No

  N/A

• Is there a reset control?

  Yes

  No

• NOTES

  Yes

  No

  N/A

Hot water heater

• Location?

  Select Attic 3rd floor 2nd floor 1st floor unconditioned basement conditioned basement

  • Attic
  • 3rd floor
  • 2nd floor
  • 1st floor
  • unconditioned basement
  • conditioned basement

• Type?

  Select Storage water heater Dedicated boiler w/storage tank instantaneous water heater Heat pump water heater boiler w/storage tank boiler w/tankless coil

  • Storage water heater
  • Dedicated boiler w/storage tank
  • instantaneous water heater
  • Heat pump water heater
  • boiler w/storage tank
  • boiler w/tankless coil

• Size?

  Select 20 30 40 50 60 70 80 90 100

  • 20
  • 30
  • 40
  • 50
  • 60
  • 70
  • 80
  • 90
  • 100

• Fuel?

  Gas

  Electrcity

• Energy Input?

  Yes

  No

  N/A

• Year?

  Yes

  No

  N/A

• NOTES

  Yes

  No

  N/A

Air Conditioning

• Air conditioning type?

  Central air

  room air conditioner

• Number of units?

  Select 1 2 3 4 5 6 7 8 9 10

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

• Year?

  Yes

  No

  N/A

• SEER?

  Yes

  No

  N/A

• Design Supply temperature?

  Yes

  No

  N/A

• Total output capacity?

  Yes

  No

  N/A

• NOTES

  Yes

  No

  N/A

Fans

• Location/s?

  Yes

  No

  N/A

• Ventilated area sq/ft?

  Yes

  No

  N/A

• CFM rate?

  Yes

  No

  N/A

• Hours on/day?

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24

Lighting

• Watts per fixture, hours on per Day, count (ATTIC)

  Yes

  No

  N/A

• Watts per fixture, hours on per Day, count (3rd FLOOR)

  Yes

  No

  N/A

• Watts per fixture, hours on per Day, count (2nd FLOOR)

  Yes

  No

  N/A

• Watts per fixture, hours on per Day, count (1st FLOOR)

  Yes

  No

  N/A

• Watts per Fixture, hours on per Day, count (BASEMENT)

  Yes

  No

  N/A

Plug Load

• ATTIC

  Yes

  No

  N/A

• 3RD FLOOR

  Yes

  No

  N/A

• 2ND FLOOR

  Yes

  No

  N/A

• 1ST FLOOR

  Yes

  No

  N/A

• BASEMENT

  Yes

  No

  N/A

• Oven/ stove

  Yes

  No

  N/A

• Refrigerator

  Yes

  No

  N/A

• Dishwasher

  Yes

  No

  N/A

• Washer

  Yes

  No

  N/A

• Dryer

  Yes

  No

  N/A

• Water Heater

  Yes

  No

  N/A

• Portable Heater

  Yes

  No

  N/A

Water

• Toilet

  Yes

  No

  N/A

• Sower head & Faucets

  Yes

  No

  N/A

• Test hot water at faucet

  Yes

  No

  N/A

CO Test

• Combustion Appliance 1

  Yes

  No

  N/A

• CO Results in PPM

  Yes

  No

  N/A

• Combustion Appliance 2

  Yes

  No

  N/A

• CO Results in PPM

  Yes

  No

  N/A

• Combustion Appliance 3

  Yes

  No

  N/A

• CO Results in PPM

  Yes

  No

  N/A

Gas Leak Test

• Gas Leak Observations

  Yes

  No

  N/A

• All Tagged

  Yes

  No

  N/A

Blower Door Test

• SEE BLOWER DOOR CHECKLIST!!!!

• Results in CFM50

  Yes

  No

  N/A

Item Cleanup

• Take thermostat out of refrigerator and freezer

• Record fridge and freezer temperatures

  Yes

  No

  N/A

• Gather EVERYTHING in one spot

Post Energy Audit

• Post Energy Audit discussion

• Energy Audit report ( including carbon footprint & energy star rating )