Title Page
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Client / Site
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Conducted on
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Prepared by
Equipment & Appliances
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Instructions:
1. Based on inspection, select whether an equipment or appliance is "efficient" or "inefficient".
2. Include notes to explain your findings and recommendations to improve efficiency and reduce energy costs.
Check lighting systems, HVAC Systems, and Electrical Appliances for energy efficiency, and recommend possible improvements to cut energy costs.
Lighting Systems - External
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Porch
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Garage
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Yard
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Notes
Lighting Systems - Internal
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Living room
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Dining room
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Kitchen
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Basement
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Attic
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Master bedroom
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Master bathroom
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Bedroom 2
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Bedroom 3
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Bathroom
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Notes
Heating, Ventilation, and Air Conditioning (HVAC)
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Air conditioner
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Furnace
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Notes
Electrical Appliances
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TV set
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Computer CPU
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Computer monitor
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Ceiling fan
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Refrigerator
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Microwave
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Coffee maker
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Toaster
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Clothes dryer
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Dishwasher
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Iron
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Vacuum cleaner
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Notes
Home Composition
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Check for insulation and proper sealing.
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Windows
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Roofing
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Attic
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Doors
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Walls
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Notes
Energy Consumption Habits
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Are appliances and equipment turned off and unplugged when not in use?
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Are some lights turned off in the daytime to take advantage of natural light?
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Are external lights turned off during daylight hours?
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Are lights turned off at the end of the day?
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Are doors and windows closed when the air conditioner/heater is working?
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Is it possible to switch to solar energy?
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Notes
Findings and Recommendations
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Summary Report
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Name and Signature of auditor
