Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Utilities
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Cost of electric per kWh
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Last month bill
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Last year bill
Rooms and fittings
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Room Name
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General photo of room
Light fitting
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Fitting type
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Photo of fitting
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Wattage
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Number of fittings
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EM fittings
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Number of EM fittings
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Hours per day usage
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Days per week
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Height of fitting from floor
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Existing controls
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Lux level
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Notes
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Drawing