Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Building:

  • Area (sq ft):

  • January:

  • Electricity:

  • kWh:

  • Btu:

  • Fuel #2:

  • Use:

  • Btu:

  • Fuel #3:

  • Use:

  • Btu:

  • Total Use Btu:

  • February:

  • Electricity:

  • kWh:

  • Btu:

  • Fuel #2:

  • Use:

  • Btu:

  • Fuel #3:

  • Use:

  • Btu:

  • Total Use Btu:

  • March:

  • Electricity:

  • kWh:

  • Btu:

  • Fuel #2:

  • Use:

  • Btu:

  • Fuel #3:

  • Use:

  • Btu:

  • Total Use Btu:

  • April:

  • Electricity:

  • kWh:

  • Btu:

  • Fuel #2:

  • Use:

  • Btu:

  • Fuel #3:

  • Use:

  • Btu:

  • Total Use Btu:

  • May:

  • Electricity:

  • kWh:

  • Btu:

  • Fuel #2:

  • Use:

  • Btu:

  • Fuel #3:

  • Use:

  • Btu:

  • Total Use Btu:

  • June:

  • Electricity:

  • kWh:

  • Btu:

  • Fuel #2:

  • Use:

  • Btu:

  • Fuel #3:

  • Use:

  • Btu:

  • Total Use Btu:

  • July:

  • Electricity:

  • kWh:

  • Btu:

  • Fuel #2:

  • Use:

  • Btu:

  • Fuel #3:

  • Use:

  • Btu:

  • Total Use Btu:

  • August:

  • Electricity:

  • kWh:

  • Btu:

  • Fuel #2:

  • Use:

  • Btu:

  • Fuel #3:

  • Use:

  • Btu:

  • Total Use Btu:

  • September:

  • Electricity:

  • kWh:

  • Btu:

  • Fuel #2:

  • Use:

  • Btu:

  • Fuel #3:

  • Use:

  • Btu:

  • Total Use Btu:

  • October:

  • Electricity:

  • kWh:

  • Btu:

  • Fuel #2:

  • Use:

  • Btu:

  • Fuel #3:

  • Use:

  • Btu:

  • Total Use Btu:

  • November:

  • Electricity:

  • kWh:

  • Btu:

  • Fuel #2:

  • Use:

  • Btu:

  • Fuel #3:

  • Use:

  • Btu:

  • Total Use Btu:

  • December:

  • Electricity:

  • kWh:

  • Btu:

  • Fuel #2:

  • Use:

  • Btu:

  • Fuel #3:

  • Use:

  • Btu:

  • Total Use Btu:

  • Total (of all months):

  • Electricity:

  • kWh:

  • Btu:

  • Fuel #2:

  • Use:

  • Btu:

  • Fuel #3:

  • Use:

  • Btu:

  • Total Use Btu:

  • Conversion Factors:

    Electricity 3,413 Btu / kWh
    Natural Gas 1,000 Btu / cu ft
    #2 Oil 138,000 Btu / gal
    #6 Oil 146,000 Btu / gal
    Propane 21,500 Btu / lb
    Steam 900 Btu / lb

  • Annual Use (Btu / sq ft)

  • Annual Use (btu) ➗ Area (sq ft) = __________ Annual Use Index (Btu / sq ft)

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