Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • 1. System Data

  • Chiller Fuel-Load Capacity (tons):

  • Chiller Fuel-Load Rating (kW/ton, or 1,000 lb/ton):

  • Equivalent Full-Load Operating Hours (hr):

  • Energy Cost Rate ($/kWh or $/1,000 lb):

  • 2. Annual Energy Savings

  • Chiller Capacity (tons)✖️Chiller Rating (kW/ton) or (1,000 lb/ton)✖️Equivalent Full-Load Hours (hr)✖️Energy Rate ($/kWh) or ($/1,000 lb)✖️Efficiency Increase✖️Chiller Water Reset Factor = __________ Annual Energy Savings ($)

  • 3. Chilled Water Reset Factor

  • Operating Hours Per Day Multiplication Factor
    8 0.25
    16 0.40
    20 0.55
    24 0.70

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