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
- T-Bar Fluorescent 600x600
- T-Bar Fluorescent 1200x600
- T-Bar Fluorescent 600x300
- T-Bar Fluorescent 1200x300
- Recessed Plaster Fluorescent 600x300
- Recessed Plaster Fluorescent 1200x300
- Bare Fluorescent Batten
- Diffused Fluorescent Batten
- Weatherproof Fluorescent Batten
- Fluorescent Downlight
- Halogen Downlight
- Highbay
- Lowbay
- Floodlight
- Wall Light
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Photo of fitting
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Wattage per lamp
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Number of Lamps
- 1
- 2
- 3
- 4
- 5
- 6
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Number of fittings
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Exit Fittings
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Number of Fittings
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Emergency 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 in metres
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Existing Controls
- Manual Switch
- Automation - Dynalite/CBus
- Sensor
- Timeclock
- Sunset Switch
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Lux level
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Notes
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Drawing
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Photo of plan for area
