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
Faclities Details
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Year Constructed
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Square Footage
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Building style
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General HVAC/Controls Description
HVAC Systems
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Check if you want to Complete HAVC System Assessment
RTU Assessment
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Check if you are completing a RTU Assessment
Add Record
RTU Unit Details
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Enter RTU Tag #
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Manufacture
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Model #
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Serial #
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Voltage
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Max Overcurrent Protection Amps
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Year Installed
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Can we interface to this unit with BacNet, Lon, Bridge
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Select Which
RTU Assessment Findings
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General Unit Condtion
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Type of Heat – Hot Water, Gas or NA
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Control Signal
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Type of Compressors
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VFD or Constant Volume
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Outside Air Flow Measuring Station
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Energy Recovery Unit Installed
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Identify the unit information
Condition Assessment of Componets
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Cabinet, Evap Coil, Condenser Coil
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VFD’s
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Damper Actuators
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Pulleys, sheaves and bearings
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Desiccant Belt, Wheel
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Dampers
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Duct Static Pressure Sensor
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Return Fan Motor
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Exhaust Fan
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Recirc pump if hot water coil
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Freeze Stat
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DAT, MAT, RAT, RH sensors
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Filters
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Ductwork – any noticeable air leaks
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Diversity of system Load vs. Deliverable air
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Check Curb and record all measurements
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Front to Nearest Obstruction
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Back to Nearest Obstruction
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Side 1 to Nearest Obstruction
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Side 2 to Nearest Obstruction
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Is system Clean and free of debris
Boiler Systems
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Boiler Unit Details
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Unit Tag #
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Manufacture
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Model #
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Serial #
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BTU Input/Output
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Year Installed
Boiler Assessment Findings
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Condition of piping – will it require rework for new boilers
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Are the current boilers sized correctly
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How has the maintenance cost been for the existing boilers
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Are there other parts of the boiler plant will need to be replaced
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Back flow preventer
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Fill valve
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Expansion Tank
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Air Separator
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Isolation valves
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Vent Piping
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Safeties LWCO, High Limit, Flow Switch, Boiler and System safety relief valves Circuit Setters
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Concentric Terminations
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Gas Piping
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Should the piping being changed to Primary / Secondary
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Are controls currently installed
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Select Which
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Combustion air dampers will they be needed, do they have a running interlock to the boiler system (end Switch)
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Boiler Inspection Scheduled
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What is the date and time
System Pumps
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Check Box if you are completing a pump system assessment
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Pump Details
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Unit Tag #
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Type of pump
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Manufacture
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Model #
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Pump impeller
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Voltage / Phase
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Year Installed
Pump System Assessment Findings
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Have the Pumps have been rebuilt
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Any Leaks
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Should they be replaced with high efficiency sealed circulators
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Will replacement require piping modifications
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What type of controls are currently in
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How are they being controller, list control points
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can they be converted to DDC
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Have Strainer been Cleaned
VAV Controls
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Check box if your are completing a VAV Controls assessment
VAV System Details
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Total Quantity
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Fan Powered Qty
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VAV Manufacture
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Control Valve Style 2way, 3way, 2position, modulating (tri-state, 2-10vdc, 4-20ma)
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Can we reuse control valves
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Are circuit setters in good condition
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Year Installed
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Are there known issues – ask Center Manager
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Leaks
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Hot / Cold Spots
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Drafts
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Can we reuse 24vac power wire
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Type of Reheat – Hot Water or Electric
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How accessible or serviceable
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Existing DAT – can it be used on our system
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Condition of hard ductwork and flex
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What type of Damper Actuator is installed
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Can we reuse the damper actuator
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Can we interface to this unit with BacNet, Lon, Bridge
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Select Which
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T-stat locations compared to what VAV the control
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Does VAV supply more than one room with T-stat control in another room
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Can this VAV be repurposed to supply an office
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Are there any VAV’s above the ceiling not feeding anything
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Are the flow rings and coil clean
Controls Systems
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Check box if your are completing a Controls System assessment
Controls System Details
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Manufacture
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Year Installed
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Is there a dedicated PC
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Is this system obsolete
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Does this system have remote access
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Suggestions for new system
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Existing Graphics
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Building Static Pressure Control
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Are there existing controls and can we interface to this unit with BacNet, Lon, Bridge
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Exhaust Fans
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Exhaust Fan Details
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Tag #
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Manufacture
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Model
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Serial #
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Voltage / Phase
Assessment Findings
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Is status monitored by control system
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Is enable signal from control system
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Is this unit in good shape or should it be replaced
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Should this unit be added to the control system
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Is there an existing isolation damper
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Is there and existing speed controller to be used for balancing
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Is the unit vented outside, if not can it be vented outside
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Any roof work required
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Are the fans clean
Water Heater
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Water Heater Details
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Manufacture
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Model
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Serial #
Assessment Findings
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Is this High efficiency design
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Is unit past its normal life expectancy
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Is Properly sized for the demands of the facility
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If Re-circulation pump is original should it be replaced
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Would a tank less water heater with internal circulator work for this facility
Miscellaneous Equipment
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Miscellaneous Equipment Details
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Manufacture
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Model
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Serial #
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Control
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Valve
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Relay
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Current Sensor
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Does it work
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Is it clean
Loading Dock
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Type Door
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Can we mount a door contactor
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Is there a Unit Heater in Dock
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Type of controls valve
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Signature