Winter Break Shutdown

• Audit Title

• Client / Site

• Conducted on

  Date
• Location
  Address

• Prepared by

Building Envelope

• Exterior Doors Closed<br>

  Yes

  No

  N/A

• Exterior Windows Closed<br><br><br>

  Yes

  No

  N/A

• Building Facade In Good Overall Condition

  Yes

  No

  N/A

Administration

• Blinds closed

  Yes

  No

  N/A

• Computers Shutdown And Peripherals Off<br>

  Yes

  No

  N/A

• Individual thermostats set to 55 degrees or lowest setting (if present)

  Yes

  No

  N/A

• Appliances off and unplugged

  Yes

  No

  N/A

• Interior Lights Off<br>

  Yes

  No

  N/A

Media Center/Library

• Blinds closed

  Yes

  No

  N/A

• Computers Shutdown And Peripherals Off<br>

  Yes

  No

  N/A

• Individual thermostats set to 55 degrees or lowest setting (if present)

  Yes

  No

  N/A

• Appliances off and unplugged

  Yes

  No

  N/A

• Interior Lights Off<br>

  Yes

  No

  N/A

Kitchen/Cafeteria/Multi-purpose

• Windows and blinds closed

  Yes

  No

  N/A

• Dishwasher booster heater off

  Yes

  No

  N/A

• Cooking equipment off and unplugged (if possible)

  Yes

  No

  N/A

• Exhaust fans and hoods off

  Yes

  No

  N/A

• Consolidate contents of reach in fridge to walk in and unplug (where feasible)

  Yes

  No

  N/A

• Milk box fridges off and unplugged

  Yes

  No

  N/A

• Individual thermostats set to 55 degrees or lowest setting (if present)

  Yes

  No

  N/A

• Interior Lights Off<br>

  Yes

  No

  N/A

Classrooms/Educational Wing

• Blinds Closed

  Yes

  No

  N/A

• Computers Shutdown And Peripherals Off<br>

  Yes

  No

  N/A

• Individual thermostats set to 55 degrees or lowest setting (if present)

  Yes

  No

  N/A

• Appliances Off And Unplugged

  Yes

  No

  N/A

• Interior Lights Off

  Yes

  No

  N/A

Gym/Physical Education

• Blinds Closed

  Yes

  No

  N/A

• Computers Shutdown And Peripherals Off<br>

  Yes

  No

  N/A

• Water Off In Locker Rooms: Showers, Toilets, and Sinks

  Yes

  No

  N/A

• Interior Lights Off<br>

  Yes

  No

  N/A

General Building

• Bathroom doors propped open

  Yes

  No

  N/A

• Water Off In Gang Bathrooms: Water Closets, Urinals And Sinks

  Yes

  No

  N/A

• Drinking fountains unplugged (where feasible)<br>

  Yes

  No

  N/A

• Break room appliances (microwaves, coffee pots, toasters, etc) unplugged

  Yes

  No

  N/A

• Individual thermostats set to 55 degrees or lowest setting (if present)

  Yes

  No

  N/A

• Hallway Lights Out ( except emergency)

  Yes

  No

  N/A

Physical Plant

• Mechanical Room Accessible<br>

  Yes

  No

  N/A

• System Pressure Guages Accessible And Operational

  Yes

  No

  N/A

• Piping Systems Clearly Labeled

  Yes

  No

  N/A

• Insulation On Distribution Piping

  Yes

  No

  N/A