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Inventory Energy Audit Checklist Form
Please fill the form carefully
1
Step 1
2
Step 2
*
School or Site Name:
option-1
option-2
option-3
This field is required.Please enter value
*
Principal/Administrator:
option-1
option-2
option-3
This field is required.Please enter value
*
Building Status:
Early Morning Unoccupied
Custodial Occupied
Staff Occupied
Late Night Unoccupied
Weekend Unoccupied
Long Break Unoccupied
This field is required.Please enter value
Date of Audit:
This field is required.Please enter value
Date format is invalid, please check it again
The value must be greater than or equal to -21474836487
The value must be less than or equal to 2147483647
Time of Audit:
This field is required.Please enter value
The value must be greater than or equal to -21474836487
The value must be less than or equal to 2147483647
Identify any equipment that was running that should not have been...
*
Plug Load:
Office Copiers
Faculty Copiers
Office Computers
Office Monitors
Office Printers
PC-Lab Computers
PC-Lab Monitors
Class Computers
Class Monitors
Class Printers
TV-VCR-DVD
AV Equipment
Vending Machines
Drinking Fountains
Personal Devices
Nothing left on!
This field is required.Please enter value
*
Lighting:
Office
Hallway
Classroom
Breakroom
Work Room
Library
Cafeteria
Gym
Locker Rooms
Restrooms
Auditorium
Stage
Storage Rooms
Mechanical Rooms
Work Shops
Nothing left on!
This field is required.Please enter value
Next
*
HVAC:
Boilers
Pumps
Air Handler (AHU)
Roof Top Unit (RTU)
Baseboard Heaters
Wall Heaters
Vestibule Heaters
Uni-Vent Heaters
Fan-Coil Heaters
Exhaust Fans
Water Heaters
Recirculation Pumps
Kitchen Equipment
Hood Fans
Air Filters Need Replacing
Nothing left on!
This field is required.Please enter value
Facility Items Checked/Adjusted, Safety & Security Concerns...
*
Facility Concerns:
EMS Schedule
Programmable Thermostats
Non-Programmable Thermostats
Weather Stripping
Door Sweeps
Digital Timers
Mechanical Timers
Interior Plumbing
Outside Plumbing
Sprinkler Systems Ok
This field is required.Please enter value
*
Safety Concerns:
Leaks or Puddles Inside
Leaks or Puddles Outside
Trip Hazards Inside
Trip Hazards Outside
Extension Cords In Use
Ice or Slick Conditions
Security Lights out
Security Lights Adjusted
Unsecured Shelving
Exit Signs Not Working
Exit Maps Missing
No Concerns!
This field is required.Please enter value
*
Security Concerns:
Windows Open
Windows Unlocked
Interior Doors Open
Exterior Doors Open
Exterior Doors Unlocked
Doors Propped Open
Cameras Not working
Cameras Need Adjusting
No Concerns!
This field is required.Please enter value
*
Comments, Questions, Concerns or Work Orders Required... :
This field is required.Please enter value
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