Wes Audit Form New

Energy Audit Report
School or Site Name *
Principal/Administrator *
Building Status *
Date and time of the Audit

Month Day Year Hour Minutes AM/PM Option
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 Not Checked! Nothing left on!
Lighting *

Office Hallway Classroom Breakroom Work Room Library Cafeteria Gym Locker Rooms Restrooms Auditorium Stage Storage Rooms Mechanical Rooms Work Shops Not Checked Nothing Left On!
HVAC *

Boilers Pumps Air Handler (AHU) Roof Top Unit (RTU) Fan-Coil Heaters Exhaust Fans Water Heaters Recirculation Pumps Kitchen Equipment Hood Fans Air Filters Need Replacing Classroom Door Open Nothing Left On! Not Checked
Facility Items Checked/Adjusted, Safety & Security Concerns...
Security Concerns *

Windows Open Windows Unlocked Exterior Doors Open Exterior Doors Unlocked Classroom Doors Open ¡No Concerns!
Facility Concerns *

EMS Schedule Programmable Thermostats Weather Stripping Door Sweeps Digital Timers Mechanical Timers Interior Plumbing Outside Plumbing Sprinkler Systems Ok ¡No Concerns!
Safety Concerns *

Leaks or Puddles Inside Leaks or Puddles Outside Trip Hazards Inside Trip Hazards Outside Extension Cords In Use Security Lights out Security Lights Adjusted Exit Signs Not Working Exit Maps Missing Not Checked ¡No Concerns!
Comments, Questions, Concerns or Work Orders Required... *
Add pictures if possible then click "SUMBIT" once.
Upload Pictures Here
Click to edit
E-mail
E-mail
E-mail
Should be Empty:

Energy Audit Report

Identify any equipment that was running that should not have been...

Facility Items Checked/Adjusted, Safety & Security Concerns...