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H Y D R O O N E N E T W O R K S
Lighting Self-Audit Form
For each area, inside and out, youll need the following information. Make enough
copies of this form to cover all major areas.
Existing Lights and Controls
Area: ____________________________________________________________________________________
Type of fixtures: ___________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Number of fixtures: _____________
Type of lamp (brand, wattage, specific designation or code):______________________________________
Watts per fixture(including ballast if applicable):___________________________ _____________________
Total watts in area: ______________
Present light levels: too bright adequate too dim
L I G H T I N G S E L F - A U D I T F O R M
Lux level (measured at surface where light is needed): ___________________lux
Lights are on: ______________hours/day ______________days/year
Can lights be switched on and off as desired: Yes No
Additional hours per day lights could be turned off: ______________hours/day
Is there an automatic timer? Yes No
Is it set properly? Yes No
H Y D R O O N E N E T W O R K S
Examples of areas or tasks General public areas, reception areas, stairs,
corridors, circulation areas, lightly used office areas, etc.
Average office work (limited, occasional or less
demanding visual tasks)
More prolonged or difficult visual tasks (e.g., drafting, reading maps or
small type, etc.)
Especially difficult visual tasks - low contrast, small size
(e.g., electronic component assembly)
Quality control inspection
Lighting Level (Lux)
5-20
20-50
50-100
100-200
Over 200
Source: Based on IEEE recommendations
Some Recommended Lighting Levels
Taking the guesswork out of lighting measurements: a photocell light meter,placed on the work surface or other area being lighted, reads the amount oflight on footcandles or lux (1 footcandle = 1.76 lux)
H Y D R O O N E N E T W O R K S
Building Envelope Self-Audit Form
For each area, inside and out, youll need the following information.
Make enough copies of this form to cover all major areas.
OutsideFor each area (e.g. front of building):
Are there storm or thermal windows? Yes No
Describe: ________________________________________________________________________________
Number/location of broken windows:________________________________________________________
Number/location of cracked windows: _______________________________________________________
Description of door or window repairs or replacements needed (including door closers):
________________________________________________________________________________________
Caulking: ____________________feet to replace
_____________________________feet to install
Weatherstripping: ______________feet to replace
_____________________________feet to install
Loading docks and garage doors in need of improvement: _______________________________________
B U I L D I N G E N V E L O P E S E L F - A U D I T F O R MB U I L D I N G E N V E L O P E S E L F - A U D I T F O R M
InsideLocation of drafts (use tissue to locate):
________________________________________________________________________________________
________________________________________________________________________________________
Location of windows that need shades, blinds, or reflective film:
________________________________________________________________________________________
________________________________________________________________________________________
Insulation
H Y D R O O N E N E T W O R K S
Location
Ceiling
Walls
Floor
Check if Not Insulated Present Insulation Thickness Type
H Y D R O O N E N E T W O R K S
For each area, youll need the following information. Make enough copies of
this form to cover all major areas.
Hot Water SystemSystem Components (for each):Type of water heater, energy used: _________________________________________________________
Tank storage capacity: _____________ litres?
Recovery rate: __________________________________________________________________________
Temperature settings______________C
Setting: ________________________________________________________________________________
Make, model, age: _______________________________________________________________________
Tank insulation: _________________________________________________________________________
Location, description of other heaters, if any: ________________________________________________
Length of uninsulated distribution piping: __________metres
Hot Water Self-Audit Form
H O T W A T E R S E L F - A U D I T F O R M
Hot Water TemperaturesLocation of drafts (use tissue to locate):
At showerhead: ________________________C
At faucet nearest tank: __________________C
At dishwasher:_________________________C
At washing machine: ___________________C
At other location: ______________________C
Showerheads, Faucets, Other
Showerheads: Rate of flow:______________litre/minute
Average use/day: _______________________minutes/shower
Faucets: Rate of flow:___________________litres/minute
Dishwasher: Capacity: __________________litres
Times used____________________________week:
Washing Machine: Capacity: _____________litres
Times used____________________________week:
Have cool water washing materials been tried?________________________________________________
H Y D R O O N E N E T W O R K S
H Y D R O O N E N E T W O R K S
HVAC System Self-Audit Form
Air Conditioning
Number of units: __________________________________________________________________________
Make, type, size, location of each: ____________________________________________________________
_________________________________________________________________________________________
Frequency, date of last service: _______________________________________________________________
Heat Pumps
Number of units: __________________________________________________________________________
Make, type, size, location of each: ____________________________________________________________
Do they have auxiliary heating? ______________________________________________________________
Do they have "step-up" controls? _____________________________________________________________
Frequency, date of last service: _______________________________________________________________
H V A C S Y S T E M S E L F - A U D I T F O R M
Central Heating Plant and System
Location: _________________________________________________________________________________
Type of fuel used:__________________________________________________________________________
Type of system
(e.g., hot water, steam, warm air): ____________________________________________________________
_________________________________________________________________________________________
Number of zones:__________________________________________________________________________
Age of boiler or furnace: ______________ years
Age of burner: _____________ years
Steam pressure: ___________________________________________________________________________
or hot water temperature: _____________C
If you have a steam system, when were steam traps last checked? _________________________________
_________________________________________________________________________________________
Type, condition of insulation:
a) on boiler: _______________________________________________________________________________
b) on air ducts or on distribution piping: ______________________________________________________
Is domestic hot water heated by the boiler? ____________________________________________________
H Y D R O O N E N E T W O R K S
Frequency of Testing/Cleaning Adjustment
Date of last test/cleaning: ___________________________________________________________________
Results of test (eg., combustion efficiency %) __________________________________________________
Has HVAC system been balanced?____________________________________________________________
Controls / UseLocation of thermostats that might need to be locked: ___________________________________________
_________________________________________________________________________________________
Location of clock thermostat: ________________________________________________________________
Cold weather thermostat settings: _____________C
When, how much thermostat is set back: ______________________________________________________
for the night: ______________________________________________________________________________
for the weekend:___________________________________________________________________________
Hot weather thermostat setting: _____________C
When, how much thermostat is set back: ______________________________________________________
for the night: ______________________________________________________________________________
for the weekend:___________________________________________________________________________
H Y D R O O N E N E T W O R K S
H V A C S Y S T E M S E L F - A U D I T F O R M
H V A C S Y S T E M S E L F - A U D I T F O R M
How many hours a week is system used?
hours in hot weather ______________hrs.
hours in cold weather ______________hrs.
Can system be turned down during cleaning hours? _____________________________________________
_________________________________________________________________________________________
When is system turned on/off in relation to daily occupancy (i.e., before, after, by how long)?
_________________________________________________________________________________________
_________________________________________________________________________________________
Which areas are too hot, too cold?____________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
H Y D R O O N E N E T W O R K S
H Y D R O O N E N E T W O R K S
Machines, Equipment & Motors Self-Audit Form
Youll need the following information. Make enough copies of this form to cover
all major areas. For each machine or piece of equipment.
Office Machines
Machine type, location: ____________________________________________________________________
Wattage (nameplate amps x volts):____________________________________________ x 30% = watts of
energy to operate it: _______________________________________________________________________
Is it left on overnight? Yes No
Is it left on over weekends? Yes No
Daily hours of operation: ___________________________________________________________________
Hours per day it could be turned off: _________________________________________________________
M A C H I N E S , E Q U I P M E N T & M O T O R S S E L F - A U D I T F O R M
Swimming Pool
Size of pool:____________________________________________________Capacity _____________litres?
Type of water heater: ______________________________________________________________________
Rating _______________________________________________________(kW or BTU/hr)______________
Filter pump motor hp and efficiency rating: ___________________________________________________
Hours/week filter pump is operated: _________________________________________________________
Hours/week operation could be reduced: _____________________________________________________
Hours pool is covered: _____________________________________________________________________
Refrigeration and Freezing
Type, age, energy used (for each):____________________________________________________________
Compressor rating: ______________________________________________hp; age:_____________years
Present temperature: _____________C
Are cases overloaded?______________________________________________________________________
Are night covers used? _____________________________________________________________________
Do doors close completely by themselves? ____________________________________________________
Cooking
Type, age, energy used: ____________________________________________________________________
Temperature now used: ______________C
Is this the lowest possible temperature? ______________________________________________________
Is equipment turned off when ever possible? __________________________________________________
Are there exhaust hoods? ___________________________________________________________________
H Y D R O O N E N E T W O R K S
M A C H I N E S , E Q U I P M E N T & M O T O R S S E L F - A U D I T F O R M
Washing and Drying
Type, age, energy used ____________________________________________________________________
Temperature now used: ______________C
Have you tried to reduce stand-by losses? Yes No
Are machines fully and properly loaded? Yes No
Are low temperature cleaning materials used? Yes No
Motors
Size of motor: ________________________________________________hp age:________________years
Hours of operation per day: ________________________________________________________________
Is it turned off when ever possible? __________________________________________________________
What is its efficiency rating? ________________________________________________________________
Type of power output reduction, if any (variable speed drive or throttling):
________________________________________________________________________________________
Industrial and Shop Equipment
Function of machine: ______________________________________________________________________
Energy rating (e.g. watts or hp): _____________________________________________________________
Hours used /day:__________________________________________________________________________
Possible modifications in its use: ____________________________________________________________
Could it be shifted off-peak? ________________________________________________________________
H Y D R O O N E N E T W O R K S
M A C H I N E S , E Q U I P M E N T & M O T O R S S E L F - A U D I T F O R M
Air Compressors
Pressure setting: ________________________________________________psi age:_______________years
Rating:_______________hp
Is it turned off when possible? Yes No
Location of leaks: _________________________________________________________________________
Is outside air used? Yes No
Heat Reclamation
Description of present system, if any: ________________________________________________________
________________________________________________________________________________________
Potential for a system (waste water, exhaust, air, or other): ______________________________________
H Y D R O O N E N E T W O R K S
More information about energy efficiency in your home
is available on our Web site at http://www.hydroonenetworks.com.
Pricing for electricity delivery can be obtained
on the Web or by calling our Customer
Communications Centre at 1-888-664-9376.
Copyright of Hydro One Networks