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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