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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:
_______________________________________________________________
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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
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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
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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
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
