FEDERAL FACILITY ASSESSMENT GUIDE Energy Audit Data Collection Grid Building Data Building Name Purpose of Building Days of Use per Week Address Number of Floors Name of Utility Company Building Square Footage (ft2) Daily Operational Hours Total Number of Occupants Age of Building (years) (e.g., M-F 8-6, Sa 10-4) Date of Last Major Renovation Building Specifics Floor Name or Number Floor Square Footage or % of Building Daily Operational Hours Activity Type Area (ft2 or %) (e.g., M-F 8-6, Sa 10-4) (lab, offices, reception, etc.) Number of Occupants Annual Utility Consumption (collected by month) Electricity (kWh) Natural Gas (MMBtu) Water (gallons) Electricity Cost ($) Natural Gas Cost ($) Water Cost ($) Electricity Rate ($/kWh) Natural Gas Rate ($/MMBtu) Annual Utility Tools Electricity Usage (Btu) Total Btu Total Water Natural Gas (Btu Energy Use Intensity (Btu/ft2) Water (gallons/ft2) Lighting Floor Name or Number Lamp Type Hours Lights Are On Each Day Location Ballast Type Total kWh per Day (near window, internal office, Wattage How Are Lights Controlled? hallway, etc.) Total Number of Lamps HVAC Systems Type of HVAC System Operational Setpoints Capacity of the System (e.g., CV, multi-zone, VAV) Type of Chilled System (e.g., Operational Setpoints Fuel Type Used rotary screw chillers with cooling Weather Optimization Sensors (e.g., HVAC System Controls towers) systems, brand of sensor) (e.g., manual, DDC system) Chilled Water System Age Plug Equipment Type Model or Size Total kWh (vending machine, computer, printer, Total Number How is Equipment Controlled? computer screen, refrigerator) Wattage Description, Observations, or Notes Manufacturer Hours of Use per Day Days of Use per Year Building Envelope Building Element Condition Observations (windows, doors, roof, walls, floors) (excellent, good, poor) Possible Energy Saving Opportunities Type Refer to the Energy Audit Data Collection Sheet for a detailed version of this form to use in your assessment process.
FEDERAL FACILITY ASSESSMENT GUIDE Energy Audit Data Collection Grid Building Data Building Name Address Building Square Footage (ft2) Age of Building (years) Date of Last Major Renovation Purpose of Building Number of Floors Daily Operational Hours (e.g., M-F 8-6, Sa 10-4) Days of Use per Week Name of Utility Company Total Number of Occupants Building Specifics Floor Name or Number Activity Type (lab, offices, reception, etc.) Floor Square Footage or % of Building Area (ft2 or %) Number of Occupants Daily Operational Hours (e.g., M-F 8-6, Sa 10-4) Annual Utility Consumption (collected by month) Electricity (kWh) Electricity Cost ($) Electricity Rate ($/kWh) Natural Gas (MMBtu) Natural Gas Cost ($) Natural Gas Rate ($/MMBtu) Water (gallons) Water Cost ($) Annual Utility Tools Electricity Usage (Btu) Natural Gas (Btu Total Btu Energy Use Intensity (Btu/ft2) Total Water Water (gallons/ft2) Lighting Floor Name or Number Location (near window, internal office, hallway, etc.) Lamp Type Ballast Type Wattage Total Number of Lamps Hours Lights Are On Each Day Total kWh per Day How Are Lights Controlled? HVAC Systems Type of HVAC System (e.g., CV, multi-zone, VAV) Fuel Type Used HVAC System Controls (e.g., manual, DDC system) Operational Setpoints Type of Chilled System (e.g., rotary screw chillers with cooling towers) Chilled Water System Age Capacity of the System Operational Setpoints Weather Optimization Sensors (e.g., systems, brand of sensor) Plug Equipment Type (vending machine, computer, printer, computer screen, refrigerator) Manufacturer Model or Size Total Number Wattage Hours of Use per Day Days of Use per Year Total kWh How is Equipment Controlled? Description, Observations, or Notes Building Envelope Building Element (windows, doors, roof, walls, floors) Condition (excellent, good, poor) Type Observations Possible Energy Saving Opportunities Refer to the Energy Audit Data Collection Sheet for a detailed version of this form to use in your assessment process.
Energy%20Audit%20Data%20Collection%20Grid.docx