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COVER PAGE

Commercial Building Energy Audit Sample Forms


Copyright 2011, Rocky Mountain Institute www.rmi.org

Purpose
Gathering the right data, with the appropriate amount of detail, is a key component to realizing the
maximum savings from an energy audit. However, the process for audit data collection is currently
non-standardized, and crucial data can be overlooked or the level of detail is insufficient for the
required energy and financial analyses. To address these issues, we have created these template data
collection forms. The purpose of these sample forms are to assist building energy auditors collect data
required to complete comprehensive energy and financial analyses of proposed modifications to the
building. These forms are best suited to Level II and Level III audits.
Acknowledgements
Rocky Mountain Institute, Integral Group, Taylor Engineering, kW Engineering
Sample Form Recommended Use
Identify which of the information listed in these sample forms are needed for your project.
Identify your anticipated source for each piece of data. Typical data sources are listed below.
Use
column
where
available
inthat
casehave
you been
need filled
to clarify
the information
Use the
the "citation"
"Guidance"
Sample
Forms
provided
in sample
data as at a later time.

an example of the type of information you should be collecting; you may want to print
them out and take them with you to the site.
Collect as much data as possible prior to a site visit.
Print the Sample Forms (sometimes multiples of each) and bring them (or the electronic version) with you to the s
Typical Data Sources
Facility manager
As-built drawing sets
Utility bills
BAS trend data
On-site spot measurements
Temporary logger data
Tools for a
Tools for a
Level
I
Level
II and meter (light meter)
Identification
Illuminance
Audit
:
III
Audit
Notebook / Clipboard
Infrared :temperature spot meter
Phone
Electronic ballast spinner/detector
Audit forms appropriate to the site
Power meter and/or data loggers
Digital Camera
Temperature loggers
Multi-Tool
Light loggers
Flashlight
Motor runtime status loggers
Digital thermometer and/or humidity meter
Hearing protection (for mechanical rooms)
Specialized equipment for detailed assessments may also include:
Boiler stack gas analyzer (for combustion tests)
Ultrasonic flow meters (for monitoring chilled water, condenser water, or heating water flows
Infrared camera
Centralized data logging systems
Construction hard hat

COVER PAGE
Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

n) with you to the site.

TABLE OF CONTENTS
Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

GENERAL INFORMATION
1.0 Basics
1.1 Capital Improvement Plan
1.2 Utility Cost Data
1.3 Delivered Consumption Data
1.4 Preliminary Energy Use Analysis
1.5 Operations and Maintenance Cost
GEOMETRY &ENVELOPE
2.0 Sketches
2.1 Opaque Surfaces
2.2 Fenestration
2.3 Opaque Doors
SCHEDULES
3.0 Occupancy
3.1 Lighting
3.2 Plug Loads
3.3 Thermostat Schedule
PEAK LOADS
4.0 Peak Occupancy
4.1 Interior Lighting
4.2 Exterior Lighting
4.3 Peak Plug Loads
DOMESTIC HOT WATER
5.0 Equipment
5.1 Fixtures and Use
HVAC & CONTROLS OPTIONS
6.0 Boilers
6.1 Chillers
6.2 Cooling Towers and Fluid Coolers
6.3 Pumps and Piping Systems
6.4 Air Handling System Equipment
6.5 Air Handling System Controls
6.6 Air System Terminal Units
6.7 Zone Heating Equipment
6.8 Fan Coil Units
6.9 Exhaust/Return Fans
6.10 Packaged Units: DX, Heat Pumps
6.11 Condensing Unit and Condensers
SPECIALTY LOADS SAMPLE FORMS
7.0 Swimming Pools
7.1 Kitchen Equipment
7.2 Lab Equipment
7.3 Refrigeration Equipment
7.4 Datacenters/IT Rooms
7.5 Process Equipment

TABLE OF CONTENTS
Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

1.0 BASICS

Commercial Building Energy Audit Sample Forms


Copyright 2011, Rocky Mountain Institute www.rmi.org

Name
Project
Name:

Information

Client Name:
City / State:
Building
Type:
(CBECS if
possible)

No. of
Stories
Gross Area
Building Age
No. of
tenants /
Lease type
Key Contacts Name and position

Economic Criteria for Energy Projects

Previous Audit Availability

Notes:

Phone/Email

Citation

1.1 CAPITAL IMPROVEMENT PLAN


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

To calculate the marginal capital costs of efficiency measures, it is necessary to document any plans for capital
improvement. Since a whole-building retrofit may alter the course of almost any type of planned improvements,
it is important to document them all (several types are indicated below). Print multiple sheets as necessary.
Capital
Improvement
Type: (circle one)

HVAC
Other

Envelope

Electrical

Plumbing

Aesthetic

Year
Description of planned replacement, renewal, or system expansion Planned

Life Safety

Cost

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
TOTAL

#VALUE!

Citation

1.2 UTILITY COST DATA

Commercial Building Energy Audit Sample Forms


Copyright 2011, Rocky Mountain Institute www.rmi.org

Three years of data should be obtained for each meter in the building. If the meter cannot be checked,
then obtain utility bills from the client or tenants. Print multiple utility sheets as necessary.
ELECTRIC
Utility Name:
Account Number:
Meter Number:
Rate Schedule Name:
Notes on Rate:
YEAR:
Bill
Date

Actual
Billed Electric
Days in
Ave
Demand Electric Other Total Bill
Demand Demand
Use
Period Temp (F)
Cost ($) Use ($) Fees ($)
($)
(kW)
(kW)
(kWh)

January

$0

February

$0

March

$0

April

$0

May

$0

June

$0

July

$0

August

$0

September

$0

October

$0

November

$0

December

$0

Annual Totals

Peak Demand (kW)

Total Annual Cost ($)

$0

Average kW Cost ($)

#DIV/0!

Average kWh Cost ($)

#DIV/0!

$0

$0

$0

$0

1.2 UTILITY COST DATA

Commercial Building Energy Audit Sample Forms


Copyright 2011, Rocky Mountain Institute www.rmi.org

Three years of data should be obtained for each meter in the building. If the meter cannot be checked,
then obtain utility bills from the client or tenants. Print multiple utility sheets as necessary.
NATURAL GAS
Utility Name:
Account Number:
Meter Number:
Rate Schedule Name:
Notes on Rate:
YEAR:

Actual
Billed
Days in
Ave
Demand Demand Gas Use* Demand Gas Use Other Total Bill
Bill Date
Period Temp (F)
*
*
(_______) Cost ($)
($)
Fees ($)
($)
(_______) (_______)

January

$0

February

$0

March

$0

April

$0

May

$0

June

$0

July

$0

August

$0

September

$0

October

$0

November

$0

December

$0

Annual Totals

$0

* Choose appropriate units for gas (typically MMBtu, MMBtu, therms, or MCF)
Peak Demand (______)
Total Annual Cost ($)

0
$0.00

Average _______ Cost ($)

#DIV/0!

Average _______ Cost ($)

#DIV/0!

$0

$0

$0

1.2 UTILITY COST DATA

Commercial Building Energy Audit Sample Forms


Copyright 2011, Rocky Mountain Institute www.rmi.org

Three years of data should be obtained for each meter in the building. If the meter cannot be checked,
then obtain utility bills from the client or tenants. Print multiple utility sheets as necessary.
OTHER
Utility Name and Type*:
Account Number:
Meter Number:
Rate Schedule Name:
Notes on Rate:
* Other utilities might be purchased steam, purchased chilled water, LPG, or fuel oil.
YEAR:

Actual
Billed
Days in
Ave
Demand Demand
Use*
Demand Gas Use Other Total Bill
Bill Date
Period Temp (F)
*
*
(_______) Cost ($)
($)
Fees ($)
($)
(_______) (_______)

January

$0

February

$0

March

$0

April

$0

May

$0

June

$0

July

$0

August

$0

September

$0

October

$0

November

$0

December

$0

Annual Totals
* Units should be whatever appears on the bill
Peak Demand (______)
Total Annual Cost ($)

0
$0

Average _______ Cost ($)

#DIV/0!

Average _______ Cost ($)

#DIV/0!

$0

$0

$0

$0

1.3 DELIVERED CONSUMPTION DATA

Commercial Building Energy Audit Sample Forms


Copyright 2011, Rocky Mountain Institute www.rmi.org

Three years of data should be obtained for each delivered service. Get delivered information
from the client or the service provider. Print multiple utility sheets as necessary.

Utility Company:
Account Number:
Rate Number:
Energy Type:
Units:1

Delivery Date

Delivery
Amount

Total Cost2

1
2
3
4
5
6
7
8
9
10
11
12

Use of Inventory C

13
14
15

At Date 0

365 Days after Date 0

Use of Inventory (A-B)

16
17

Value of Inventory Used

18

Latest Price

19

Value (CxD)

20
USE OF
INVENTORY

TOTAL
CONSUMPTION
1. gal, lbs, etc.

2. Costs should include tax, fees, contract charges, etc.

D
$0.00

1.4 PRELIMINARY ENERGY USE ANALYSIS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

Energy Type

Total
Annual Use

Units

Conversion
Multiplier

Thousand
Total Annual
s BTU
Cost ($)
(kBtu)

Electricity

MMBtu

1000

Natural Gas

therms

100

Purchased Steam

Purchased Hot Water

Purchased Chilled Water

Oil #_________________

Propane

Coal

Thermal - On-Site Generated

Other

Electricity - On-Site Generated

Thermal or Electricity - Exported

Total

Gross Conditioned Square Feet


EUI (energy use intensity)

#DIV/0!

Target Finder Score


ECI (energy cost index or $/sf)

Notes:

#DIV/0!

1.5 OPERATIONS AND MAINTENANCE


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

Documenting annual operations and maintenance costs will allow you to calculate changes in
these costs as a result of the retrofit. If possible, gather at least three years of data. Print
additional sheets for each year.
Year: ________
Description

Cost

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
TOTAL

#VALUE!

Citation /
Receipt No.

2.0 SKETCHES
Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

This sketch should show a plan view of the building footprint and its surroundings (e.g.,
adjacent buildings, roadways, water bodies, large trees). Attach site plans or use satellite
images if available and mark any changes in layout. Mark the orientation of north and the
front or entrance to the building.

2.0 SKETCHES
Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

PROFILE SKETCH
This sketch should show a profile view of the building. Attach actual elevations if
available. Print multiple sheets as necessary (at least four). Mark dimensions,
including floor-to-floor and plenum height.

2.1 OPAQUE SURFACES


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

Use this sheet to describe each major type of opaque surface in the building. Print multiple sheets as
necessary.
Surface Name:
Surface type:
(circle one)

Exterior Wall

Roof

Ceiling

Floor

Slab Total Exposed Perimeter Length:


If Slab on
Grade or
Underground
Wall
Exterior Solar
Interior Surface
Reflectivity (%):
Reflectance (%):
Location(s):
(also use Notes
below)

Description

Interior Wall

Slab on Grade

Insulation Type and Thickness:


Perimeter Insulation Depth:

Overall R-Value:
No. of Units:
Framing

Layer 1
Exterior

Layer 2
Layer 3
Layer 4
Layer 5
Layer 6
Layer 7
Drawings / Notes
Use this space to draw sections, or to make drawings or take notes about opaque surface location.

Undergr

2.2 FENESTRATION
Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

Fenestration
type: (circle one)
Location(s):

Vertical

Angle:

(degrees
from horizontal)

Overhead

No. of Units:

(also use Notes


below)

Type:

(circle all that apply)

Fixed

Operable

Other:

Glass door

Storefront/Site-built

Curtainwall

Ga

Fenestration Age:

(specify)

Frame Depth:
Glazing dimensions:

Frame Width:

(HxW)

(used to consider additional glazing)

Name:
Model:

Manufacturer:
(if applicable)

AAMA Product ID:


NFRC Product ID:
U-Value

SHGC

Performance:

Frame Type:
(circle one)

Frame
Condition:
Glazing Type:
(circle all that apply)

VT

Center-of-Glass:

Overall
Fenestration:

Aluminum

Aluminum with Thermal Break

Wood, Clad with Vinyl/Aluminum


Good

Poor

Single-glazed

If Skylight:

Curb:

Interior
Shade: (circle

None

Yes

Wood

Fiberglass

Other:

Vinyl
(describe)

Describe: (e.g., leaking)

Double-glazed
No

Overall
Fenestration:

Center-of-Glass:

Height:

Top Down

Clear Glass

Tinted Glass:

Domed or Flat?
Bottom Up

one)

Other:

(describe)

Diffuse or Clear?
(describe)

Exterior
Shade: Use
space below

Drawings / Notes
Use this space to draw any interior or exterior shading (mark dimensions), or to make drawings or take notes about fenestration location.

2.3 OPAQUE DOORS

Commercial Building Energy Audit Sample Forms


Copyright 2011, Rocky Mountain Institute www.rmi.org

Use this sheet to describe each type of opaque door in the building. Print multiple sheets as necessary.
Location(s): (also
No. of Units:
use Notes below)

Type:
(circle all that apply)

Swinging

Sectional

Rolling

Site-built Door Age:

Other: (specify)
Dimensions
(HxW):
Name:
Manufacturer:
(if
applicable)

Model:
U-Value: Not including frame:

Frame
Condition:

Good

Poor

Describe:

Door Condition: Good

Poor

Describe:

Exterior Solar
Reflectivity (%):

Including frame:
Frame
Material:
Door
Material:

Interior Surface
Reflectance (%):
Drawings / Notes
Use this space to make drawings or take notes about opaque door location.

3.0 SCHEDULES - OCCUPANCY

Fraction of Peak

Commercial Building Energy Audit Sample Forms


Copyright 2011, Rocky Mountain Institute www.rmi.org

Zone
Name/Description
Days
12-1 am
1-2am
2-3am
3-4am
4-5am
5-6am
6-7am
7-8am
8-9am
9-10am
10-11am
11-12pm
12-1pm
1-2pm
2-3pm
3-4pm
4-5pm
5-6pm
6-7pm
7-8pm
8-9pm
9-10pm
10-11pm
11-12am
Drawings / Notes

Use this space to make drawings or take notes.

TH

Sat

Sun

Hol

3.1 SCHEDULES - LIGHTING

Fraction of Peak

Commercial Building Energy Audit Sample Forms


Copyright 2011, Rocky Mountain Institute www.rmi.org

Zone
Name/Description
Days
12-1 am
1-2am
2-3am
3-4am
4-5am
5-6am
6-7am
7-8am
8-9am
9-10am
10-11am
11-12pm
12-1pm
1-2pm
2-3pm
3-4pm
4-5pm
5-6pm
6-7pm
7-8pm
8-9pm
9-10pm
10-11pm
11-12am

TH

Drawings / Notes
Use this space to make drawings or take notes.

Sat

Sun

Hol

3.2 SCHEDULES - PLUG LOADS

Fraction of Peak

Commercial Building Energy Audit Sample Forms


Copyright 2011, Rocky Mountain Institute www.rmi.org

Zone
Name/Description
Days
12-1 am
1-2am
2-3am
3-4am
4-5am
5-6am
6-7am
7-8am
8-9am
9-10am
10-11am
11-12pm
12-1pm
1-2pm
2-3pm
3-4pm
4-5pm
5-6pm
6-7pm
7-8pm
8-9pm
9-10pm
10-11pm
11-12am

TH

Drawings / Notes
Use this space to make drawings or take notes.

Sat

Sun

Hol

3.3

SCHEDULES - THERMOSTAT

Commercial Building Energy Audit Sample Forms


Copyright 2011, Rocky Mountain Institute www.rmi.org

Zone Name/
Description:

Heating Set Point:

Occupied

Cooling Set point:

Unoccupied
Check box to indicate each occupied hour:
Days
M
T
W
12-1 am
1-2am
2-3am
3-4am
4-5am
5-6am
6-7am
7-8am
8-9am
9-10am
10-11am
11-12pm
12-1pm
1-2pm
2-3pm
3-4pm
4-5pm
5-6pm
6-7pm
7-8pm
8-9pm
9-10pm
10-11pm
11-12am
Notes

Occupied
Unoccupied

TH

Sat

Sun

Hol

4.0 PEAK OCCUPANCY


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

Zone
Name/Description:
Peak No. of Fulltime Occupants:
Description of
Activity Level:
Description of
Clothing Insulation
Level:
Peak No. of
Transient
Occupants:
Description of
Activity Level:
Description of
Clothing Insulation
Level:
Zone Watts/SF:

Corresponding
Schedule: (Reference
Sample Form 1.31)

Drawings / Notes
Use this space to make drawings or take notes.

4.1 INTERIOR LIGHTING


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

Use this sheet to describe the electric lighting plan for each zone in your building. Print multiple sheets as
necessary.
Zone
Name/Description
Area (SF):
:
Fixture
Manufacturer/Mo
del:
No. of Fixtures:
Fixture Type:
Area
Task
Exit
Track
Display
Other:
No. of Lamps/Fixture:
Mounting:
Recessed Suspended Surface Mount Other:
Fluorescent
Wattage of Lamps:
Diameter:
T12 T8 T5
Length:
Other:
Tube
Lamp Type:
Circle one: CFL Incandescent Halogen LED HID Other:
Ballast:
Control Type:
(circle one)

WorkPlane Height:
Lamp Color Temp:

Fixture
Manufacturer/Mode
l

Fixture Type:
Mounting:
Lamp Type:

Ballast:
Control Type:
(circle one)

WorkPlane Height:
Fixture
Manufacturer/Mode
l

Fixture Type:
Mounting:
Lamp Type:

Ballast:
Control Type:
(circle one)

WorkPlane Height:

Zone Watts/SF:
Notes

Circle one:

Magnetic Electronic

No. of Ballasts/Fixture:

Manual Switch Bi-Level Switch


Time Clock
Daylight Sensor
Occupancy Sensor Dimming StepDimming Other:

Horizontal Illuminance:

Vertical Illuminance Sensitivity:

Area
Task
Exit
Track
Display
Other:
Recessed Suspended Surface Mount Other:
Fluorescent
Diameter: T12 T8 T5
Length:
Other:
Tube
Circle one: CFL Indcandescent Halogen LED HID Other:
Circle one:

Magnetic Electronic

BF:
Watts:
Total Watts:

No. of Ballasts/Fixture:

No. of Fixtures:
No. of Lamps/Fixture:
Wattage of Lamps:

BF:

Watts:

Manual Switch Bi-Level Switch


Time Clock
Daylight Sensor
Total Watts:
Occupancy Sensor Dimming StepDimming Other:
Horizontal Illuminance:
Vertical Illuminance Sensitivity:
Lamp Color Temp:

Area
Task
Exit
Track
Display
Other:
Recessed Suspended Surface Mount Other:
Fluorescent
Diameter: T12 T8 T5
Length:
Other:
Tube
Circle one: CFL Indcandescent Halogen LED HID Other:
Circle one:

Magnetic Electronic

No. of Ballasts/Fixture:

No. of Fixtures:
No. of Lamps/Fixture:
Wattage of Lamps:

BF:

Watts:

Manual Switch Bi-Level Switch


Time Clock
Daylight Sensor
Total Watts:
Occupancy Sensor Dimming StepDimming Other:
Horizontal Illuminance:
Vertical Illuminance Sensitivity:
Lamp Color Temp:

Corresponding
Schedule: (Reference
Sample Form 1.32)

4.2 EXTERIOR LIGHTING


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

Use this sheet to describe the electric lighting plan for the exterior of the building. Print multiple sheets
as necessary.
Zone
Area (SF):
Name/Descriptio
n
Manufacturer/Mod
el

Use Type:

Security
Advertising ParkingLot
Faade Landscape
Other:

Mounting:

Pole Bollard BuildingFacade Ceiling Other

Lamp Type:
(circle one)
Ballast:
Control Type:
(circle one)

Flourescent or
Neon Tube

Halogen LED HPS MH MV


Other:
Magnetic Electronic
No. of Ballasts/Fixture:
Manual Switch PhotoCell TimeClock PhotoCell/Timeclock
MotionSensor Other:
Vertical Illuminance Sensitivity:

Pole Bollard BuildingFacade Ceiling Other


Flourescent or
Neon Tube

ParkingGarage

Neon Diameter (mm):

Halogen LED HPS MH MV


Other:
No. of Ballasts/Fixture:
Circle one: Magnetic Electronic
Manual Switch PhotoCell TimeClock PhotoCell/Timeclock
MotionSensor Time Clock Other:
Vertical Illuminance Sensitivity:

Mounting:

Pole Bollard BuildingFacade Ceiling Other

(circle one)

Flourescent or
Neon Tube

ParkingGarage

Bldg

Neon Diameter (mm):

CFL

Halogen LED HPS MH MV


Other:
Magnetic Electronic
No. of Ballasts/Fixture:
Manual Switch PhotoCell TimeClock PhotoCell/Timeclock
MotionSensor Time Clock Other:
Vertical Illuminance Sensitivity:

BF:
Watts:
Total Watts:

Lamp Color Temp:

Corresponding
Schedule: (Reference
Sample Form 1.32)

Notes

No. of Fixtures:

No. of Lamps/Fixture:
FL Diameter: T12 T10 T8 T5 Wattage of Lamps:

Circle one:

Horizontal Illuminance:

Zone Watts/SF:

Length:

BF:
Watts:
Total Watts:

Lamp Color Temp:

Security
Advertising ParkingLot
Faade Landscape
Other:

Ballast:
Control Type:

No. of Fixtures:

No. of Lamps/Fixture:
FL Diameter: T12 T10 T8 T5 Wattage of Lamps:

Use Type:

Lamp Type:
(circle one)

Bldg

CFL

Horizontal Illuminance:
Manufacturer/Mod
el

Length:

BF:
Watts:
Total Watts:

Lamp Color Temp:

Mounting:

(circle one)

No. of Lamps/Fixture:

CFL

Security
Advertising ParkingLot
Faade Landscape
Other:

Ballast:
Control Type:

No. of Fixtures:

FL Diameter: T12 T10 T8 T5 Wattage of Lamps:


Neon Diameter (mm):

Use Type:

Lamp Type:
(circle one)

Bldg

Circle one:

Horizontal Illuminance:
Manufacturer/Mod
el

Length:

ParkingGarage

4.3 PEAK PLUG LOADS

Commercial Building Energy Audit Sample Forms


Copyright 2011, Rocky Mountain Institute www.rmi.org

Use this sheet to describe the electric lighting plan for the exterior of the building. Print multiple sheets
as
necessary.
Zone
Area (SF):
Name/Descriptio
n:
Manufacturer/Mod
el:

Equipment Type: Desktop Computer

Power Draw

(kW):

Control Type:

Laptop

Fax

Other:

If cycling occurs,
what is the rate?
(e.g.
mins per hour)
Occupancy Sensor

Other:

Equipment Type: Desktop Computer

Laptop

(circle one)

Printer

No. of units

Stand-by
power
(kW):

Circuit No.
Manufacturer/Mod
el:

Power Draw

(kW):

Control Type:

Fax

Other:

If cycling occurs,
what is the rate?
(e.g.
mins per hour)
Occupancy Sensor

Other:

Equipment Type: Desktop Computer

Laptop

(circle one)

Printer

No. of units

Stand-by
power
(kW):

Circuit No.
Manufacturer/Mod
el:

Power Draw

(kW):

Control Type:
(circle one)

Printer

Fax

Other:

If cycling occurs,
what is the rate?
(e.g.
mins per hour)
Occupancy Sensor

Stand-by
power
(kW):

Other:

Circuit No.

Zone Watts/SF:

Corresponding
Schedule: (Reference
Sample Form 1.33)

Notes

No. of units

5.0 DOMESTIC HOT WATER - EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

Packaged Storage Water Heater


Instantaneous (tankless)
Boiler
Dishwasher Booster
Purchased Hot Water
Purchased Steam Heat Pump Solar
Solar Backup Other:_____
Location(s):
No. of Units:
Fuel Type:
Natural Gas
Electric
Fuel Oil
LPG
Heat recovery
Other: ____________________
(circle
Type:

(circle one)

one)

Name and Model:


Serial No.:
Manufactur Tank Capacity: (if applicable)
gallons
er
Rated Input Capacity: (circle units)
kBtu/h
kW
Information
Energy Factor Thermal Efficiency AFUE
Efficiency
Rating:
(circle units)
:
COP
Tank Internal Insulation R-Value: (if applicable)
Tank Dimensions:
Age: (years)
Condition: (describe)
Does the tank have an external insulation jacket?
Yes
No
What is the R-Value? __________
Average Hot Water Temperature: __________ (F)
Are the hot water pipes insulated?
Yes
No
How thick?
__________
Loop Design Delta T:
Is there a recirculation pump? Yes
Min Flow: (gpm)
No
Max Flow: (gpm)
Recirculatio Pump head (ft):
Continuous
Temperature
Timer
Demand
Other
n pump:
Control (circle one):
__________
Average recirculation time: (mins)
Drawings / Notes
Use this space to make drawings or take notes about the hot water equipment.

5.1 DOMESTIC HOT WATER - FIXTURES AND USE


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

Use this sheet to document the hot water fixtures and their use. This will allow you to calculate
hot water heating load reductions resulting from more efficient fixtures.
Lavatory Faucet
Kitchen Faucet
Dishwasher
Laundry Washer
Type:
(circle one)
Shower
Other: ________________
Location(s):
No. of Units:
Name
and
Model:
Manufacture
Serial No.:
r
Information: Flow/Cycle Rate: (circle units)
GPM:
Gallons per Cycle
Age: (years)
Does the fixture leak?
Yes
No
Estimate how much:
Fixture Condition:
Good
Poor
Describe:
Applicable to:
Cycles per Day:

Use Rates:
(enter
information where
applicable)

Dishwasher
Laundry
Washer
Shower

When do most cycles occur?


Morning

Mid-day

Evening

Average No. of Users per DayWhen does most use occur?


Lavatory
Faucet
Other Fixture
Kitchen
Faucet
Other Fixture

Morning
Average Time of Use per
Day: (mins)

Mid-day

Evening

When does most use occur?


Morning

Mid-day

Drawings / Notes
Use this space to make drawings or take notes about the fixture location or hot water use.

Evening

5.1 DOMESTIC HOT WATER - FIXTURES AND USE


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

6.0 BOILERS
Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM
General Information
Site Name:
Boiler ID/Tag:
Location/Service:
Mfr/Model #:
Year Built:

Serial Number:

Boiler Type
Fire Tube
Water Tube
Electric
Natural Draft
Forced Draft
Condensing
Other _________

Boiler Fuel
Natural Gas
Fuel Oil
Propane
Electricity
Other _________

Combustion Fan Data


Quantity
Manufacturer
Full Load hp
Frame Size
ODP/TEFC
Full Load RPM
Fan Efficiency
Motor Efficiency
Full Load Amps
Drive Type

Design/Measured Data
Design
Boiler
Input/Output (Btu)
GPM
WPD (feet)
EWT/LWT (oF)
Design
Fan
Volts
Phase
FLA
kW
PF

Heating Fluid
Water (HWS/HWR) oF
Glycol?
yes / no
Glycol %
Steam psi
Other _____________

Accessories
Measured

Draft Control
Flue Gas Recirculation
Oxygen Trim Control

Stack Economizer
Blowdown Economizer
Measured

Piping Configuration
Primary-Secondary
Primary-Only
Variable Flow

Temperature Control
LWT Setpoint (oF)
EWT Setpoint (oF)
Reset?
yes / no If yes, describe: _________
Controls
Time of Day Scheduling _____________________________________________________________________
_________________________________________________________________________________________
Boiler Staging ____________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________

6.0 BOILERS
Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM GUIDANCE


General Information
Site Name:
Provide name of site
Boiler ID/Tag:
Near boiler nameplate, as-built boiler schedule
Location/Service: Observe boiler location and area of building it is serving, as-built boiler schedule
Mfr/Model #:
Boiler nameplate, as-built boiler submittal
Serial Number: boiler nameplate
Year Built:
Boiler nameplate, as-built boiler submittal
Boiler Type
Fire Tube
Water Tube
Electric
Natural Draft
Forced Draft
Condensing
Other _________

specify boiler
type, see asbuilt boiler
submittal

Combustion Fan Data


Quantity
Manufacturer
as-built boiler
Full Load hp
submittal, or
Frame Size
visual inspection
ODP/TEFC
Full Load RPM
Enter the fan
Fan Efficiency
static efficiency

Motor Efficiency
Full Load Amps
Drive Type

(not the same as


motor
efficiency), see
as-built boiler
submittal
as-built boiler
submittal, or
visual inspection

Boiler Fuel
Natural Gas
Fuel Oil
Propane
Electricity
Other _________

Heating Fluid
specify
boiler fuel
used, see
as-built
boiler
submittal

Water (HWS/HWR) oF
specify heating
Glycol?
fluid type, as well
as temperatures or
Glycol %
working pressure,
Steam psi

Other

see as-built boiler


submittal

Design/Measured Data
Accessories
Design Measured
Draft Control
Boiler
Flue Gas
Input/Output (Bt
Check all that
Recirculation
Oxygen Trim apply, see as-built
GPM*
Control boiler submittal or
WPD (feet)
Stack Economizer visual inspection
control
EWT/LWT (oF)
system,wdown Economizer
as-built
logger
Fan
boiler
trends,
Volts
submittal or direct Piping Configuration
measure
Phase
Specify piping
ment Primary-Secondary
FLA
Primary-Only configuration, see
as-built piping
kW
Variable Flow diagram or visual
inspection
PF
*For variable flow systems, enter the maximum flow rate

Temperature Control
LWT Setpoint (oF) Enter boiler leaving water temperature set point if applicable, see as-built sequence of opera
EWT Setpoint (oF) Enter boiler entering water temperature set point if applicable, see as-built sequence of oper
Indicate whether set point is reset, see as-built sequence of operations
Reset?
If yes, describe: Explain reset strategy, see as-built sequence of operations, interview facilities staf
Controls
Time of Day Scheduling
Boiler Staging

Explain boiler scheduling, including lockouts, see as-built sequence of operations, control
system, or logger trends.
Explain boiler staging scenario for plants with multiple boilers, see as-built sequence of
operations, control system, or logger trends.

6.1 CHILLERS
Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM
General Information
Site Name
Chiller ID/Tag
Location/Service
Manufacturer/Model
Year Built
Chiller Data
Air or Water Cooled
Refrigerant Type
Piping Arrangement
Chilled Water GlycolProp / Eth / None
Glycol %
Capacity (tons)
Compressor Data
Quantity
Type
RLA
Volts
Phase
HP
VFD
Compressor Stages
Condenser Fan Data
Quantity
Manufacturer
Full Load HP
Frame Size
Enclosure Type
Full Load RPM
Efficiency
Volts
Phase
Full Load Amps
Service Factor
Waterside free cooli
yes / no
Controls Notes
Time of Day Scheduling

Chiller Sequencing

Serial Number
Design/Operating Conditions
Design
kW/ton @ 100% load
kW/ton @ 50% load
EER at ARI Conditions
Evap GPM
Evap EWT/LWT (oF)
Evap WPD (Ft)
Cond GPM
Cond EWT/LWT (oF)
Cond WPD (Ft)

Measured

Temperature Control
Cond water supply set point
Chilled water supply set point
Computerized / Electronic / Pneumatic
Condenser Pump Control
Pumps Cycled w/Respective Chillers
yes / no
Pumps Operate Independent of Chiller L yes / no
Pumps Headered / Chiller Headered
yes / no
Automatic Isolation Valves
yes / no
Provide Unusual Piping Arrangement Description/Sch
Evaporator Pump Control
Pumps Cycled w/Respective Chillers
yes / no
Pumps Operate Independent of Chiller L yes / no
Pumps Headered / Chillers Headered
yes / no
Automatic Isolation Valves
yes / no
Provide Unusual Piping Arrangement Description/Sch

6.1 CHILLERS
Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM GUIDANCE


General Information
provide name of site
Site Name
near chiller nameplate, as-built chiller schedule
Chiller ID/Tag
observe chiller location and area of building it is serving, as built chiller schedule
Location/Service
Manufacturer/Model # chiller nameplate, as-built chiller submittal
chiller nameplate, as-built chiller submitt
Year Built
Serial Number chiller nameplate
Chiller Data
Air or Water Cooled
Refrigerant Type
Piping Arrangement
Chilled Water Glycol
Glycol %
Capacity (tons)
Compressor Data
Quantity
Type
RLA
Volts
Phase
HP
VFD
Compressor Stages
Condenser Fan Data
Quantity
Manufacturer
Full Load HP
Frame Size
Enclosure Type
Full Load RPM
Efficiency
Volts
Phase
Full Load Amps
Service Factor
Waterside free cooling
Controls Notes
Time of Day Scheduling
Chiller Sequencing

as-built chiller schedule


as-built chiller schedule
parallel, series, or primarysecondary for evaporator;
and parallel or series for
condenser? as-built piping
schematic
as-built chiller schedule

as-built chiller submittal

Design/Operating Conditions
Design
kW/ton @ 100% load
kW/ton @ 50% load
NPLV
Evap GPM
as-built
chiller
Evap EWT/LWT (oF)
submittal
Evap WPD (Ft)
Cond GPM
Cond EWT/LWT (oF)
Cond WPD (Ft)

Measured

control system or logger


trends

as-built chiller submittal


as-built chiller submittal
as-built chiller submittal
as-built chiller submittal
as-built chiller submittal

Temperature Control
deg F
as-built sequence of operations
Cond water supply set point
as-built sequence of operations
Chilled water supply set point
as-built controls submittal
Computerized / Electronic / Pneum

as-built chiller submittal


as-built chiller submittal

as-built chiller submittal


as-built chiller submittal
as-built chiller submittal

Condenser Pump Control


Pumps Cycled w/Respective Chilleas-built sequence of operations
as-built sequence of operations
Pumps Operate Independent of Chi
Pumps Headered / Chiller Header as-built sequence of operations
as-built piping schematic
Automatic Isolation Valves
Provide Unusual Piping Arrangement Description/Schematic

as-built chiller submittal


as-built chiller submittal
as-built chiller submittal
as-built chiller submittal
as-built chiller submittal
as-built chiller submittal
as-built chiller submittal

Evaporator Pump Control


Pumps Cycled w/Respective Chilleas-built sequence of operations
as-built sequence of operations
Pumps Operate Independent of Chi
Pumps Headered / Chillers Headeas-built sequence of operations
as-built piping schematic
Automatic Isolation Valves
Provide Unusual Piping Arrangement Description/Schematic

as-built chiller submittal


as-built chiller submittal

as-built sequence of operations, control system, or logger trends of chiller kW


as-built sequence of operations, control system, or logger trends of chiller kW

6.1 CHILLERS
Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

of operations

of operations

of operations

of operations

of operations

on/Schematic

of operations

of operations

of operations

on/Schematic

6.2 COOLING TOWERS AND FLUID COOLERS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM
General Information
Site Name
Tower ID/Tag
Location/Service
Manufacturer
Model Number
Quantity of Cells

Serial Number
Year Built

Heat Rejection Type


Cooling Tower:
Induced Draft
Forced Draft
Natural Draft
Wetted Media
Fluid Cooler:
Air Cooled
Evaporatively Cooled

Fan Data
Fan Control
Fan Drive
Fan Type

Piping Arrangement
Basins Headered
Piped to Individ. Chillers
Valves on Supply Headers
Fluid Cooler Pump Data
Quantity
Fluid Type
GPM (each pump)
Manufacturer
Full Load HP
ODP/TEFC
Full Load RPM
Pump Efficiency
Motor Efficiency
Full Load Amps
Volts / Phase
Power Demand (kW)
Power Factor

Design

n/a

Measured

VFD / Single-speed /
Two-Speed
Belt / Direct / Gear
Centrifugal / Propeller
/ Other: ______________

Fan Data
Quantity
CFM (each fan)
Full Load HP
ODP/TEFC
Full Load RPM
Fan Efficiency
Motor Efficiency
Full Load Amps
Volts / Phase
Power Demand (kW)
Power Factor

Design

Condenser Water
GPM
EWT/LWT (oF)
Ambient DB/WB (oF)

Design

Measured

Basin Heater
Power Demand (kW)
Full Load Amps
Volts / Phase
Power Factor

Design

Measured

Measured

n/a

n/a

Controls
Time of Day Scheduling _______________________________________________________________________
___________________________________________________________________________________________
Tower/Cooler Staging ________________________________________________________________________
___________________________________________________________________________________________
Condenser Water Flow Rate ___________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

6.2 COOLING TOWERS AND FLUID COOLERS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM GUIDANCE


General Information
Information Location/Description
Enter the name of the building site/campus and building number (if applicable).
Site Name
Enter the unit identifier, e.g. "CT-1."
Tower ID/Tag
Location/Service Add any other information that helps identify what the system is serving.
Enter the unit manufacturer. Use nameplate or submittal data.
Manufacturer
Enter the unit model number. Use nameplate or submittal data.
Model Number
Enter the unit serial number. Use nameplate or submittal data.
Serial Number
Quantity of Cells For cooling towers, enter number of individual cells.
Enter year of manufacture. Use nameplate or submittal data.
Year Built
Heat Rejection TypeCheck whether unit is a cooling tower or fluid cooler, and what type.
Piping ArrangementPrimarily applicable to cooling towers. Check arrangement that applies.
Fan Control
Fan Drive
Fan Type

Circle single-speed, two-speed, or VFD operation. Use nameplate or submittal data.


Circle belt drive, direct drive, or gear drive. Use nameplate or submittal data.
Circle centrifugal or propeller, or enter other type.

Fan and Fluid Cooler Pump Data


Qty of fans/pumps Determine by inspection and enter quantity of fans or pumps.
Enter the type of fluid that is being cooled. Use submittal or as-built schedule.
Fluid Type
Enter the pump GPM or the fan CFM. Use nameplate or submittal data.
GPM/CFM
Enter unit manufacturer. Use nameplate or submittal data.
Manufacturer
Enter full load horsepower. Use nameplate or submittal data.
Full Load HP
Specify motor enclosure: ODP = open drip proof; TEFC = Totally enclosed fan-cooled.
ODP/TEFC
Enter motor full load rotational speed. Use nameplate or submittal data.
Full Load RPM
Pump/Fan EfficiencEnter pump or fan static efficiency. Note this is not the same as motor efficiency.
Motor Efficiency Enter motor efficiency. Use nameplate or submittal data.
Enter full load motor current in Amperes. Use nameplate or submittal data.
Full Load Amps
Enter nominal motor voltage & phase (1 or 3). Use nameplate or submittal data.
Volts/Phase
Enter full load motor power.
Power Demand
Enter motor power factor. Use control system or logger trends.
Power Factor
Condenser Water Data
Enter condenser water flow rate for constant volume systems, and max flow rate for variable flow systems.
GPM
EWT=Temp of water entering condenser/cooling tower; LWT=water temp leaving condenser/tower.
EWT/LWT
Ambient DB/WB Record current outdoor dry bulb and wet bulb temperatures.
Basin Heater
Power Demand
Full Load Amps
Volts/Phase
Power Factor

Enter full load heater power.


Enter full load heater current in Amperes. Use nameplate or submittal data.
Enter nominal heater voltage & phase (1 or 3). Use nameplate or submittal data.
Enter heater power factor. Use control system or logger trends.

Controls
Time of Day Scheduling
Tower/Cooler Staging
Condenser Water Flow Rate

Describe if unit is on an occupancy schedule, or enabled to run continuously.


For systems with multiple units, describe lead/lag, and staging of units.
Describe flow rate control: constant or variable. Use sequence of operation or control
system/logger flow rate trends.

6.3 PUMP AND PIPING SYSTEMS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

General Information
Site Name
Pump ID/Tag
Location/Service
Year Built
Pump Data
Manufacturer
Model Number
Serial Number
Pump Type
Impeller Size
Pump Efficiency
Pump Motor Data
Full Load HP
Frame Size
Enclosure Type
Full Load RPM
Synch. RPM
Motor Efficiency
Volts
Phase
Full Load Amps
Connection Type
Pumping Configuration
Primary Only Variable Flow
Primary Only Constant Flow
Primary/Secondary Variable
Primary/Secondary/Tertiary
Other _________________
Controls Notes
Time of Day Scheduling

Pump Staging

Design/Operating Conditions
Design
Total Head (ft. w.g.)
GPM
Pump Motor RPM
Volts
Amps
Power Demand (kW)
Power Factor
n/a
Pump Control
Constant Volume
Variable Volume
VFD
Multi-Speed
Other
Connected to DDC?

Yes/No

Miscellaneous Accessories
Suction Difusers
Triple Duty Valves
Throttling Valves
Circuit Setters
Other _____________

Measured

Notes
__________________
__________________
__________________
__________________
__________________
__________________

6.3 PUMP AND PIPING SYSTEMS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

6.3 PUMP AND PIPING SYSTEMS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM GUIDANCE


General Information
provide name of site
Site Name
near fan nameplate, as-built pump schedule
Pump ID/Tag
Location/Servic observe pump location/as-built pump sched
pump nameplate, as-built pump submittal
Year Built
Pump Data
Manufacturer
Model Number
Serial Number
Pump Type

pump nameplate, as-built pump schedule

Pump Control
Constant Volume
Variable Volume
VFD
Multi-Speed
Other
Connected to DDC?

as-built sequence of operation


as-built sequence of operation
as-built pump schedule
as-built sequence of operation
as-built sequence of operation
as-built sequence of operation

pump nameplate, as-built pump schedule


pump nameplate
e.g. end suction, vertical, split case; asbuilt pump submittal

Impeller Size pump nameplate, as-built pump schedule


Pump Efficiencypump nameplate, as-built pump schedule
Pump Motor Data
motor nameplate, as-built motor submittal
Full Load HP
motor nameplate, as-built motor submittal
Frame Size
Enclosure Type motor nameplate, as-built motor submittal
Full Load RPM motor nameplate, as-built motor submittal
motor nameplate, as-built motor submittal
Synch. RPM
Motor Efficiencymotor nameplate, as-built motor submittal
motor nameplate, as-built motor submittal
Volts
motor nameplate, as-built motor submittal
Phase
Full Load Amps motor nameplate, as-built motor submittal
as-built fan schedule, as-built fan submittal
Drive Type
Design/Operating Conditions
Design
as-built pump schedule
Total Head
as-built pump schedule
GPM
Pump Motor RP as-built pump schedule
as-built pump schedule
Volts
as-built pump schedule
Amps
Power Demand as-built pump schedule
n/a
Power Factor
Controls Notes
Time of Day Scheduling
Pump Staging

Pumping Configuration
as-built sequence of operation, asPrimary Only
built pump schedule, observe
Variable Flow
VFDs on all pumps
Primary Only
Constant Flow

as-built sequence of operation, asbuilt pump schedule, observe no


VFDs on any pumps

Primary/Secondary
Variable Flow

as-built sequence of operation, asbuilt pump schedule, observe


VFDs on secondary pumps only

Primary/Secondary/
Tertiary

as-built sequence of operation, asbuilt pump schedule, observe


pumps

Other

as-built sequence of operation, asbuilt pump schedule,

Miscellaneous Accessories
Suction Difusers
Triple Duty Valves
observe piping system; as-built
Throttling Valves
plumbing drawings
Circuit Setters
Other
Measured
Test and Balance report
building control system or logger trends
building control system or logger trends
building control system or logger trends
building control system or logger trends
building control system or logger trends
building control system or logger trends

as-built sequence of operation, control system or logger trends of pump speed (or Amps or k
as-built sequence of operation, control system or logger trends of pump speed (or Amps or k

6.3 PUMP AND PIPING SYSTEMS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

6.3 PUMP AND PIPING SYSTEMS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

6.3 PUMP AND PIPING SYSTEMS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

6.4 AIR HANDLING SYSTEM EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM
General Information
Site Name
Air Handler ID/Tag
Location/Service
Manufacturer/Model #
Year Built
Supply Fan Data
Manufacturer
Model Number
Serial Number
Fan Type / Size
Fan Efficiency
Supply Fan Motor Data
Full Load HP
Frame Size
Enclosure Type
Full Load RPM
Synch. RPM
Motor Efficiency
Volts
Phase
Full Load Amps
Yes/No
Motor In Supply Airstrea
Drive Type
Supply Fan Design/Operating Conditions
Design Measured
Total Static Pressure
Occupied CFM
Unoccupied CFM
Fan RPM
Volts
Occupied Amps
Unoccupied Amps
n/a
Occupied kW
Unoccupied kW
n/a
Power Factor
n/a
Filter Data
Manufacturer
Model Number
Type
Efficiency
Initial/Final Pressure Drop

Serial Number
Fan Configuration
Blow-thru
Draw-thru
Return Air Path
Ducted
Plenum
Humidifier
Type
Capacity (lbs/hr)
NONE
Cooling Coil
Chilled Water (2 Way/3 Way Valve)
Sensible/Latent Capacity
Design CFM / GPM
Design EDB / EWB
Design LDB / LWB
Design EWT / LWT
Measured EWT / LWT
Air Pressure Drop

Pre-Heat Coil
Medium Type
Capacity (MBTUH)
Design CFM / GPM
Design EDB / LDB
Design EWT / LWT
Measured EWT / LWT

NONE

Heating Coil
Medium Type
Capacity (MBTUH)
Design CFM / GPM
Design EDB / LDB
Design EWT / LWT
Measured EWT / LWT

NONE

6.4 AIR HANDLING SYSTEM EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM GUIDANCE


General Information
provide name of site
Site Name
near AHU nameplate, as-built AHU schedule
Air Handler ID/Tag
observe fan location/as-built AHU schedule
Location/Service
Manufacturer/Model # AHU nameplate, as-built AHU submittal
Year Built/Serial NumberAHU nameplate, as-built AHU submittal
Supply Fan Data
Manufacturer
Model Number
Serial Number
Fan Type / Size
Fan Efficiency

Return Air Path


Ducted or Plenum as-built ductwork plan
Humidifier
Type

AHU nameplate, as-built AHU schedule


AHU nameplate, as-built AHU schedule

Capacity (lbs/hr)

electric, steam, or adiabatic;


as-built humidifier schedule
as-built AHU schedule

AHU nameplate
AHU nameplate, as-built AHU schedule
AHU nameplate, as-built AHU schedule

Supply Fan Motor Data


motor nameplate, as-built motor submittal
Full Load HP
motor nameplate, as-built motor submittal
Frame Size
motor nameplate, as-built motor submittal
Enclosure Type
motor nameplate, as-built motor submittal
Full Load RPM
motor nameplate, as-built motor submittal
Synch. RPM
motor nameplate, as-built motor submittal
Motor Efficiency
motor nameplate, as-built motor submittal
Volts
motor nameplate, as-built motor submittal
Phase
motor nameplate, as-built motor submittal
Full Load Amps
Motor In Supply Airstre motor nameplate, as-built motor submittal
as-built fan schedule, as-built fan submittal
Drive Type
Pre-Heat Coil
Medium Type
Capacity (MBTUH)
Design CFM / GPM
Design EDB / LDB
Design EWT / LWT
Measured EWT / LWT

Fan Configuration
Blow or Draw-thru as-built AHU schedule

Cooling Coil
as-built AHU schedule
Chilled Water
Sens/Lat Capacity as-built AHU schedule
Design CFM/GPM as-built AHU schedule
Design EDB/EWB as-built AHU schedule
Design LDB/LWB as-built AHU schedule
Design EWT/LWT as-built AHU schedule
control system or logger trends
Meas EWT/LWT
Air Pressure Drop as-built AHU schedule
Heating Coil
water, steam, or electric
Medium Type
Capacity (MBTUH) as-built AHU schedule
Design CFM/GPM as-built AHU schedule
Design EDB/LDB as-built AHU schedule
Design EWT/LWT as-built AHU schedule
control system or logger trends
Meas EWT/LWT

water, steam, or electric


as-built AHU schedule
as-built AHU schedule
as-built AHU schedule
as-built AHU schedule
control system or logger trends

Filter Data
Manufacturer
Model Number
Type
Efficiency
Initial/Final PD

nameplate; as-built submittal


nameplate; as-built submittal
nameplate; as-built submittal
nameplate; as-built submittal
as-built submittal

Supply Fan Design/Operating Conditions


Design
Measured
as-built AHU schedule
Test and Balance report
Total Static Pressure
basis of design, as-built sequence of operatibuilding control system or logger trends
Occupied CFM
basis of design, as-built sequence of operatibuilding control system or logger trends
Unoccupied CFM
as-built fan schedule
building control system or logger trends
Fan RPM
as-built fan schedule
building control system or logger trends
Volts
as-built fan schedule
building control system or logger trends
Occupied Amps
n/a
building control system or logger trends
Unoccupied Amps
as-built fan schedule
building control system or logger trends
Occupied kW
n/a
building control system or logger trends
Unoccupied kW
n/a
building control system or logger trends
Power Factor

6.4 AIR HANDLING SYSTEM EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

ogger trends

ogger trends

6.5 AIR HANDLING SYSTEM CONTROLS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM
General Information
Site Name
Air Handler ID/Tag
Location/Service
Manufacturer/Model #
Year Built

Serial Number

Supply Fan Control


Constant Air Volume
VFD
Discharge Damper
Multi-Speed
DDC
Electronic Controls
Pneumatic Controls
Room Thermostat
Humidifier Control
Humidity Control?
Humidity Sensor Locatio
RH Setpoint, Max
RH Setpoint, Min

Outside Air (OA) Control


Fixed OA CFM
Economizer?
Minimum OA %
Economizer Control
Econo Upper Limit
Econo Lower Limit
Econo Control Point

Yes/No

Yes/No

Temperature Control
Occupied Room Temperature Setpoi
Unoccupied Room Temperature Setp
Heating Supply Air Temperature Setp
Cooling Supply Air Temperature Setp
Supply Air Temperature Setpoint Res

Operating Schedule
Occupied Hours
Unoccupied Hours
Morning Warm-Up Hours

Supply Fan Static Pressure Control


Constant Static Pressure Setpoint
Static Pressure Reset

Ductwork Control Accessories


Turning Vanes?
Single / Dual Duct
Other ________________

Louver/Damper Control
Location(s)
% Free Area
Pressure Drop
Control Method

Controls Notes

Yes/No

6.5 AIR HANDLING SYSTEM CONTROLS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM GUIDANCE


General Information
provide name of site
Site Name
near AHU nameplate, as-built AHU schedul
Air Handler ID/Tag
observe fan location/as-built AHU schedule
Location/Service
Manufacturer/Model # AHU nameplate, as-built AHU submittal
AHU nameplate, as-built AHU submittal
Year Built
Supply Fan Control
Constant Air Volume
VFD
Discharge Damper
Multi-Speed
DDC
Electronic Controls
Pneumatic Controls
Room Thermostat

as-built sequence of operation


as-built sequence of operation

Serial Number AHU nameplate


Outside Air (OA) Control
as-built sequence of operation
Fixed OA CFM
as-built sequence of operation,
Economizer?
control system trends of
economizer damper position

as-built sequence of operation


as-built sequence of operation

Minimum OA %

as-built sequence of operation

as-built sequence of operation,


as-built AHU schedule

Economizer
Control

e.g. drybulb, RH, enthalpy; asbuilt sequence of operation,


control system trends

as-built sequence of operation

Econo Upper
Limit

e.g. upper OA drybulb temp


lockout; as-built sequence of
operation, control system trends

Supply Fan Static Pressure (SP) Control


as-built sequence of operation
Constant SP Setpoint
as-built sequence of operation
Static Pressure Reset

Econo Lower
Limit

e.g. lower OA drybulb temp


lockout; as-built sequence of
operation, control system trends

Econo Control
Point

e.g. MA temp, CO2 sensor, asbuilt sequence of operation

Humidifier Control
as-built sequence of operation
Humidity Control?
Humidity Sensor Locatioas-built sequence of operation, visual

Temperature Control
Occ Room Temp control system or logger trends
Unocc Room Temcontrol system or logger trends
control system or logger trends
Heating SAT
control system or logger trends
Cooling SAT
SAT Setpoint Res control system or logger trends

as-built sequence of operation


as-built sequence of operation

observation

RH Setpoint, Max
RH Setpoint, Min

%, as-built sequence of operation, control


system or logger trends
%. as-built sequence of operation, control
system or logger trends

Operating Schedule
Specify occupied hours for each day of the week; as-built sequence of operation
Occupied Hours
Specify unoccupied hours for each day of the week; as-built sequence of operation
Unoccupied Hours
Morning Warm-Up Hours

Specify when air handling system turn on for pre-occupancy warm-up for each day of the week; as-built
sequence of operation, control system trends of supply fan speed and supply air temperature

Ductwork Control Accessories


observe duct interiors; as-built ductwork p
Turning Vanes?
as-built ductwork plan
Single / Dual Duct
as-built ductwork plan
Other

Louver/Damper Control
observe; as-built ductwork plan
Location(s)
measure; as-built ductwork plan
% Free Area
measure; as-built ductwork plan
Pressure Drop
Control Method as-built sequence of operation

6.5 AIR HANDLING SYSTEM CONTROLS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

6.6 AIR SYSTEM TERMINAL UNITS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM
General Information
Site Name:
Location/Service:
Terminal Units

Mfr./
AHU/Source Tag/I.D. Model
#

Type

Max.
CFM

Htg.
Min.
CFM

Clg.
Min.
CFM

Heat
Cool Control
Source Source Type

Notes

6.6 AIR SYSTEM TERMINAL UNITS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

6.6 AIR SYSTEM TERMINAL UNITS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

6.6 AIR SYSTEM TERMINAL UNITS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM GUIDANCE


General Information
Site Name:
Provide name of site
Location/Service:
Provide information to identify what the system is serving, observe and see as-built equipment schedule
Terminal Units
AHU/Source Enter/identify the equipment from which the air originates before supplying the terminal unit. See as-built floor plans.
Enter the terminal unit identifier, e.g. "VAV-27," if applicable, see nameplate or as-built equipment schedule
Tag/ID
Mfr./Model # Enter the manufacturer and model number of the terminal unit, see nameplate or as-built equipment submittal
Enter the following indicators of terminal unit type:
Type
VAV=Variable Air Volume Terminal Unit
CAV=Constant Air Volume Terminal Unit
FPB=Fan-Powered Box (provide fan specs in notes section)
Other=Explain in notes section

Max CFM
Heating Min
Cooling Min

For CAV and FPB, enter CFM. For VAV, enter maximum CFM. Provide source in notes section (measured, TAB report, drawi

Heat Source

Enter the source of heating, see as-built equipment schedule and floor plans. (e.g. if hot water reheat coil, give source
of hot water, e.g. "Boiler #1."; If eclectic resistance reheat coil, enter "elec")

Cool Source

Enter the source of cooling, see as-built equipment schedule and floor plans. If cooling occurs in central AHU, enter
"None." If chilled water coil in terminal unit, enter 'CHW.' If DX cooling coil in terminal unit enter 'DX'.

Control Type

For digital thermostat, enter "D-T."


For on/of control enter "on/of"
For other, enter "other" and explain in Notes Section

Notes

For VAV only. Enter minimum heating CFM (provide source in Notes section)
For VAV only. Enter minimum cooling CFM (provide source in Notes section)

Use this space to enter any additional notes or comments including those stated above.

6.6 AIR SYSTEM TERMINAL UNITS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

6.6 AIR SYSTEM TERMINAL UNITS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

6.6 AIR SYSTEM TERMINAL UNITS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

pment schedule

6.6 AIR SYSTEM TERMINAL UNITS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

6.6 AIR SYSTEM TERMINAL UNITS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

6.7 ZONE HEATING EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM
General Information
Site Name
Heating Equip. ID/Tag
Location/Service
Manufacturer/Model #
Year Built

Serial Number

Room Conditions
Air Delivery Sys Type
Actual Room Temp.
Room Temp Set Point (htg)
Equipment Data
Radiator Convector Furnace
Quantity
Medium
Dimensions
Material
Capacity
Design Flow rate
Meas. Flow rate
Design SAT
Meas. SAT
Design EWT
Meas. EWT
Design Pd
Meas. Pd
Condensing/Non
Combustion Method
MUA required
Thermal Efficiency
Stages
Volts
Design Amps
Meas. Amps
Design kW
Measured kW
Power Factor
Controls Notes
Operating Schedule

Method of Control (Tstat, occ. Sensor, etc.)

Infrared
Heater

Radiant
Panel

Radiant
Slab

Chilled
Beam

Other

6.7 ZONE HEATING EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM GUIDANCE


General Information
provide name of site
Site Name
near equipment nameplate, as-built equipment schedule
Heating Equip. ID/Tag
observe location and equipment it is serving, as built equipment schedule
Location/Service
equipment nameplate, as-built equipment submittal
Manufacturer/Model #
nameplate, or as-built submittal
Year Built
Serial Number nameplate
Room Conditions
Air Delivery Sys Type
Actual Room Temp.
Room Temp Set Point (htg)
Equipment Data

basis of design, as-built floor plans


control system or logger trends
basis of design or control system

Radiator Convector Furnace

Infrared
Heater

Radiant
Panel

Radiant
Slab

Chilled
Beam

Other

Observe actual quantity, also see as-built equipment schedules


Quantity
as-built equipment submittal
Medium
Observe actual dimensions, also see as-built equipment submittal
Dimensions
as-built equipment submittal
Material
as-built equipment submittal
Capacity
Design Flow rate as-built equipment schedule
Meas. Flow rate control system or logger trends
as-built equipment schedule
Design SAT
control system or logger trends
Meas. SAT
as-built equipment schedule
Design EWT
control system or logger trends
Meas. EWT
as-built equipment schedule
Design Pd
control system or logger trends
Meas. Pd
Condensing/Non as-built equipment submittal
Combustion Meth as-built equipment submittal
as-built equipment submittal
MUA required
Thermal Efficienc as-built equipment submittal
as-built equipment submittal
Stages
as-built equipment schedule
Volts
as-built equipment schedule
Design Amps
control system or logger trends
Meas. Amps
as-built equipment schedule
Design kW
control system or logger trends
Measured kW
control system or logger trends
Power Factor
Note: Not all data categories apply to every zone heating equipment type!!

Controls Notes
Operating ScheduAs-Built sequence of operation, observe at least one week of control system trends of equipment status, or use
data logger to monitor equipment power consumption for at least one week

Method of Control (Tstat, occ. Sensor, eas-built sequence of operation, as-built floor plans

6.7 ZONE HEATING EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

6.8 FAN COIL UNITS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM
General Information
Site Name
Fan Coil ID/Tag
Location/Service
Manufacturer/Model #
Year Built

Serial Number

Room Conditions
Air Delivery Sys Type
Actual Room Temperature
Room Temp Setpoint (htg)
Room Temp Setpoint (clg)
RH Setpoint

Cooling Coil Data


Design

Fan Data
Fan Type/Size
Fan Efficiency
Fan Motor Data
Full Load HP
Frame Size
Enclosure Type
Full Load RPM
Synch. RPM
Motor Efficiency
Volts
Phase
Full Load Amps
Motor In Supply Airstrea
Drive Type
Filter Data
Manufacturer
Model Number
Type
Efficiency
Initial / Final Pressure Drop
Fan Controls
Constant Air Volume
VFD
Discharge Damper
Multi-Speed
Staged Control
Other
DDC
Electronic / Pneumatic

Measured

Medium Type
2-Way / 3-Way Valve
Sensible/Total Capacity
CFM
EDB/WB
LDB/WB
EWT
LWT
Air Pressure Drop
Water Pressure Drop

Yes/No

Heating Coil Data


Medium Type
2-Way / 3-Way Valve
Capacity
CFM
EDB
LDB
EWT
LWT
Air Pressure Drop
Water Pressure Drop
Fan Design/Operating Conditions
Total Static Pressure
Airflow
Fan RPM
Volts
Amps
kW
Power Factor
n/a
Operating Schedule
Thermostat
Occupancy Sensor
On/Of
Twist Timer
Manual

Notes

6.8 FAN COIL UNITS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM GUIDANCE


General Information
provide name of site
Site Name
near FCU nameplate, as-built FCU schedule
Fan Coil ID/Tag
observe FCU location and equipment it is serving, as built FCU schedule
Location/Service
Manufacturer/Model # FCU nameplate, as-built FCU submittal
FCU nameplate, or as-built FCU submittal
Year Built
Serial Number FCU nameplate
Room Conditions
basis of design, as-built floor plans
Air Delivery Sys Type
Actual Room Temperaturecontrol system or logger trends
Room Temp Setpoint (htgbasis of design or control system
Room Temp Set Point (clgbasis of design or control system
basis of design or control system
RH Set Point
Fan Data
Fan Type/Size
Fan Efficiency
Fan Motor Data
Full Load HP
Frame Size
Enclosure Type
Full Load RPM
Synch. RPM
Motor Efficiency
Volts
Phase
Full Load Amps
Motor In Supply Airstrea
Drive Type
Filter Data
Manufacturer
Model Number
Type
Efficiency
Initial / Final Pressure Dr
Fan Controls
Constant Air Volume
VFD
Discharge Damper
Multi-Speed
Staged Control
Other
DDC
Electronic / Pneumatic

as-built FCU or filter schedule/submittal


as-built FCU or filter schedule/submittal

Cooling Coil Data


Design Measured
as-built FCU schedule
Medium Type
2-Way / 3-Way Valve as-built FCU controls diagram
Sensible/Total Cap. as-built FCU schedule
CFM
EDB/WB
control
as-built FCU
system or
LDB/WB
schedule
logger
trends
EWT
LWT
as-built FCU schedule
Air Pressure Drop
Water Pressure Drop as-built FCU schedule

motor nameplate, as-built motor submittal

Heating Coil Data


as-built FCU schedule
Medium Type
motor nameplate, as-built motor submittal 2-Way / 3-Way Valve as-built FCU controls diagram
motor nameplate, as-built motor submittal Capacity
as-built FCU schedule
motor nameplate, as-built motor submittal CFM
motor nameplate, as-built motor submittal EDB
control
as-built FCU
system or
motor nameplate, as-built motor submittal LDB
schedule
logger
trends
motor nameplate, as-built motor submittal EWT
motor nameplate, as-built motor submittal LWT
as-built FCU schedule, as-built FCU submittaAir Pressure Drop
as-built FCU schedule
Water Pressure Drop as-built FCU schedule
motor nameplate, as-built motor submittal
motor nameplate, as-built motor submittal

as-built FCU or filter schedule/submittal


as-built FCU or filter schedule/submittal
as-built FCU or filter schedule/submittal
as-built FCU or filter schedule/submittal
as-built FCU or filter schedule/submittal

as-Built sequence of operation

Fan Design/Operating Conditions


TAB report
Total Static Pressure
Airflow
Fan RPM
as-built FCU
control
schedule
Volts
system or
logger
Amps
trends
kW
n/a
Power Factor

as-Built sequence of operation


as-Built sequence of operation
as-Built sequence of operation
as-Built sequence of operation
as-Built sequence of operation
as-Built sequence of operation
as-Built sequence of operation

Operating Schedule
Thermostat
As-Built sequence of
Occupancy Sensor operation, observe at least
one week of control system
trends of fan power or
On/Of
on/of status, or use data
Twist Timer
logger to monitor fan power
for at least one week
Manual

6.8 FAN COIL UNITS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

easured

ols diagram

ols diagram

6.9 EXHAUST / RETURN FANS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM
General Information
Site Name
Exhaust/Return Fan ID/Ta
Location/Service
Year Built
Fan Data
Manufacturer
Model Number
Serial Number
Fan Type / Size
Fan Efficiency
Fan Motor Data
Full Load HP
Frame Size
Enclosure Type
Full Load RPM
Synch. RPM
Motor Efficiency
Volts
Phase
Full Load Amps
Motor In Exhaust Airflow
Drive Type
Operating Schedule
Always On
Occupancy Sensor
On/Of Schedule
Controls Notes

Design/Operating Conditions
Design
Measured
Total Static Pressure
Occupied CFM
Unoccupied CFM
Fan RPM
Volts
Occupied Amps
Unoccupied Amps
n/a
Occupied kW
Unoccupied kW
n/a
Power Factor
n/a

Yes/No

Fan Control
Constant Air Volume
VFD
Discharge Damper
Multi-Speed
Staged Control
Other
DDC
Electronic Controls
Pneumatic Controls

Notes
__________________
__________________
__________________
__________________
_______________
__________________
__________________
_______________
__________________

6.9 EXHAUST / RETURN FANS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM GUIDANCE


General Information
provide name of site
Site Name
near fan nameplate, as-built fan schedule
Fan ID/Tag
observe fan location/as-built fan schedule
Location/Service
fan nameplate, as-built fan submittal
Year Built
Fan Data
Manufacturer
Model Number
Serial Number
Fan Type / Size
Fan Efficiency

fan nameplate, as-built fan schedule


fan nameplate, as-built fan schedule
fan nameplate
fan nameplate, as-built fan schedule
fan nameplate, as-built fan schedule

Fan Control
Constant Air Volum as-built sequence of operation
as-built fan schedule
VFD
Discharge Damper as-built sequence of operation,
damper(s) located
downstream of fan

as-built sequence of operation


Multi-Speed
as-built sequence of operation
Staged Control
as-built sequence of operation
Other
as-built sequence of operation
DDC
Electronic Controls as-built sequence of operation
Pneumatic Controlsas-built sequence of operation

Fan Motor Data


motor nameplate, as-built motor submittal
Full Load HP
motor nameplate, as-built motor submittal
Frame Size
motor nameplate, as-built motor submittal
Enclosure Type
motor nameplate, as-built motor submittal
Full Load RPM
motor nameplate, as-built motor submittal
Synch. RPM
motor nameplate, as-built motor submittal
Motor Efficiency
motor nameplate, as-built motor submittal
Volts
motor nameplate, as-built motor submittal
Phase
motor nameplate, as-built motor submittal
Full Load Amps
Motor In Exhaust Airflo motor nameplate, as-built motor submittal
as-built fan schedule, as-built fan submittal
Drive Type
Operating Schedule
Always On
Occupancy Sensor
On/Of Schedule

as-built sequence of operation, observe at least one week of control system trends of fan power or on/of
status, or use data logger to monitor fan power for at least one week
as-built sequence of operation, observe at least one week of control system trends of fan power with
occupancy schedule, or use data logger to monitor fan power for at least one week with occupancy
schedule
as-built sequence of operation, observe at least one week of control system trends of fan power or on/of
status, or use data logger to monitor fan power for at least one week

Design/Operating Conditions
Design
Measured
test and balance report
Total Static Pressure as-built fan schedule
Basis of Design, as-built sequence of operabuilding control system or logger trend
Occupied CFM
Basis of Design, as-built sequence of operabuilding control system or logger trend
Unoccupied CFM
as-built fan schedule
building control system or logger trend
Fan RPM
as-built
fan
schedule
building control system or logger trend
Volts
as-built fan schedule
building control system or logger trend
Occupied Amps
n/a
building control system or logger trend
Unoccupied Amps
as-built
fan
schedule
building control system or logger trend
Occupied kW
n/a
building control system or logger trend
Unoccupied kW
n/a
building control system or logger trend
Power Factor

6.9 EXHAUST / RETURN FANS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

6.10 PACKAGED UNITS: DX, HEAT PUMPS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM
General Information
Site Name
Unit ID/Tag
Location/Service
Manufacturer
Model Number
Serial Number

Year Built:

No. of zones served by unit

Unit Type
Rooftop Unit
Split System
Window A/C
VAV
CAV
Other _________

Condenser Type
Air-cooled
Water-cooled
Evap-cooled
GSHP
WSHP
Other________

Preheat/Heating Coil
Water (HWS/HWR) (oF)
Steam (psi)
Electric (kW)
Heating Capacity (MBH)
Fuel type________________

Compressor Data
Quantity
RLA
Volts
Phase
Type

Condenser Fan Data


Quantity
Full Load Amps
Volts
Phase
Nominal HP

Supply Fan Data


Manufacturer
Model Number
Serial Number
Fan Type / Size
Fan Efficiency

Cooling Type
DX: Refrigerant
Type
Number of
Circuits
CFM
EDB/EWB (oF)
LDB/LWB (oF)
Cooling Cap. (MBH)
EER
EER incl. evap. fan Y / N

Supply Fan Control


VFD
Discharge Damper
Multi-Speed
DDC
Pneumatic
Room Thermostat

Outside Air (OA) Control


Fixed OA CFM
Economizer?
Minimum OA %

Supply Fan Motor Data


Quantity
Full Load HP
Frame Size
Enclosure Type
Operating RPM
Motor Efficiency
Volts
Phase
Full Load Amps
Power Demand (kW)
Drive Type
Humidity Control
NONE
Humidifier Type
Humidity Sensor Location
RH Setpoint, Max
RH Setpoint, Min
Electrical Data
MCA
MOCP

Controls Notes
Time of Day Scheduling __________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Unit Staging ________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

6.10 PACKAGED UNITS: DX, HEAT PUMPS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM GUIDANCE


General Information
provide name of site
Site Name
near nameplate, as-built schedule
Unit ID/Tag
facilities operator
Location/Svce
nameplate, as-built schedule
Year Built
Manufacturer
Model Number
Serial Number
Unit Type
Rooftop Unit
Split System
Window A/C
VAV
CAV
Other

nameplate, as-built schedule

No. Zones
Served by Unit

nameplate

nameplate, as-built schedule


as-built mechanical
drawings

Condenser Type
as-built submittal
Air-cooled
as-built submittal
Water-cooled
as-built submittal
Evap-cooled

observe location
observe; as-built drawings
observe location

GSHP
WSHP
Other

as-built submittal
as-built submittal
as-built submittal

as-built submittal
as-built submittal
as-built submittal

Compressor Data
count; as-built equip. schedule
Quantity
nameplate; as-built submittal
RLA
nameplate; as-built submittal
Volts
nameplate; as-built submittal
Phase
nameplate; as-built submittal
Type

Condenser Fan Data


nameplate; as-built
Quantity

Supply Fan Data


nameplate; as-built submittal
Manufacturer
Model Number nameplate; as-built submittal
Serial Number nameplate; as-built submittal
nameplate; as-built submittal
Fan Type/Size
nameplate; as-built submittal
Fan Efficiency

Cooling Type
Refrigerant Type
No. of Circuits
CFM
EDB/EWB
LDB/LWB
Capacity
EER
Evap fan incl.?

Supply Fan Control


as-built sequence of
VFD
operation; building control
Damper
system or logger trends
Multi-Speed
DDC
Pneumatic
Room T-stat
Controls Notes
Time of Day Scheduling
Unit Staging

Full Load Amps


Volts
Phase
Nominal HP

Preheat/Heating Coil
as-built submittal
HWS/HWR
as-built submittal
Steam
as-built submittal
Electric
as-built submittal
Capacity
as-built submittal
Fuel type

nameplate; as-built
nameplate; as-built
nameplate; as-built
nameplate; as-built

as-built submittal
as-built submittal
as-built submittal

Supply Fan Motor Data


nameplate; as-built
Quantity
nameplate; as-built
Full Load HP
nameplate; as-built
Frame Size
Enclosure Type nameplate; as-built
Operating RPM nameplate; as-built
Motor Efficiency nameplate; as-built
nameplate; as-built
Volts
nameplate; as-built
Phase
Full Load Amps nameplate; as-built
Power Demand ( control system/logger trends
nameplate; as-built
Drive Type

as-built submittal
as-built submittal
as-built submittal
as-built submittal
as-built submittal

Outside Air (OA) Control


as-built SOO
Fixed OA CFM
as-built SOO
Economizer?
Minimum OA % as-built SOO

Humidity Control
Humidifier Type as-built submittal
Sensor Location SOO, observation
RH Setpoint, Maxas-built SOO
RH Setpoint, Min as-built SOO

Electrical Data
nameplate; as-built
MCA
nameplate; as-built
MOCP

as-built sequence of operation, building control system or logger trends


as-built sequence of operation, building control system or logger trends

6.10 PACKAGED UNITS: DX, HEAT PUMPS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

ogger trends

6.11 DX CONDENSING UNIT AND CONDENSERS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM
General Information
Site Name
Equipment ID/Tag
Location/Service
Manufacturer
Model Number
Associated Equipment
Serial Number

Year Built

Type of Equipment
Condensing Unit
Condenser

Condenser Fan Data


Quantity
Full Load Amps
Volts
Phase
Nominal HP

Condenser Type
Air-cooled
Evap-cooled
Fluid-cooled

Fan Control

Compressor Data
Quantity
RLA
Volts
Phase
Type

Electrical Data
Volts
Phase
MCA
MOCP

Cooling Type
DX: Refrigerant Type
Number of Circuits
Cooling Cap. (MBH)
EER/SEER
EER incl. supply fan?
Heat Pump?
Heating Cap. (MBH)
HSPF/COP

Fluid-Cooled Data
Fluid
GPM
EWT/LWT (oF)
WPD (ft w.g)

VFD / Single-speed /
Two-Speed

Yes / No
Yes / No

Controls Notes
Time of Day Scheduling _______________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Unit Staging ________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

7.0 SWIMMING POOLS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM
General Information
Site Name
Location of Pool
Size (gallons)
Activity Schedule

Surface Area
Year Built

Outdoor Conditions
Avg temp for coldest month of use
Saturation vapor pressure
Atmospheric pressure
Wind speed
Annual Solar Radiation
% Shaded area in pool area
Indoor Conditions
Room Temp Setpoint
Room RH Setpoint
Method of Air Delivery
Filter Pump Data
Filter Type
Filter Pressure Drop
Power Demand (kW)
Hours on per day
VFD

Heating Conditions
Heating Method
Cover Type
Cover U-value
Cover Schedule
Desired Water Temp
Measured Water Temp
Warm up time
Heating Schedule___________________________________

Gas Pool Heaters


Capacity
Fuel Type
Efficiency
Power Demand (kW)
yes/no

Solar Pool Heaters


Total Collector Area
Collector Orientation/Tilt
Collector Type
Distance from pool to collectors
Pumping power per collector area
Heat Exchanger Efectiveness

Heat Pump Pool Heaters


Capacity
Air/Water Source
COP
Compressor Type
Refrigerant Type
Power Demand (kW)
Pool Accessories
Ozone Generator
Oxygen Concentrator
Air Compressors

Additional Notes/Comments

Power Hours on
Demand per day
yes/no
yes/no
yes/no

7.0 SWIMMING POOLS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM GUIDANCE


General Information
Site Name
Location of Pool
Size (gallons)
Activity schedule

Provide name of site


Observe location in relation to building
as-built plans or direct measure
Indicate what pool is used for
(recreation, teaching, training,
etc) and typical weekly
schedule

Outdoor Conditions
Avg temp for coldest month ofASHRAE Fundamentals
ASHRAE Fundamentals
Saturation vapor pressure
ASHRAE Fundamentals
Atmospheric pressure
ASHRAE Fundamentals
Wind speed
ASHRAE Fundamentals
Annual Solar Radiation
% Shaded area in pool area Estimate avg. percentage
Indoor Conditions
Room Temp Setpoint
Room RH Setpoint
Method of Air Delivery
Filter Pump Data
Filter Type
Filter Pressure Drop
Power Demand
Hours on per day
VFD

as-built plans or direct

Surface Area measurement


Year Built as-built plans or submittals

based on observations
throughout one day

Heating Conditions
as-built submittal
Heating Method
as-built submittal
Cover Type
as-built submittal
Cover U-value
interview facilities staf
Cover Schedule
Desired Water Tem as-built sequence of operations
Meas Water Temp control system or direct measureme
control system, interview staf
Warm up time

as-built sequence of operations

Heating Schedule

as-built sequence of operations


as-built sequence of operations

as-built submittal
as-built submittal
control system, logger trends

as-built sequence of operations,


control system, and interview staf;
obtaining annual hours of heating
is desired, how is it controlled?

Gas Pool Heaters


as-built submittal
Capacity
as-built submittal
Fuel Type
as-built submittal
Efficiency
control/logger trends; spot measure
Power Demand

control system, logger trends


as-built submittal

Solar Pool Heaters


as-built submittal
Total Collector Area
observe/measure
Collector Orientation/Tilt
as-built submittal
Collector Type
Distance from pool to collecto as-built plans or measure
Pumping power per collector aas built submittal
Heat Exchanger Efectiveness as built submittal

Additional Notes/Comments

Heat Pump Pool Heaters


as-built submittal
Capacity
Air/Water Source as-built submittal
as-built submittal
COP
Compressor Type as-built submittal
Refrigerant Type as-built submittal
control/logger trends; spot measure
Power Demand
Pool Accessories

Power
Demand

Ozone Generator
as-built
Oxygen Concentratschedules
, observe
Air Compressors
if present

submittals,
also
recommend
measuring
actual kW
use

Hrs on
per
day
control
system,
logger
trends

7.0 SWIMMING POOLS


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

7.1 KITCHEN EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM
General Information
Site Name
Room Name
Location/Service
Year Built

Floor Area (sq. ft.)

Oven Data
Quantity
Manufacturer
Model Number
Capacity
Fuel Type
Efficiency
Power Demand (kW)
Hours On per Day
Year Installed

Other Equipment Data


Equipment Type
Quantity
Manufacturer
Model Number
Power Demand (kW)
Hours On per Day
Year Installed
Energy Star Rated?

Refrigerator Data
Quantity
Manufacturer
Model Number
Capacity
Compressor Type
Efficiency
Power Demand (kW)
Hours On per Day
Year Installed

Motor Data
Quantity
Full Load HP
Frame Size
Enclosure Type
Operating RPM
Motor Efficiency
Volts
Phase
Full Load Amps
Power Demand (kW)
Drive Type
Hours On per Day
Year Installed

Compressor Data
Quantity
Capacity
Manufacturer
Model Number
Type
Efficiency
Power Demand (kW)
Hours On per Day
Year Installed

Controls Notes
Time of Day Scheduling

Room Conditions
Room Temp Setpt (heat/cool)
Cooling System Type
Air Delivery System Type
Heating System Type

Range Hoods
Quantity
Type
Max/Min CFM
Control Method

Yes/No

7.1 KITCHEN EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM GUIDANCE


General Information
provide name of site
Site Name
provide name of kitchen room
Room Name
facilities operator
Location/Service
as-built drawings, facilities operator
Year Built
Oven Data
Quantity
Manufacturer
Model Number
Capacity
Fuel Type
Efficiency

count at site
nameplate, as-built oven submittal
nameplate, as-built oven submittal
nameplate, as-built oven submittal
nameplate, as-built oven submittal
nameplate, as-built oven submittal,
compute from building control system or
logger trends

Floor Area measure from as-built floor plans


Other Equipment Data
Equipment Type nameplate, as-built submittal
nameplate, as-built submittal
Quantity
nameplate, as-built submittal
Manufacturer
nameplate, as-built submittal
Model Number
Power Demand (k building control system or logger trends
Hours On per Day building control system or logger trends
nameplate, as-built submittal
Year Installed

Power Demand (kW)if electric,

building control system or


logger trends

Hours On per Day


Year Installed

building control system or logger trends


nameplate, as-built oven submittal

Refrigerator Data
count at site
Quantity
nameplate, as-built refrigerator submittal
Manufacturer
nameplate, as-built refrigerator submittal
Model Number
nameplate, as-built refrigerator submittal
Capacity
Compressor Type nameplate, as-built refrigerator submittal
nameplate, as-built refrigerator submittal
Efficiency
Power Demand (kW)building control system or logger trends
Hours On per Day building control system or logger trends
nameplate, as-built refrigerator submittal
Year Installed
Compressor Data
count at site
Quantity
nameplate, as-built compressor submittal
Capacity
nameplate, as-built compressor submittal
Manufacturer
nameplate, as-built compressor submittal
Model Number
nameplate, as-built compressor submittal
Type
nameplate, as-built compressor submittal
Efficiency
Power Demand (kW)building control system or logger trends
Hours On per Day building control system or logger trends
nameplate, as-built compressor submittal
Year Installed
Controls Notes
Time of Day Scheduling
as-built sequence of operation, control system or logger trends of
equipment power demand (kW) (or Amps)

Motor Data
nameplate, as-built submittal
Quantity
nameplate, as-built submittal
Full Load HP
nameplate, as-built submittal
Frame Size
nameplate, as-built submittal
Enclosure Type
building control system or logger trends
Operating RPM
Motor Efficiency nameplate, as-built submittal
building control system or logger trends
Volts
building control system or logger trends
Phase
building control system or logger trends
Amps
Power Demand (k building control system or logger trends
nameplate, as-built submittal
Drive Type
Hours On per Day building control system or logger trends
nameplate, as-built submittal
Year Installed
Room Conditions
Room Temperaturebuilding control system or logger trends
Cooling System as-built mechanical drawings
Air Delivery Syste as-built mechanical drawings
Heating System as-built mechanical drawings
Range Hoods
Quantity
Type

count; as-built equipment schedule

Max/Min CFM

as-built submittal; spot measurement


or control system/logger trends

Control Method

as-built sequence of operation

e.g. condensate, grease; as-built


submittal

7.1 KITCHEN EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

ogger trends

ogger trends

ogger trends

ogger trends

ogger trends

ogger trends

ogger trends

ogger trends

ogger trends

7.2 LAB EQUIPMENT

Commercial Building Energy Audit Sample Forms


Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM
General Information
Site Name
Room Name
Floor Area (sf)
Airflow Determinant
Ventilation Data
CAV/VAV
Occupied ACH
Unoccupied ACH
Particle Counting
Contaminant Sensor
Occ. Sensors
CO2 Sensors

Exhaust Data
Quantity
yes
yes
yes
yes

/
/
/
/

Fume Hoods
Snorkels
Gas Cabinets
BS Cabinets
Other

no
no
no
no

Equipment Data
Tag ID & type

Mfr /
Model

NP Pwr
Rating

Low Pwr/
Standby
Mode W

VAV /
CAV

Min
Max
Airflow Airflow

Time of
Day
Scheduling

Time of
Other
Typ
Day
Efficiency
Active Cooling
hr/wee Sched Features
Mode W Req't
k

7.2 LAB EQUIPMENT

Commercial Building Energy Audit Sample Forms


Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM GUIDANCE


General Information
Site Name

Provide name of site

Room Name & Area Provide name of room


as-built floor plan
Floor Area
Airflow DeterminantIs airflow supplied to the room dominated by ventilation, exhaust, or cooling requirements? Refer to as-built
room plans or basis of design

Ventilation Data
submittals/trend data
CAV/VAV
submittals/trend data
Occupied ACH
Unoccupied ACH submittals/trend data
Particle Counting submittals/trend data
submittals/trend data
Cont. Sensors
submittals/trend data
Occ. Sensors
submittals/trend data
CO2 Sensors

Exhaust Data
Qty
Fume Hoods
Snorkels
as-built
Gas Cabinetsequipme
BS Cabinets nt
submittal
Other

VAV /
CAV
as-built
equipment
submittal,
also look at
control
system or
logger
trends to
verify

Min
Airflow

Max
Airflow

as-built
equipment
submittal,
also look at
control
system or
logger
trends to
verify

as-built
equipment
submittal,
also look at
control
system or
logger
trends to
verify

Time of
Day
Scheduling
as-built
sequence of
operations, also
look at control
system or
logger trends to
verify

Equipment Data

Tag ID & type

Near equipment nameplate or as-built equipment schedule for tag ID. List all types of lab equipment in room
including but not limited to: autoclaves, freezers, refrigerators, ovens, lasers, spectrometers, cage washers,
centrifuges, glove boxes, vacuum pumps, chromatographs, cryo coolers, dry baths, glass washers, growth
chambers, heat blocks, incubators, and thermal cyclers.

Mfr / Model

Nameplate or as-built equipment submittal

Nameplate Pwr
Rating

Nameplate or as-built equipment submittal

Low Pwr/Standby logger trends, also see if this is specified in equipment submittal
Mode W
Active Mode W
Cooling Req't

logger trends, also see if this is specified in equipment submittal

as-built equipment submittal

Typ hr/week

interview lab users to quantify typical usage, also use data logger to monitor power for at least one week

Time of Day
Scheduling

interview lab users, logger trends

Other Efficiency
Features

as-built equipment submittal, also interview lab users to see if there any energy saving opportunities in behavior

7.3 REFRIGERATION EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM
General Information
Site Name
Room/Area Name
Location/Service
Conditioned Floor Area (sq. ft.)
Compressor Data
Manufacturer
Type
Quantity
Model Number
Serial Number(s)
Tag Number
Refrigerant Type
Suction Press/Temp
Discharge Press/Temp
Capacity (MBH)
Power Demand (kW)
Hours On per Day
Year Installed

Evaporator Coil Data


Manufacturer
Type
Coil Quantity
Model Number
Serial Number(s)
Tag Number
Suction Group
Location
Room Temperature
Defrost Type
Defrost Duration
Number of Defrost/day
Defrost Power Draw (kW)

Condenser Data
Manufacturer
Type
Quantity
Model Number
Serial Number(s)
Tag Number
Capacity (MBH)
Fan Motor HP
Fan Motor Efficiency
Fan Motor Quantity
Fan Amps / Volts /
Fan Power Draw (kW)
Year Fan Installed
Pump Motor HP
Pump Motor Efficiency
Pump Motor Quantity
Pump Amps / Volts /
Pump Power Draw (kW)
Year Pump Installed

Evaporator Fan Data


Manufacturer
Quantity
Model Number
Serial Number(s)
Fan Type / Size
Fan Efficiency

Controls Notes
Time of Day Scheduling
Heat Recovery?

Evaporator Fan Motor Data


Fan Motor HP
Fan Motor Efficiency
Fan Motor Quantity
Fan Amps / Volts /
Fan Power Draw (kW)
Year Fan Installed
Drive Type
Controls
Conditioned Area
Enclosed?

7.3 REFRIGERATION EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM GUIDANCE


General Information
provide name of site
Site Name
provide name of conditioned room or area
Room Name
provide are served; from facilities operator
Location/Service
measure from as-built floor plans
Floor Area
Compressor Data
nameplate; as-built submittal
Manufacturer
nameplate; as-built submittal
Type
count; as-built equipment sched
Quantity
nameplate; as-built submittal
Model Number
nameplate
Serial Number(s)
located near nameplate
Tag Number
nameplate; as-built submittal
Refrigerant Type
Suction Press/Temp nameplate; as-built submittal
Discharge Press/Tempnameplate; as-built submittal
nameplate; as-built submittal
Capacity (MBH)
Power Demand (kW) control system or logger trends
control system or logger trends
Hours On per Day
nameplate; as-built submittal
Year Installed

Evaporator Coil Data


nameplate; as-built submittal
Manufacturer
nameplate; as-built submittal
Type
nameplate; as-built equipment sched
Coil Quantity
nameplate; as-built submittal
Model Number
nameplate
Serial Number(s)
located near nameplate
Tag Number
nameplate; as-built submittal
Suction Group
observe; as-built submittal
Location
control system or logger trends
Room Temperature
as-built submittal
Defrost Type
control system or logger trends
Defrost Duration
Number of Defrost/day control system or logger trends
Defrost Power Draw (kW)control system or logger trends

Condenser Data
nameplate; as-built submittal
Manufacturer
nameplate; as-built submittal
Type
count; as-built equipment sched
Quantity
nameplate; as-built submittal
Model Number
nameplate
Serial Number(s)
located near nameplate
Tag Number
nameplate; as-built submittal
Capacity (MBH)
nameplate; as-built submittal
Fan Motor HP
Fan Motor Efficiency nameplate; as-built submittal
Fan Motor Quantity count; as-built equipment sched
Fan Amps / Volts / nameplate; as-built submittal
Fan Power Draw (kW)control system or logger trends
nameplate; as-built submittal
Year Fan Installed
nameplate; as-built submittal
Pump Motor HP
Pump Motor Efficienc nameplate; as-built submittal
Pump Motor Quantitycount; as-built equipment sched
Pump Amps / Volts / nameplate; as-built submittal
Pump Power Draw (k control system or logger trends
Year Pump Installed nameplate; as-built submittal

Evaporator Fan Data


Manufacturer
Serial Number(s)
Model Number
Serial Number
Fan Type / Size
Fan Efficiency

nameplate; as-built submittal


nameplate
nameplate; as-built submittal
nameplate
nameplate; as-built submittal
nameplate; as-built submittal

Evaporator Fan Motor Data


nameplate; as-built submittal
Fan Motor HP
nameplate; as-built submittal
Fan Motor Efficiency
count; as-built equipment sched
Fan Motor Quantity
nameplate; as-built submittal
Fan Amps / Volts /
control system or logger trends
Fan Power Draw (kW)
nameplate; as-built submittal
Year Fan Installed
as-built submittal
Drive Type
Controls
Conditioned Area
Enclosed?

observe; e.g. strip curtains,


enclosing doors

Controls Notes
Time of Day Scheduli as-built sequence of operation, control system or logger trends of equipment power demand (kW) (or Amps)
Heat Recovery?

describe type of heat recovery employed

7.3 REFRIGERATION EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

pment sched

(or Amps)

7.4 DATA CENTERS / IT Rooms


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM
General Information
Site Name
Room Name
Location/Service
Year Built
CRAC/CRAH Units - General
Quantity
Nominal Capacity
Compressor Type
CRAC/CRAH Fan Data
Manufacturer
Model Number
Serial Number(s)
Fan Type / Size
Fan Efficiency
CRAC/CRAH Fan Motor Data
Full Load HP
Frame Size
Enclosure Type
Motor Efficiency
Yes/No
Motor In Supply Airflow?
Drive Type

Total Floor Area (sf)


Total Server Load (kW)
Design/Operating Conditions
Design
PUE
Total Static Pressure
Supply CFM
Fan RPM
Volts
Amps
Fan Power Demand (kW)
Power Factor
n/a
Return Air Temperature
Supply Air Temperature
Fan Control
Constant Air Volume
VFD
Multi-Speed
Connected to DDC?

Configuration
Open, No Hot/Cold Aisles
Open Hot/Cold Aisle
Hot/Cold Aisle w/ Ducted Return
Fully Enclosed Hot/Cold Aisles

Humidity Control
None
Humidifier Type
Humidity Sensor Location
RH Setpoint, Max
RH Setpoint, Min

Uninterruptible Power Supply


Quantity
Capacity
Manufacturer
Model Number
Operating Output Power
Operating Input Power
Operating Load Factor (%)
Equipment Served

Transformers
Quantity
Capacity
Manufacturer
Model Number
Operating Output Power
Operating Input Power
Operating Load Factor (%)
Equipment Served

Controls Notes
Server Operation/HVAC System Schedule

Air Side Economizing


Economizer Control
Economizer Upper Limit
Economizer Lower Limit
Economizer Control Point

CRAC/CRAH Staging

Yes/No

Measured

7.4 DATA CENTERS / IT Rooms


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

7.4 DATA CENTERS / IT Rooms


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM GUIDANCE


General Information
provide name of site
Site Name
provide name of datacenter or IT room
Room Name
facilities operator
Location/Service
as-built drawings, facilities operator
Year Built
as-built floor plans
Total Floor Area
measure with power meter
Total Server Load
CRAC/CRAH Units - General
count at site
Quantity
as-built CRAC/H schedule
Nominal Capacity
DX or CHW plant, as-built CRAC/H schedul
Compressor Type
CRAC/CRAH Fan Data
as-built CRAC/H
Manufacturer
as-built CRAC/H
Model Number
as-built CRAC/H
Serial Number(s)
as-built CRAC/H
Fan Type / Size
as-built CRAC/H
Fan Efficiency

schedule
schedule
schedule
schedule
schedule

Fan Control
Constant Air Volumeas-built sequence of operation
inside CRAH unit
VFD
as-built motor submittal
Multi-Speed
Connected to DDC? as-built sequence of operation
Humidity Control
Humidifier Type
Humidity Sensor
Location

as-built humidifier schedule


as-built sequence of operation,
visual observation

RH Setpoint, Max

% or dewpoint; as-built
sequence of operation, control
system or logger trends

RH Setpoint, Min

% or dewpoint; as-built
sequence of operation, control
system or logger trends

Transformers
as-built electrical line diagram
Quantity
as-built transformer submittal
Capacity
nameplate
Manufacturer
nameplate
Model Number
Oper Output Power measure with power meter
Oper Input Power measure with power meter
Operating Load (%) output power capacity
Equipment Served as-built electrical line diagram

CRAC/CRAH Fan Motor Data


motor nameplate, as-built CRAC/H schedul
Full Load HP
motor nameplate, as-built CRAC/H schedul
Frame Size
motor nameplate, as-built CRAC/H schedul
Enclosure Type
motor nameplate, as-built motor submittal Uninterruptible Power Supply
Motor Efficiency
as-built electrical line diagram
Motor in Supply Airflo motor nameplate, as-built motor submittal Quantity
as-built fan schedule, as-built fan submitta Capacity
as-built transformer submittal
Drive Type
nameplate
Manufacturer
nameplate
Model Number
Configuration
observe server racks
Open, No Hot/Cold
Oper Output Power measure with power meter
Oper Input Power measure with power meter
Open Hot/Cold Aisle observe server aisles, measure
temperatures in aisles
Operating Load (%) output power capacity
observe
server
aisles
and
ducting
to
Equipment Served as-built electrical line diagram
Hot/Cold Aisle w/
return opening in CRAC/CRAHs, measure
Ducted Return
temperatures in aisles
Fully Enclosed
Hot/Cold Aisles

observe server aisles and enclosure at


tops and ends of aisles, measure
temperatures in aisles

Air Side Economizing


Economizer Control e.g. drybulb, RH, or enthalpy;

as-built sequence of operation,


control system trends

Design/Operating Conditions
as-built CRAC/CRAH schedule
Design
building control system or logger trends
Measured

Economizer Upper
Limit

e.g. upper OA drybulb temp


lockout; as-built sequence of
operation, control system trends

Server
Controls Notes
Operation/
HVAC
Schedule
CRAC/CRAH Staging

Economizer Lower
Limit

e.g. lower OA drybulb temp


lockout; as-built sequence of
operation, control system trends

Economizer Control e.g. return air drybulb temp; asbuilt sequence of operation
Point

as-built sequence of operation, building


control system or logger trends
as-built sequence of operation, building
control system or logger trends

7.4 DATA CENTERS / IT Rooms


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

7.4 DATA CENTERS / IT Rooms


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

7.4 DATA CENTERS / IT Rooms


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

7.5 PROCESS EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM
General Information
Site Name
Location/Service
Year Built
Compressed Air System
Type of Compressor
Compressor Efficiency
Compressor Controls
Quantity of Filters
Filter Type
Filter Pressure Drop
After cooler Efectiveness
Condensate Separation Efficiency
Dryer Size
Dryer Efficiency
Dryer Pressure Drop
Dryer Purge Rate
Dryer Purge Rate Control
Receiver Tank Size
Receiver Tank Location

Compressed Air Design / Operating Conditi

Central Vacuum System


Type of Pumps
Quantity of Pumps
Pump Controls
Uses of Central Vacuum System:

Central Vacuum Design / Operating Conditi

Process Chilled Water System


Portable Process Chillers
Separate High Temp Chiller pla
Low Temp Chiller plant w/ mixi
Water Side Free Cooling

Required

Flow rate
Pressure
Dew Point
Hrs on per day
Compressor Power Demand
Pressure / Flow Controller?
Leaks Detected?
If so, where?

Measured

yes / no
yes / no

Uses of Compressed Air System:

Required

Flow rate
Pressure
Hrs on per day
Pump Power Demand
Leaks Detected?
If so, where?

Measured

yes/no

Chilled Water Design / Operating Condition


yes
yes
yes
yes

/
/
/
/

no
no
no
no

Required

Measured

Flow rate
Head
Supply Temp

Uses of Process Chilled Water:

Elevators
Capacity (lbs)
Year Built
Type (hydraulic, traction, etc)
Frequency of Use
Machine Room Cooling Load

Elevator Design / Operating Conditions


Rated
Measured
Speed
Riding Power
Standby Power

7.5 PROCESS EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

7.5 PROCESS EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

SAMPLE FORM GUIDANCE


General Information
Site Name
Location/Service
Year Built
Compressed Air System
Type of Compressor
Compressor Efficiency
Compressor Controls
Quantity of Filters
Filter Type
Filter Pressure Drop
After cooler Efectiveness
Condensate Separation Effici
Dryer Size
Dryer Efficiency
Dryer Pressure Drop
Dryer Purge Rate
Dryer Purge Rate Control
Receiver Tank Size
Receiver Tank Location

Provide name of site


observe location and purpose of process equipment
as-built drawings, equipment submittals

Compressed Air Design/Oper Conditions


Required

as-built submittal
as-built submittal
as-built sequence of operations
as-built schedule

Flow rate
Pressure
Dew Point

Measured

as-built schedule
control system or logger trends

as-built submittal
as-built submittal
as-built submittal
as-built submittal

Pressure / Flow Controller?


Leaks Detected?
If so, where?

as-built schedule
Visual inspection and
interview facilities staf

as-built submittal
as-built submittal

Uses of Compressed Air System:

as-built submittal
as-built schedule, and floor plans, also interview facilities staf
to ensure there are not inappropriate uses of compressed air
as-built sequence of operations (i.e. diaphragm pumps, pneumatic controls, etc)
as-built submittal

as-built schedule
as-built floor plans

Central Vacuum System


Central Vacuum Design/Oper Conditions
as-built submittal
Required
Measured
Type of Pumps
as-built
schedule
Quantity of Pumps
Flow rate
control system or
as-built schedule
logger trends
as-built sequence of operations Pressure
Pump Controls
Uses of Central Vacuum System:
Leaks Detected?
Visual inspection and
interview facilities staf
as-built schedule, and floor plans, also interview facilities staf
If so, where?

Process Chilled Water System


as-built schedule
Portable Process Chillers
Separate High Temp Chiller plas-built schedule
Low Temp Chiller plant w/ mixas-built schedule
as-built schedule
Water Side Free Cooling

Chilled Water Design/Oper Conditions


Required

Flow rate
Head
Supply Temp

Measured

as-built schedule
as-built schedule

control system or
logger trends

as-built schedule

note: circle all that apply

Uses of Process Chilled Water:


as-built schedule, and floor plans, also interview facilities staf

Elevators
as-built submittal
Capacity (lbs)
as-built submittal
Year Built
Type (hydraulic, traction, etc) as-built submittal
control system or logger trends
Frequency of Use
Machine Room Cooling Load as-built submittal

Elevator Design/Oper Conditions


Rated
Measured
Speed
control system or
Riding Power as-built submittal logger trends
Standby Power

7.5 PROCESS EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

7.5 PROCESS EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org

nditions

nditions

7.5 PROCESS EQUIPMENT


Commercial Building Energy Audit Sample Forms
Copyright 2011, Rocky Mountain Institute www.rmi.org