Industrial Water Usage Audit Form
General Information
Company Name
Location/Facility Address
Auditor Name
Audit Date
Contact Person
Contact Email
Contact Phone
Water Source Information
Primary Water Source
Municipal
Well
Surface Water
Other
If "Other", specify
Average Daily Water Usage (m³)
Water Usage Breakdown
Process/Area
Estimated Usage (m³/day)
Remarks
Water Discharge
Main Discharge Point(s)
Estimated Discharge Volume (m³/day)
Is water treated before discharge?
Yes
No
If "Yes", describe treatment process
Water Conservation Measures
Existing Water Conservation Practices
Potential Areas for Improvement