Industrial Energy Usage Audit Form
Facility Name
Address
Contact Person
Contact Email
Date of Audit
General Information
Industry Type
Number of Employees
Operating Hours per Week
Energy Sources
Energy Source
Monthly Usage (kWh/Unit)
Cost per Month
Electricity
Natural Gas
Fuel Oil
Coal
Other
Main Energy Consuming Equipment
Equipment
Quantity
Rated Power (kW)
Operating Hours/Week
Current Energy Efficiency Practices
Describe any efficiency measures or energy-saving initiatives:
Areas Identified for Improvement:
Additional Comments