Industrial HVAC Energy Efficiency Inspection Form
Facility Information
Facility Name
Location
Date of Inspection
Inspector Name
HVAC Equipment Information
Equipment Type
Manufacturer
Model Number
Serial Number
Installation Year
HVAC System Capacity (ton/kW)
Inspection Checklist
Thermostat settings & operation
Air filters condition
Ductwork integrity & insulation
Refrigerant levels
Fan & motor operation
Compressor condition
Electrical connections & controls
Overall equipment cleanliness
Energy-saving opportunities observed
Recommendations & Notes
Recommendations for Improvements
Additional Notes
Inspector Signature
Signature
Date