Hospital HVAC Energy Audit Data Sheet
Hospital Information
Hospital Name
Location / Address
Date of Audit
Auditor Name(s)
General Facility Information
Number of Floors
Total Floor Area (m²)
Construction Year
Type of Hospital
General
Specialty
Clinic
Other
HVAC System Details
Type of HVAC System
Chiller with AHU
Packaged Rooftop
VRV/VRF System
Split Units
Other
No. of HVAC Units
Total HVAC Capacity (TR or kW)
Operation Hours per Day
Operation Days per Week
Energy Consumption
Annual Energy Consumption (kWh)
HVAC Share of Consumption (%)
Energy Metered Separately?
Yes
No
Observations & Comments
Major HVAC Issues Noted
Recommended Efficiency Measures