Industrial Facility Energy Consumption Evaluation Form
Facility Information
Facility Name
Location
Contact Person
Contact Number
Date
Facility Operation Profile
Type of Industry
Number of Employees
Area (sq. meters)
Operating Hours per Day
Production Capacity / Description
Energy Consumption Details
Annual Electricity Consumption (kWh)
Annual Fuel Consumption (Litre/Tonne/etc.)
Other Energy Sources
Main Energy-Using Equipment
Equipment Name
Quantity
Rated Power (kW)
Annual Usage (hours)
Energy Efficiency Practices
Are energy-saving practices in place?
Yes
No
If yes, please describe
Comments / Observations