Senior Living Energy Accessibility Audit
Facility Information
Facility Name
Address
Contact Person
Contact Phone
General Assessment
Date of Audit
Auditor(s)
Energy Accessibility Assessment
Assessment Area
Assessment
Notes/Comments
Entrance Lighting
Adequate
Needs Improvement
Not Accessible
Interior Lighting
Adequate
Needs Improvement
Not Accessible
Emergency Backup
Functioning
Needs Maintenance
Not Available
Electrical Outlet Accessibility
Accessible
Partially Accessible
Not Accessible
HVAC Controls
Accessible
Difficult to Access
Not Accessible
Access to Renewable Energy
Available
In Progress
Not Available
Accessibility Barriers (Describe any)
Recommendations
Additional Notes