Green Building Energy Savings Audit Form
Building Information
Building Name
Address
Owner/Manager
Contact Information
General Information
Year Built
Number of Floors
Total Square Footage
Primary Use/Occupancy
Energy Consumption
Average Monthly Energy Consumption (kWh)
Utility Provider
Lighting
Type of Lighting
Lighting Controls (timers, sensors, etc.)
HVAC Systems
HVAC System Type
Thermostat Controls
Last Maintenance Date
Other Systems
Renewable Energy Sources (if any)
Water Heating System
Major Appliances
Observed Issues
Describe any observed energy inefficiencies or issues
Comments & Recommendations
Additional Comments or Recommendations