Performa for submitting Energy audit reports

Name and Address of the
Energy Audit Firm
Name of the organization
where the energy audit was
carried out
Back ground of the industry
Please give your firm’s contact address with phone nos., fax
no., email Id, website.
Please give complete address with contact person details and
Email Id.
Please give turnover, plant capacity, monthly production and
annual energy consumption of the company.
[Please mention not more than 100 words for each equipment.]

Sector

Scope of the work Please mention brief details of scope of the work.

Duration of the Energy Audit Please give from date and to date; no. of days/ months.

Details of Equipments for Give details of Energy consumption details at each equipment
which Energy Audit was before undertaking the energy audit. What are the equipments
undertaken: used to monitor the energy consumption? Your
1) Boiler recommendations to reduce the energy consumption.
2) Electrical Systems [Please mention not more than 100 words for each equipment.]
3) Steam Systems
4) Furnaces
5) Insulation & Refractors
6) Electric Motors
7) Compressors
8) Compressed Air
System
9) HVAC and
Refrigeration
10) Cooling Towers
11) Fans & Pumps
12) Lighting Systems
13) Diesel Generating
Systems
14) Others

Quantified benefits to the Please mention approximate energy and amount saved out of
industry the energy audit.
List of suggested equipments Please mention the details of equipments suggested to install in
to the industry the plant.

Overall recommendations to Please give your conclusion of the energy audit.

the industry Investment recommendation and expected pay back period, if
any and (not more than 100 words).