Sample Water Audit Forms Page 13
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15For each boiler, approximate how much make-up water is needed or used to replace water lost to
blow-down, evaporation, and other process inefficiencies.
Check settings for level of total dissolved solids (TDS) at blow-down and frequency.
❑ Yes
❑ No
Are water-cooled air compressors in use?
❑ Yes
❑ No
Are water-cooled pumps in use?
List any other machines that use non-contact cooling water:
_____________________________________________________________________________
Heating, Ventilating and Air Conditioning (HVAC) Consumption
What type of HVAC system do you have?
______________________________________
❑ Yes
❑ No
Does your HVAC system have condensate collection and/or re-use?
❑ Yes
❑ No
Is your HVAC system always on?
Is your HVAC system ❑ air-cooled or ❑ water-cooled?
If water-cooled, is your system ❑ open loop or ❑ closed-loop?
Cleaning Use
Motor Pool:
Number of automotives: _____ Where are they washed? __________ How frequently? ______
Number of watercraft: ______ Where are they washed? __________ How frequently? ______
Are hoses used? ❑ Yes
❑ No
Are hoses equipped with fine-spray/high-pressure/water-efficient nozzles? ❑ Yes
❑ No
Are dry-clean (rather than wet-clean) practices and procedures in place? (i.e. sweep instead of hosing, scrape
❑ Yes
❑ No
before spraying, etc.)
❑ Yes
❑ No
Are office windows washed on a regular basis?
How often? ______________
Are office sidewalks and outside walls pressure-washed on a regular basis? ❑ Yes
❑ No
How often? ______________
Janitorial Use
❑ Yes
❑ No
Are janitorial staff aware of office water conservation efforts?
Are there areas that janitors mop? ❑ Yes ❑ No
Where: _____________________________
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Area mopped (ft
): ___________
How often? __________________
Are hoses used? ❑ Yes
❑ No
Are hoses equipped with fine-spray/high-pressure/water-efficient nozzles? ❑ Yes
❑ No
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