Sample Water Audit Forms Page 14
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15Are dry-clean (rather than wet-clean) practices and procedures in place? (i.e. sweep instead of hosing, scrape
❑ Yes
❑ No
before spraying, etc.)
List other janitorial practices that consume water.
Task
Where
How often
Average water used
______________________ ________________ ________________ __________________
______________________ ________________ ________________ __________________
______________________ ________________ ________________ __________________
______________________ ________________ ________________ __________________
______________________ ________________ ________________ __________________
Landscaping Consumption
What types of vegetation are planted in the landscaping surrounding your facility?
Plant Name
Native?
Average water consumption
❑ Y ❑ N
_______________________
_________________
❑ Y ❑ N
_______________________
_________________
❑ Y ❑ N
_______________________
_________________
❑ Y ❑ N
_______________________
_________________
❑ Y ❑ N
_______________________
_________________
❑ Y ❑ N
_______________________
_________________
❑ Y ❑ N
_______________________
_________________
❑ Y ❑ N
_______________________
_________________
❑ Y ❑ N
_______________________
_________________
❑ Y ❑ N
_______________________
_________________
Does your landscape use mulch? ❑ Yes ❑ No
Soil type (in your region): ___________
Does your facility have an irrigation system? ❑ Yes
❑ No
Type: _____________
Where does the system irrigate? ____________________________________________
How often? Summer: __________________
Winter: _____________________
Time of day? Summer: __________________
Winter: _____________________
❑ Yes
❑ No
Is there a rain gauge incorporated in your system?
❑ Yes
❑ No
Are there manual override controls for your system?
Are hoses used for irrigation? ❑ Yes
❑ No
Are hoses equipped with fine-spray/high-pressure/water-efficient nozzles? ❑ Yes
❑ No
Does your facility have any pools or fountains? ❑ Yes ❑ No
Number: ________
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Parent category: Business