eQube #99, 2nd Floor, (Opp.

Hanuman Temple),
1st Cross, New Thippasandra,
Bangalore – 560 075.
Phone- 080-65663540
Mail- sahay@eqube.co.in

Energy Questionnaire
The purpose of this questionnaire is to gather information about a facility ahead of time in order to
facilitate preparedness of our personnel when they come on site. This questionnaire will ensure that
the time on site is spent efficiently and the analysis thorough.

1 Contact Information
Name of Company
Address
Contact Name / Number of person in
Charge of the audit project
Name of Person(s) filling out the
Questionnaire

2 Operational Information about the facility

Type of Company
Nature of Business
Number of Employees
Number of Shifts
Average number of employees per shift
Average working hrs
Working days per year
Size of the facility (sqft)
Number of floors and possible breakup
of area by floor

3 Electrical Load Details

Connected Load (kva)
Power Factor
Power Consumption per month from
Electricity board (average units)
Average Electricity Board Power Bill
(avg. of last few months)
Average Power generated from DG
Average Diesel Consumed
AMC and Spares cost for DG
maintenance
Average Cost of Power
…………….KW
……………..
………………. (Average from Jan to Dec – 2009).
…………………- (Average from Jan to Dec -2009).
…………………( Average from Jan to Dec – 2009)
………………….(Average from Jan to Dec – 2009)
………………… (Average from Jan to Dec 2009)
Rs ………………..per unit

Regd. Off: #103, MS Paradise, Gangamma Temple Lane, 9th Cross, Kodihalli, Bangalore - 560008
eQube
4 Electricity Bill Split Up
Estimate the amount of power each of the energy consumers take up in your facility
Appliance Percentage
Air-conditioning ……..%
Lighting ……..%
Lifts ……..%
Computers / Servers …….%
Pumps …….%
Others …….%
Other Information

(do provide any other information that comes to mind)

5 Diesel Generator Details

Capacity of Generator ……….. KVA x ……Nos
Monthly Diesel Consumption (avg) …………. (Avg. from Jan to Dec - 2009)
Average usage of Diesel Generators per day ………..hrs
Number of units generated by the DG set per …………… (Avg. from Jan to Dec - 2009)
month (average)
Average cost of diesel ……………… (per Ltr @ Rs ………./-)
Monthly maintenance costs for the DG sets ………………

5.1 DG Set Consumption for a few months

Month Units of Power Generated (units) Qty of Diesel Consumed (lts)
March - 2009
April - 2009
June - 2009
July - 2009
Aug - 2009

6 Transformer Details
Transformer Make Qty Size
…………...KVA 33KV/11KV
………… KVA 11KV/433V

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eQube
7 Air Conditioning Details
Is the full facility air-conditioned ? If not what is the Yes/ No. …………. Sqft
total sqft that is air-conditioned
Type of Air-conditioning (central, packed / splits, Centralized
unitary)
If Centralized, type (water-cooled, air-cooled) Water cooled & Air cooled
Hours of Usage per day 24hrs
Day time Usage ………….TR x …….Hrs
Night time Usage ………..TR x ……… Hrs
No. of AHUs …………Nos.
Capacity of AHUs ……….. TR x …….. Nos. …….. Hrs
……….. TR x ……… Nos……… Hrs
……….. TR x ……… Nos. …….. Hrs
……….. TR x ……… Nos. ………Hrs
Typical 12 Hour operation AHU In/ Out Temp ……..oC/ ……….oC
Typical 24 Hour operation AHU IN/ OUT Temp ……..oC / ………oC

7.1 For Individual Air-conditioners

Make Type (split, window, Qty Tonnage
packaged, other)
Blue Star DX …. …….tr
……….. DX ….. ……tr
…………

7.2 For Central Air-Conditioners

7.2.1 Chiller Details

Qty Capacity
….. No’s (Water cooled type) ………TR
….. No’s (Air cooled type) ……. TR
Chilled water in/ Out temp ……/ ……… oC
Condenser water in/ Out temp ……./ ………oC

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eQube
7.3 Chilled Water Pumping
Type of Pump (primary / Qty Flow Head Hours of Motor HP
secondary) Operation
Primary-Air cooled ……….Hrs ……… KW
Primary - Water cooled ……….Hrs ……… KW
Primary-Condenser water ……….Hrs ……… KW
Secondary Chilled water ……….Hrs ……..KW VFD
Pumps

8 Lighting Details
Please provide an estimate of the kind of lighting that is used in your facility. For instance, if there are
100 CFL (18w) lamps in the canteen used for about 10 hrs (average) per day, then the information
would be location = canteen, type of fixture = CFL, qty = 100, wattage (18w), hrs / day of usage = 10

Location  Type of Fixture  Qtity  Wattage(KW)  Hrs / day Usage 

  …………… (2*35W T5)        
   ………….. (1*18W CFL)        
   ………….. (1*25W)        
   ………….. (2*10W CFL)       
   ………….  (2*36W CFL)        
   ………… (2*18W CFL)        
   …………. (1*35W Flouroscent)        
   …………..(1*40W Flouroscent)        
  …………. (2*28W flouroscent)       
  ………….. (1*26W CFL)       
  ………….. (1*20W CFL)       
  ………… (1*9W CFL)       
  ……….. (1*36W CFL)       
  ………… (1*150W Halogen)       
Street         
Street         

9 Exhaust/ Ventilation System Details

Please provide the details/ no.s of exhaust hoods and sizes used in the facility
Location Capacity CFM & Nos. Hours of Usage/ Rating (KW)
Static Pressure day

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eQube
10 Computer / Server Details
Please provide an estimate of the computers / servers is used in facility with estimates of usage per day

Type of computer (laptop,  Hrs / day Usage/   % 
server, deskop, etc)  Make  Quantity  Wattage  loading 
CRT Monitors            
LCD Monitors         
CPUs            
Servers  (Rating – KW)            
Laptops           
         
         

11 Heating Details

Type of Temperature of Temperature of Fuel used Hours of Fuel

Heating usage exhaust operation/ day consumed
Appliance
Furnace

Boilers

Air Heaters

12 Air Compressors

Type Make Capacity @ Hours of Energy Loading

Pressure operation/ day consumed/day hours/
unloading
hours

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eQube
13 UPS Details
If there is a UPS, then please provide information about it.

% Loading  List of devices 
Battery Size and  Number of  powered by the UPS 
UPS Size in KW  Make  Voltage (AH)  batteries  and wattage 
            
           
           

14 Other Significant Energy Consuming Appliances

List below other significant energy consumers such as pumps, lifts, etc.

Appliance  Purpose  Quantity  Wattage  Hrs / day Usage 

 Fire fighting 
  system        
 Lifts & Dump Weighters           
 STP system   STP        
 Toilets & kitchen 
 Exhaust System  exhaust        
 Supply for Bld & 
 Water pumps  others        
              

15 Energy Bills for 12 months

Kindly Scan or send a copy of the electricity bills (all of them) for the facility for the last 12 months
Electrical Thermal
Month  Units  Total cost  Cost/unit KL Total Cost  Cost/ Unit
 Jan‐09     
Feb‐09     
Mar‐09     
Apr‐09     
May‐09     
Jun‐09     
Jul‐09     
Aug‐09     
Sep‐09     
Oct‐09     
Nov‐09     
Dec‐09     

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