Professional Documents
Culture Documents
DK2138 CH13 PDF
DK2138 CH13 PDF
Self-Evaluation Checklists
INTRODUCTION
DAT E 5/10/74
UNIT
Anywhere
NAM F
1
SHE ET NO
TOTAL POINTS
CD
Solar Protection
CD
o o O. 1 Q.
Is O
CD
CD
CL
55
CO O
u_ CD CD
"o CD
1 o o c
o en 'CO CO CO CD
Rating CO t— S 0 O
No. Location Value
Max. = 10 2 2 2 1 0 3 0 1
Total points for each item are determined and this total listed in the item
total points column.
Each form will accommodate 25 items of similar nature, such as 25
windows or 25 doors. As many forms as are necessary to list all similar
items on an individual line should be used. The total points for each
section are determined by adding all item total points for that section.
Using the following scoring formula, the rating score of each of the
20 sections should be individually calculated.
This rating score is then applied to the following table which indicates
the urgency of corrective action.
Range of
Rating Score Action Required
0- 20 Immediate Corrective Action Required
20- 40 Urgent Corrective Action Required
40- 60 Corrective Action Required
60- 80 Evaluation for Potential Improvement Required
80- 100 No Corrective Action Required
2 points if the window has storm windows adequate for cold weather protec-
tion. The storm windows must fit tightly and block the wind from
entering around the window.
2 points if the window has protection from the direct sun during warm
weather. Solar protection can be part of the building design such as
overhang, awnings or physical shields. Protection can also be tinted
or reflective film applied to the windows, double-glazed windows,
solar screening or trees blocking out direct sunlight.
2 points for a tight fitting window. A window is tight fitting if the infiltration
will not be detected around the window during a windy day. The
window must fit well and all caulking must be in place. Weather-
stripping will contribute to a tight fit.
1 point if the wind has some infiltration around the window. The window
should fit fairly well and not be loose and rattle.
0 points if infiltration can be felt to a large degree. The window is loose in the
frame and caulking is missing or in poor condition.
3 points if the window is designed so physically it cannot be opened.
0 points if it can be opened. If it can be opened, it will be opened to "regulate"
room temperature.
1 point if window is weather-stripped all around and the weather-stripping
is in good condition.
DATE
UNIT "S
NAM F c CD
OJ
0 0 0 n CD Q_ £
0 03
SHE -T NO o> CO 0
"o ^= = m O
Q.
CO D_ u. — — "o m CD
_l
t
CO
-p o o c CO
o o en CO 03 CO
CO CO i— is O o £
^
g
Rating
No. Location 2 2 2 1 0 3 0 1
Max. = 10
1
This section applies to all doors that open to the outside and all doors that
open to an unconditioned space such as warehouses and storerooms.
2 points if door fits snugly into the door frame with no loose condition and
where no infiltration exists around the edges.
1 point if door is an average fit and can be slightly rattled in the frame and
has a slight infiltration around the edges.
0 points if door is loose in the frame and infiltration exists.
2 points if weather-stripping exists on all four edges and is in good condition.
(Thresholds with elastic or fiber to close the space, and astragals on
double doors are considered weather-stripping.)
1 point if weather-stripping exists on jambs and head only.
0 points if no weather-stripping exists or if it exists and is in poor condition.
1 point if door is protected from outside wind. This can be building design,
wind screen or shrubbery.
Q. CD
_£I
UNIT ~6 0
o T3 O
NAM F O Q.
o
TOTAL POINTS
CD
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Rating
Value
No. Location 2 1 1 0 2 1 2 1 0 1
Max. = 10 0
T3
DATE
en en "E
UNIT '55 "55 CD
O
NAM F O O o CO
TOTAL POINTS
Q_ CD Q_ en
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Rating
Value
No. Location 1 1 1 1 2 1 0
Max. =6
1
DAT
UNIT c
CD
NAM F ^L
Solar Protection
O CO
T3 m z
SHE ET NO & 0
CO
2 O
CL
Insulated
^ en -o
C/3
c
CD
s.
0 2
1o 1
Rating
Value
No. Location 3 0 2 2 1 0
Max. = 7
1
DATE
Ventilation Under Roof
UNIT
o>
NAM F o
CO CO
t
Wet Insulation
d
r o Z3
co •z.
SHE T NH
15
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1
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£" 15 0 E CO
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Rating
Value
No. Location 2 0 1 1 2 1 0
Max. =6
1
DATE CO -a
UNIT
s
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CD
NAM F -o CD
CD 5 CT Q
C/D
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o
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M
Rating
No. Location 1 1 2 1 0 2 0
Max. = 6
1
3 points if the shipping and receiving area is well protected from outside
temperature.
1 point if the shipping and receiving area is reasonably protected from out-
side air entry.
0 points if the shipping and receiving area has no protection from the ambi-
ent. This would be an open area directly exposed to the outside
conditions.
1 point if individual truck stalls exist so the unused areas can be closed.
0 points if one large area exists and the entire dock must be exposed if a
single truck is loaded or unloaded.
1 point if the doors are closed when not in use.
0 points if the doors are left open as a matter of convenience.
1 point if the area does not receive conditioned air.
0 points if the area receives conditioned air.
DATE
o>
CO
UNIT
NAM F
"8
0
O I CO T3
TOTAL POINTS
CO
CD
"9 'o o lo
0
SHE -T N
n
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Q_ cL CL CD
CD 8 Q. CL O
CD CD
~CO E5
CO o 0 E O
^:
ro To "cO ^ CD £2 CO cL
o E
CD
^ 0 Q8 Q
o "o
Rating
Value
No. Location 3 1 0 1 0 1 0 1 0
Max. = 6
1
DATE
Excessive Illumination
No Decorative Ltq.
Incandescent Lights
Reflection Average
UNIT -CO
Illumination Adeq.
CD
CO O cn 2:
Reflection Good
NAM F 0
TOTAL POINTS
£ o cn
Reflection Poor
CO
Diffusers Good
< DC O I -o ~c
CD
SHEErT MO
CD
1 £ "H "cz
CD
C
I
2z x:
"c
LU
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CD
CO
CO
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in
p
CD
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CO
CD
^
£ £
<n
s: 3=
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Dl en 5= o cr cn
Lj _j Q O U_ _j "_j
Rating
Location Value
No. 1 1 0 2 1 0 2 1 0 1 0 1 1 1 0
Max. = 10
1
*Note: Momentarily disconnect lamps until level is reached which is adequate for
the intended function. The following light meter readings will assist in determi-
nation of average adequate light levels. These are below Illumination Engineer-
ing Society recommendations in some instances. Absence of reflected glare is
mandatory for reading tasks requiring careful fixture placement.
0 points if faucets and valves are leaking. Leaks may be external or internal
in the system.
3 points if doors between kitchen area and other areas are kept closed.
2 points if adequate vent hoods are used over heat-producing equipment.
1 point if some vent hoods are used over heat-producing equipment.
0 points if no or inadequate vent hoods are used.
1 point if ventilation air supply is adequate to remove most of the heat pro-
duced by the kitchen equipment.
2 points if refrigerator equipment is in good repair, seals are good, condenser
is clean, air passage over condenser is clear.
1 point if refrigeration equipment is in average condition, dust and dirt exist
on condensers but the air flow is not restricted, door gaskets seal all
around although they may have lost some resiliency.
0 points if refrigeration equipment is in poor condition, a large collection of
dust and dirt on the condenser or the fins may be bent to restrict air
flow, door gaskets do not seal all around, are brittle, broken or miss-
ing.
3 points if heat-recovery systems are utilized. These can be applied to the
exhaust air, the hot waste water or on the refrigeration equipment.
DATE
T3
UNIT O CD
cn CD cr £
cn
_c CO -a o E to
NAM F
TD
CD 6 o
0
.5, CO cn
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O
CO
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cr CT ~c5 "cT> CO o o 8 T3 "01 "CD "m CD £
LU LU DC DL LL u_ O <. D_ < LL. DC cr J_ 1-
Rating
No. Location 2 0 1 0 1 0 3 2 1 0 1 2 1 0 3
Max. = 15
1
2 points if flanges, valves and regulators are insulated with removable lag-
ging-
2 points if the steam system has no leaks.
1 point if the steam system has minor leaks around valve packing, shaft
seals, etc.
0 point if the steam system has many leaks, valves, regulators and traps have
dripping leaks, steam plumes, etc.
1 point if boiler combustion controls are automatic.
1 point if definite standard operating procedures are used. These should be
written and posted near the boiler control panel.
1 point if each boiler has an individual steam flow meter.
1 point if each boiler has an individual make-up water meter.
1 point if each boiler has an individual fuel flow meter.
1 point if a definite preventive maintenance schedule is followed.
0 points if equipment is maintained or repaired only when it breaks down.
3 points if an energy recovery system is used. This may be a heat exchanger
of water to water, an air wheel or any of several types in common
use.
2 points if beat generation is controlled by a system using an economizer
system by comparing inside and outside temperature.
DATE
Preventive Maintenance
^
T3
CO CD
Economizer Controls
.c:
UNIT a o
Insulation Average
CO
e-
Flanges Insulated
NAM F
T3
Insulation Good
CO
a CD
Insulation Poor
CD >
CO
O •z.
SHE =T N
n
£ to
-^ O JBju 1
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Rating
Value
No. Location 2 1 0 2 2 1 0 1 1 1 1 1 1 0 3 2
Max. = 17
1
2 points if flanges, valves and regulators are insulated with removable lag-
ging-
2 points if the steam system has no leaks.
1 point if the steam system has minor leaks around valve packing, shaft
seals, etc.
0 points if the steam system has many leaks, valves, regulators and traps have
dripping leaks, steam plumes, etc.
2 points if the control system to each area is adequate. The control system
shall maintain the temperature in each room close to the thermostat
setting.
1 point if the control system to each area is only a general control without
the ability to control each room.
0 points if the control system has little or no control over the area tempera-
ture. Also included here is a control system that allows the heating
and cooling systems to oppose each other in the same general area.
1 point if definite standard operating procedures are used. These should be
written and posted.
1 point if a definite preventive maintenance schedule is followed.
0 points if equipment is maintained or repaired only when it breaks down.
1 point if the area is conditioned only when occupied. This will apply espe-
cially to auditoriums, work rooms, hobby shops, TV rooms, etc.
0 points if the area is conditioned all the time regardless of occupancy.
2 points if the zone control is good and certain areas can be secured when not
in use or require less temperature conditioning.
1 point if the zone control only allows general areas to be secured when
conditions dictate.
0 points if zone control cannot be secured without securing a large general
area.
DATE
Preventive Maintenance
Condition as Required
O) CD
c= CD
UNIT 'c= co
Insulation Average
o O
Flanges Insulated
NAM F CD
o
cB
Fix as Required
CD
Insulation Good
Constant Condi
Q_
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Rating
No. Location Value
Max. = 13 2 1 0 2 2 1 0 2 1 0 1 1 0 1 0 2 1 0
1
Preventive Maintenance
DATE
UNIT
Insulation Average
Flanges Insulated
NAM F &• -o
CD •o a> CD
1
Insulation Good
Insulation Poor
0> Q > CO
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Rating
Value
No. Location 2 1 0 1 1 1 1 0 3 2 1
Max. = 12
1
Preventive Maintenance
DATE
Condition as Required
Constant Conditioninq
CD
CD
UNIT -o CO
Insulation Average
o 0
NAM F CD
Controls Average
-o T3
0 o :o
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Value
No. Location 2 1 0 2 1 2 1 0 1 0 1 0 2 1 0
Max. = 11
1
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Rating
No. Location 2 1 1 1 1 1 1 0 2
Max. = 10
1
UNIT CO
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NAM E cn CO
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TOTAL POINTS
03
Insulation Good
Insulation Poor
CO 'o3 CD
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No. Location
Value
Max. = 5 2 1 0 1 0 1 1 0
1
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UNIT CD IDL CO CD
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No. Location 2 1 0 1 3 1 2 1 0 2 1 0
Max. = 13 1
DATE
Preventive Maintenance
UNIT
NAM F CO
1 -o
Compressors S
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Rating
Location Value
No. 1 0 1 1 1 1 0
Max. = 5
1
DATE
Preventive Maintenance
UNIT
NAM F
TOTAL POINTS
"co CD
Equipment Off
CD CO
SHE -1 NO '3
CO cr
'S3 CD CD
0 DC
^
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0
CO
U- CO
ID
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LL Ll_
Rating
No. Location Value
Max. = 5 1 0 1 1 0 1 1
1
1 point if the flue gas waste heat from processing equipment is extracted to
heat relatively low temperature makeup, process and space heating
water.
2 points if all high-temperature piping, ovens, dryers, tanks and processing
equipment are covered with suitable insulating material. The insula-
tion must not be wet, crumbly or cracked.
0 points if insulation is in poor condition with sections missing, broken, wet,
Crumbly or cracked.
1 point if definite standard operating procedures are used. These should be
written and posted near the control panel.
1 point if gas-heated equipment is checked for combustion efficiency on a
regular basis.
1 point if a definite preventive maintenance schedule is followed.
0 points if equipment is maintained or repaired only when it breaks down.
Preventive Maintenance
DATE
03
>,
O
CD
UNIT
n: < £Z
CD
NAM F 'o
32 % T3
Combustion Effi
CO
1/5
Insulation Poor
CD
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SHE T N: n
1 1
Q_
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cr 0
CO CD Q_
CD CC
C5
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CD CO
3 X
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LU u_ 1
Rating
Value
No. Location 1 2 0 1 1 1 1 0
Max. = 6
1
DATE
No Display Schedules
en
Dispatch Schedules
UNIT c en
Underinflated Tires
Mileage/Fuel Data
NAM F 'cz c
"53
TOTAL POINTS
Economical Tra
LL o
SHE -T NO
£
CO
a>
Cl-
CW
i
g
Rating
Value
No. Location 2 2 2 3 0 1 0 1
Max. = 10
1