No.

Question Y N NA Comments Standard clause Additional General Comments

COMMITMENT AND POLICY
1 Has the organization defined and documented the scope and
boundaries of its energy management system? 4-1-a

2 Has the organization determined and documented how it will

meet the requirements of the standard in order to achieve 4-1-c
continual improvement?
3 Has the organization appointed a management
4-2-2
representative
4 Is the policy appropriate to the nature and scale of, and
4-3-c
impact on, the organization’s energy use?
5 Does the policy include a commitment to continual
4-3-b
improvement in energy efficiency?
6 Does the policy include a commitment to ensure the
availability of information and of all necessary resources to 4-3-c
achieve objectives and targets?
7 Does the policy provide a framework for setting and
4-3-e
reviewing energy objectives and targets?
8 Does the policy include a commitment to comply with all
4-3-d
applicable requirements relating to its energy aspects?
9 Is the policy documented and communicated to all personnel
4-3-g
working for, or on behalf of, the organization?
10 Does the organization commit itself to periodically reviewing
4-3-h
and updating the policy?
PLANNING
11 Has the organization conducted and document an energy
4-4-1
planning process
12 Has the organization developed, record, and maintain an
4-4-3
energy review.
13 Has the organization identified the SEU 4-4-3-b
No. Question Y N NA Comments Standard clause Additional General Comments
14 Has the organization identified, prioritize and record
4-4-3-c
opportunities for improving energy performance
15 Has the organization established an energy baseline(s) using
4-4-4
the information in the initial energy review,
16 Has the organization identified EnPIs appropriate for
4.4.5
monitoring and measuring its energy performance
17 Has the organization established, implement and maintain
documented energy objectives and targets at the relevant
4.4.6
functions, levels, processes or facilities within the
organization.
18 Has the organization established, implement and maintain
action plans for achieving its objectives and targets
4.4.6

IMPLEMENTATION AND OPERATION

19 Has the organization use the action plans and other outputs
resulting from the planning process for
4.5.1
implementation and operation
20 Has the organization ensure that any person(s) working for
or on its behalf, related to significant energy uses, are
4.5.2
competent on the basis of appropriate education, training,
skills or experience
21 Has the organization identified training needs associated
with the control of its significant energy uses and the 4.5.2
operation of its EnMS
22 Has the organization communicated internally with regard to
4.5.3
its energy performance and EnMS
No. Question Y N NA Comments Standard clause Additional General Comments
23 Has the organization established and implement a process by
which any person working for, or on behalf of, the
4.5.3
organization can make comments or suggest improvements
to the EnMS.
24 Has the organization decide whether to communicate or not
4.5.3
externally regarding its EnMS
25 Has the organization l established, implement and maintain
information to describe the core elements of the EnMS and 4.5.4.1
their interaction.
26 How company control its documents 4.5.4.2
27 Has the organization identified its operational control and
maintenance activities which are related to its significant
energy uses and that are consistent with its energy policy,
objectives, targets and action plans, in 4.5.5

order to ensure that they are carried out under specified

conditions
28 Has the organization considered energy performance
improvement opportunities and operational control in the
design of new, modified and renovated facilities, equipment, 4.5.6
systems and processes that can have a significant impact on
its energy performance?
29 Has the organization established and implemented the
criteria for assessing energy use, consumption and efficiency
over the planned or expected operating lifetime when
procuring energy using products, equipment
4.5.7
and services which are expected to have a significant impact
on the organization's energy performance
No. Question Y N NA Comments Standard clause Additional General Comments
CHECKING
30 Has the organization monitored, measure and analyzed its
4.6.1.a
SEU at planned intervals
31 Has the organization monitored, measure and analyzed its
4.6.1.c
EnPI at planned intervals
32 Has the organization monitored, measure and analyzed the
effectiveness of the action plans in achieving objectives and 4.6.1.d
targets at planned intervals
33 Has the company evaluated the actual versus expected
4.6.1.e
energy consumption
34 Has the organization conducted internal audits at planned
intervals to ensure that the EnMS is effectively implemented 4.6.3
and maintained, and improves energy performance
35 How did the organization deal with nonconformities 4.6.4
36 What kind of data needed to write down a nonconformity 4.6.4
a,b,c,d,e,f
37 What are the procedure of controlling records 4.6.5
MANAGEMENT REVIEW
38 Have top management reviewed the organization's EnMS to
4.7.1
ensure its continuing improvement and effectiveness
39 What are Inputs to management review 4.7.2
40 What are outputs from management review 4.7.3