InteractiveForm
Interactive Tool

Operational Sustainability Diagnostic Audit (Energy • Water • Waste • Emissions)

Use this form while on site or during a short desktop review. Capture the site context, quick observations, and initial priority signals across energy, water, waste, and emissions. Save each audit as a record you can refer to during huddles and when building an action plan.

E.g., Main Office, Plant A, Clinic 2
Short location identifier
Person completing the audit
YYYY-MM-DD
Choose the category that best fits
Enter numeric value if available; otherwise leave blank
Tick all that apply
How granular is the energy metering?
E.g., HVAC, compressed air, ovens, refrigeration
Tick all that apply
Short notes: leaks, running equipment after hours, blocked sensors
1 = very low to 5 = very high
1.0 5.0
Optional numeric entry
Tick all that apply
Main meter or sub‑meters
E.g., dripping fixtures, irrigation problems
1 = very low to 5 = very high
1.0 5.0
Tick all that apply
Enter best estimate or leave blank
Tick all that apply
Short notes: contamination, single‑use reliance
1 = very low to 5 = very high
1.0 5.0
Known reporting practice
On‑site combustion, fleet, refrigerants
What is known about electricity source mix?
1 = very low to 5 = very high
1.0 5.0
Concise list of near‑term actions (bullets)
Investigation, measurement, pilot, or repairs
1 = low to 5 = highest priority
1.0 5.0
Budget, staff, contractor access, safety
Name, role, and contact info
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