FIELD SURVEY QUESTIONNAIRE FOR ENERGY AUDIT AGENCIES

Survey, Compilation And Analysis of Data of Designated Consumers

(Conducted on Behalf of: Haryana Renewable Agency Development Agency)

1.  / Name & Address of energy auditing firm with telephone & fax no. and email
2.  / Name of contact person (along with designation, address, telephone, mobile & fax no (along with STD codes) and email address
3.  / Type of Firm:
(Public Sector/ Private Sector/ Proprietorship/ Govt./ NGO etc.)
4.  / No. of branch offices (list complete addresses of all the branches with telephone, fax & email addresses)
5.  / Year of establishment of the firm
6.  / Year of commencement of energy auditing activities of the firm
7.  / Annual turn over of firm from energy audit services (pl attach copy of latest balance sheet)
8.  / Does the firm have any accreditation as an energy audit organization form BEE/ PCRA/ SBI/ IDBI
(pl. attach support documents)
9.  / No. Of full-time energy auditors
(in 2007-08)
a)  / Name & Designation
No. of years of experience in energy auditing (pl mention the name of sectors)
Status of certification by BEE
b)  / Name & Designation
No. of years of experience in energy auditing (pl mention the name of sectors)
Status of certification by BEE
c)  / Name & Designation
No. of years of experience in energy auditing (pl mention the name of sectors)
Status of certification by BEE
d)  / Name & Designation
No. of years of experience in energy auditing (pl mention the name of sectors)
Status of certification by BEE
10.  / No. of Part Time energy auditors
(in 2007-08)
a)  / Name
No. of years of experience in energy auditing (also mention the name of sectors)
Status of certification by BEE
b)  / Name
No. of years of experience in energy auditing (also mention the name of sectors)
Status of certification by BEE
c)  / Name
No. of years of experience in energy auditing (also mention the name of sectors)
Status of certification by BEE
d)  / Name
No. of years of experience in energy auditing (also mention the name of sectors)
Status of certification by BEE
11.  / No. of detailed EA conducted (Preliminary energy audit not to be included)
Pl attach list of few recent energy audits completed successfully / 2007-08 / 2006-07
12.  / Sectors in which the firm has conducted energy audits since inception (pl tick) / q  Aluminium
q  Fertilizers
q  Iron & Steel
q  Cement
q  Pulp & paper
q  Chlor Alkali
q  Sugar
q  Textile
q  Chemicals
q  Railways
q  Port Trust
q  Transport sector (Industries & Services)
q  Petro Chemicals, gas Crackers, Naptha Crackers Petroleum Refineries
q  Thermal Power Stations, Hydel Power Stations, Electricity Transmission Companies & Distribution Companies
q  Commercial Building or Establishment
13.  / Subject wise Expertise
a)  / Energy audit of process system (pl Specify Sector)
b)  / Energy audit thermal utility system (Pl tick) / q  Boilers
q  Steam System
q  Furnaces (pl specify)
q  Insulation And Refractories
q  Co-Generation systems
q  Waste Heat Recovery Systems
q  Any Other
c)  / Energy audit electrical utility system (Pl tick) / q  Electric Motors
q  Compressed Air System
q  HVAC & Refrigeration System
q  Fans & Blowers
q  Pumps And Pumping System
q  Cooling Towers
q  Lighting System
q  DG / TG Sets
q  Any other
14.  / Instruments available
a)  / Electrical (list the name of the instruments) / q 
q 
q 
q 
q 
q 
q 
b)  / Thermal (list the name of the instruments) / q 
q 
q 
q 
q 
q 
q 
15.  / Any Training Programs/ Seminars/ workshops conducted during the last 2 years in the field of energy efficiency / q 
q 
q 
q 
q 

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Signature

UNDERTAKEN BY: (Page: 4 of 4)

NORTH INDIA TECHNICAL CONSULTANCY ORGANISATION LTD. (NITCON), CHANDIGARH