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Energy Management Plan Summary
This is an abridged version of the more comprehensive Energy Management Plan. Contact us to request the short or long version in in Microsoft Word.
| Date: |
____________ |
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Client number: |
_________________ |
| Organization name: |
__________________________________________________ |
| Address: |
__________________________________________________ |
| Key contact: |
__________________________________________________ |
| Telephone number: |
__________________________________________________ |
| Fax number: |
__________________________________________________ |
| E-mail: |
__________________________________________________ |
| Energy Management Goals and Objectives |
| ______________________________________________________________ |
| Energy Consumption, Cost and CO2 Targets |
| ______________________________________________________________ |
Energy Consumption and Costs
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Year |
Baseline |
Current |
Target |
| Summary – Totals |
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| Area (m²) |
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| Total annual energy cost ($) |
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| Total annual energy consumption (GJ) |
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| Total annual CO2 emissions, if known (tonnes) |
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| Electricity |
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| Annual electricity costs ($) |
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| Annual electricity consumption (kWh) |
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| Annual CO2 emissions, if known (tonnes) |
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| Natural Gas |
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| Annual natural gas costs ($) |
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| Annual gas consumption (GJ) |
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| Annual CO2 emissions, if known (tonnes) |
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| Fuel Oil |
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| Annual oil costs ($) |
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| Annual oil consumption (GJ) |
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| Annual CO2 emissions, if known (tonnes) |
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| Other (specify): ________________________ |
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| Annual costs ($) |
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| Annual consumption (GJ) |
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| Annual CO2 emissions, if known (tonnes) |
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Explanation of Baseline Consumption and Cost Data
The following is a description of how the baseline data were gathered, including why the year used as a baseline was selected and any other assumptions that were made:
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| ______________________________________________________________ |
Explanation of Forecasted Consumption and Cost Data
The following is a description of the methodology used in forecasting utility data, including the assumptions that were made:
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| ______________________________________________________________ |
Past and Current Projects and Actions
| Project |
Implementation
Date |
Project
Cost |
Energy
Consumption
Savings (GJ) |
Cost
Savings ($) |
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Proposed (Future) Projects and Actions
| Project |
Implementation
Date |
Project
Cost |
Energy
Consumption
Savings (GJ) |
Cost
Savings ($) |
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Training, Communications and Awareness Programs
The following is a description of staff training on energy management and climate change:
|
| ______________________________________________________________ |
| The following is a description of the organization's response to climate change: |
| ______________________________________________________________ |
| The following is a description of the organization's communications and awareness programs regarding energy efficiency: |
| ______________________________________________________________ |
Reporting, Verifying and Updating the Plan and Targets
As part of the reporting criteria, _____________ (organization name) will review and verify its targets on a regular basis. The Plan will be revised and updated. Monitoring, tracking and reporting will include the following:
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| ______________________________________________________________ |
| Signature: _____________________________________ |
Date: _____________________ |
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