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  • LSU-ITAC Pre-Assessment Form

    Please complete this form and press submit at the bottom of the page when complete. Any additional documentation can be sent to chaowang@lsu.edu

  • Section 1: Company Information

  • Section 2: General Information

    *Please provide information only for the site being assessed.*

     

  • Rows
  • Rows
  • Contracted Maintenance? (ex. boilers, compressors)*
  • Do you have a formal startup procedure?

  • Section 3: Utility Information

  • Electricity

  • Do you correct for power factor?*
  • Do you generate your own power?

  • Natural Gas

  • Fuel / Oil

  • Water

  • Are you treating water?

  • Trash or Landfill

  • Section 4: Plant/Facility Information

  • Do you have a plant layout or floor plan?*

  • Lighting

  • Are employees and management satisfied with with existing lighting levels?*
  • Are there any lighting concerns?*
  • Has the facility had a lighting retrofit installed in the past?*

  • HVAC Systems

  • Is there a boiler?*

  • If yes, please answer the following:

  • Production Equipment

  • Do you use any compressor?*
  • Rows
  • Are VFDs installed on the compressors?*
  • Do you have any motors greater than 50 HP?*
  • Do you use any cooling towers?*
  • Do you use any chillers?*
  • Do you use any ovens?*

  • Section 5: Potential Improvement Areas Under Consideration

  • Below, please list those areas that you consider the best opportunities for saving, improvement, or problematic. Describe any future energy reduction projects to help us best focus our efforts and measurements; consider energy usage, manufacturing productivity, and waste reduction. Feel free to attach any additional information as necessary. 

  • Section 6: Assessment Day Information

  • Will our team be allowed to freely move around the facility?*
  • Will your company provide personnel to escort up to 3 teams around the facility for data collection?*
  • May we take photographs in your plant? (for report only)*
  • Will the required PPEs be provided in the facility?*
  • Are there any additional safety protocols required before entering your facility?*
  • Should be Empty: