Better Buildings, Better Buildings, Better Plants In-Plant Follow Up

OMB Control Number - 1910-5141

Form Exp. Date - 8/31/2015

In-Plant Training (INPLT) Host Follow Up Questions: Implementation Data

Revised 8/26/2013

ORNL

BACKGROUND INFORMATION

Host Name:

Plant Name:

Training Type (Select One): Steam, Process Heating, Compressed Air, Fans, Pumping Systems, Other

Total Number of Energy Saving Opportunities:

Original Training Date:

Current Follow-Up Date:

Current Follow-Up Period: _____ 12 months ______ other

QUESTIONS ON ENERGY SAVINGS OPPORTUNITIES

(the energy savings opportunities discussed below correspond with the opportunities identified in the training. Please refer to the instructor’s assessment report for information on each energy saving opportunity.)

Energy Saving Opportunity #

Text Description

1.0 What is the current status of this opportunity? (Select one from list below)

1 = Implementation Complete (go to 2.0)

2 = Implementation In-Progress (go to 2.0)

3 = Scheduled or Planned for Implementation (go to 4.0)

4 = Rejected (if selected go to 1.1)

5 = Decommissioned (if selected go to 1.1)

1.1 What is the reason for <<rejection or decommissioning>> of the measure?

(Select one from list below; Go to next Energy Saving Opportunity #)

1 = Unsuitable return on investment

2 = Too expensive initially

3 = Cash flow prevents implementation

4 = Unacceptable operating changes

5 = Impractical

6 = Process and/or equipment changes

7 = Facility change

8 = Personnel changes

9 = Production schedule changes

10 = Material restrictions

11 = Bureaucratic restrictions

12 = Lack of staff for analysis and/or implementation

13 = Not worthwhile

14 = Disagree

15 = Risk or inconvenience to personnel

16 = Suspected risk or problem with equipment or product

17 = Rejected after implementation failed

18 = Unknown

19 = Could not contact plant

20 = Plant Closure

21 = Other (please indicate)

2.0 The original estimate of capital expense needed to implement this project was <<estimated capital expense range>>. What is your best estimate of the total investment required to implement the energy savings opportunity? You may provide a range, if necessary. (Provide Low Cost $ and/or High Cost $ estimate(s); go to 3.0)

3.0 The original estimate of energy cost savings for this opportunity was <<$ per year>>. In your opinion, will you achieve less, the same, more or none of these annual energy cost savings? (Select one: less, same, more or none; if less or more go to 3.1, if same or none go to 4.0; “none” may consider providing comments in 6.0)

3.1 If less or more, what is your estimate of the difference, in percent? (+/- %; go to 4.0)

4.0 Was this energy saving opportunity implemented elsewhere within your plant? (Y or N; if Y go to 4.1, if N go to 5.0)

4.1 If yes, please estimate additional cost savings from in-plant replication as a multiplier of the original savings (Indicate multiplier of 0.1-100; go to 5.0)

5.0 Was this energy saving opportunity implemented at other plants within your organization?

5.1 If yes, please identify the number of replicating plants that were:
INPLT Participating Plants _____, Internationally Located Plants ____, Others ____

5.2 Please estimate additional cost savings from these plants as a multiplier of the original cost savings (Indicate multiplier of 0.1-100; Go to 1.6)
INPLT Participating Plants _____, Internationally Located Plants ____, Others ____

6.0 Additional Comments on Energy Savings Opportunity (Provide comment or go to next opportunity #)

Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Office of the Chief Information Officer, Records Management Division, IM-23, Paperwork Reduction Project (1910-5141), U.S. Department of Energy, 1000 Independence Ave SW, Washington, DC, 20585-1290; and to the Office of Management and Budget (OMB), OIRA, Paperwork Reduction Project (1910-5141), Washington, DC 20503.

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