OMB Control No. 1910-5141
Exp. Date 6/30/2019
In-Plant Training (INPLT) Host Follow Up Questions: Implementation Data
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.
File Type | application/msword |
File Title | ESA Follow Up Questions |
Author | Michaela A. Martin |
Last Modified By | SYSTEM |
File Modified | 2019-09-23 |
File Created | 2019-09-23 |