5900-387 Challenge for Industry Professional Engineer Verfication

Challenge for Industry
Professional Engineer
Verification Checklist
Site Name:
Date:
PE:
Review location: Corporate Office ☐

Site Visit☐

Other ☐

If other is checked, please describe how the PE conducted the verification.
Site Physical Characteristics and Eligibility
• The site has established a formal data file.
• Where?
• The site meets the definition of an industrial site defined in the site requirements.
• The site’s physical characteristics and any other site-specific information required on the
Statement of Energy Improvement (e.g., site name, location, parent company information,
and contact names) match that of the site applying for the ENERGY STAR Challenge for
Industry recognition.
Site Operating Characteristics
• The site’s registered baseline was approved by U.S. EPA.(EPA prefers but does not

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require ENERGY STAR partners to register a baseline.)

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The data used to track the energy performance of the site is from the site named on the
Statement of Energy Improvement.
All information supporting the non-energy operating characteristics used to calculate the
site’s energy intensity metric is documented.
An Energy Tracking Plan or existing data management procedures were in place during the
duration of the site’s participation in the ENERGY STAR Challenge for Industry.
All data was tracked consistently throughout the duration of participating in the ENERGY
STAR Challenge for Industry.
For production-based energy metrics, the production units used for calculating the energy
intensity metric are consistent with the numbers from the official company production
records.
For building-based energy metrics, the gross square footage of the site used for calculating
the energy intensity metric are consistent with company records.
For complex energy metrics and energy use models, the approach was applied
consistently during the tracking period and the data used matches the origin of the
original normalized/multivariate data used to develop the metrics.
The production, gross square footage and/or normalized data used to calculate the energy
intensity or energy use match the data found in the site’s energy tracking system
All data used reflects the whole facility and not a single process or individual part of the site.

Site Energy Data
• All energy consumption for each energy source used to operate the facility and
manufacturing processes (including purchased and generated) was accounted for and
reported in the Statement of Energy Improvement.
• All information supporting the energy consumption used to calculate the site’s energy
intensity metric is documented
• All information supporting the energy consumption used to calculate the site’s energy
intensity metric is treated consistently across the baseline and tracking periods, especially
for energy sources that may be invoiced at irregular (non-monthly) intervals.
Updated May 2020

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Challenge for Industry
Professional Engineer
Verification Checklist
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All information supporting the energy consumption used to calculate the site’s energy
intensity metric is treated consistently across the baseline and tracking periods, especially
for energy sources that may be invoiced at irregular (non-monthly) intervals.
If site exports electricity or steam, these exports have been subtracted from the site’s total
energy use.
All forms of energy purchased and used on site were properly converted to BTUs, summed
and reported on the Statement of Energy Improvement as site energy.
All energy was properly converted from “site” to “source” energy, summed and reported on
the Statement of Energy Improvement as source energy.
All data used reflects the whole facility and not a single process or individual part of the
site.

Energy Performance Improvement
• The baseline data entered into the Statement of Energy Improvement matches the
baseline approved by U.S. EPA when the site registered to participate in the ENERGY
STAR Challenge for Industry.
o If no, an explanation for the difference must be noted in this checklist (below),
accompanied by any necessary supporting documentation.
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The site reduced energy intensity or energy use (energy use models only) by at least 10
percent within 5 years of the conclusion of the baseline period, and all data was accurately
recorded in the Statement of Energy Improvement.
The period during which the energy intensity or use reduction was achieved ends no
earlier than 12 months, nor later than 60 months, from the conclusion of the baseline
period. The 10 percent energy intensity reduction is calculated against the baseline period
for the final 12 months of the tracking period.
The tracking period begins immediately following the end of the baseline period and
continues through the end of the period for which the 10 percent reduction is achieved.

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The annual period used in the energy use model and to calculate actual energy use are
the same and the same 12-month period is used consistently during the tracking period.

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The description of the site's energy use model provided on the Statement of Energy
Improvement is consistent with the model used during the tracking period.

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PE Verification
• The PE review of the site has been documented (e.g., site visit vs. corporate office, date,
personnel met with, findings/corrections/recommendations from the review).
• The PE completed the Verification Checklist for submission to EPA, and added the original
document to the formal certification file.
• The PE signed, stamped – indicating if embossed, and provided the required license
information on the Statement of Energy Performance for submission to EPA, and added
the original document to the formal certification file.
Completion of Formal Site File
• All documentation/calculations supporting all the statements above are located in the
formal site file.
PE Verification

Updated May 2020

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Challenge for Industry
Professional Engineer
Verification Checklist
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The PE completed the PE Verification Checklist for submission to U.S. EPA, and added
the original document to the formal site file.
The PE validated the Statement of Energy Improvement (includes: signing, stamping –
indicating if embossed, and providing the required license information) for submission to
U.S. EPA, and added the original document to the formal site file.

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Please note any company personnel involved in review:

Please comment on any answers marked no and note any findings, corrections, or recommendations from the review:

PE Signature:________________________________________

Updated May 2020