APPENDIX D – AIRPORT SURVEY QUESTIONNAIRE



APPENDIX D

AIRPORT SURVEY QUESTIONNAIRE

|Airport O&M Best Practices Survey |

|  | | |Date Completed:______________ | | | |  |

|CONTACT INFORMATION | | | | | | |  |

|Airport Name |  |City/State |  |

|Person Completing Survey |  |Title |  |

|Phone |( ) |Email |  |

|  | | | | | | | | |  |

|FACILITY OPERATIONS | | | | | | |  |

|Passengers (yr) |  |No. of Flights (yr) |  |International Flights (yes/no) |  |

|Cargo (Tons/yr) |  |Total Annual Revenue |$ |

|Passenger Terminal Operating Hours |  |Operating Hours- Cargo Terminal |  |

|Number of Terminals |  |Number of Gates |  |

|  | | | | | | | | |  |

|BUILDING INFORMATION | | | | | |  |

|No. of Buildings |  |Total Building sq. ft. (approx.) |  |

| | |  | |

|No. of Buildings Sub-metered |  |

|Projected Growth (gross sq. footage) next 5 years |  |

| On-site Cogeneration capacity (MW) |  |

|Total Installed Chiller Capacity  |  |

| |(tons)  |

| Primary Heating System Type  |   |Capacity |  |

|On-site Renewable Power - Type |  |Capacity |  |

|Thermal Storage Capacity (ton/hrs) | |

|  | | | | | | | | |  |

|UTILITY EXPENSES | | | | | | | |  |

|Annual Electricity Bill |$ |# of Electricity Meters |  |

|Annual Natural Gas Bill |$ |# of Gas Meters |  |

|Annual Electricity Use (Kwh/yr) |  |Peak Electric Demand (KW) |  |

|Annual Heating Oil |$ |Gallons |  |

|Annual Water/Sewer |$ |Annual Water Consumption |Gallons |

|Purchased Thermal Cooling MMBTU/yr |$ |Purchased Heating MMBTU/yr |$ |

|  |  |  |  |  |  |  |  |  |  |

Energy-Related Operation and Maintenance (O&M)

Practices Questionnaire

Please answer the following questions. Enter comments in the space following each question or on the last page.

1. Is a Building Automation System (BAS) used to control the HVAC systems? Yes __ No __

2. Is a Computerized Maintenance Management System (CMMS) used to schedule and track Predictive, Preventive and Reactive maintenance? Yes __ No __

3. Do you have an O&M manual with specific procedures and schedules? Yes __ No __

4. Is energy consumption tracked as a performance measure? Yes __ No __

5. Has an energy baseline and tracking system used for the facility? Yes __ No __

6. Are O&M Procedures reviewed on a scheduled Basis? Yes __ No __

7. Is tenant area electric consumption metered separately? Yes __ No __

8. Does Air Quality affect the airport’s O&M procedures? Yes __ No __

9. Has an external Energy Assessment been performed in the last 5 years? Yes __No __

10. Has an external O&M Assessment been performed in the last 5 years? Yes __ No __

11. Describe any cost-effective or unique O&M procedures implemented at your airport.

12. Describe any recent cost-effective or unique energy upgrades/retrofits at your airport.

13. Do you re-commission and/or optimize your HVAC and control system periodically? Yes __ No __

14. What percentage of your energy-related O&M is conducted by private contractors? _____%

15. What position/function in your organizational structure is responsible for O&M and associated budgets? _____________________ [position title (s)]

16. What would you do to improve energy-related O&M at your facility, if anything?

Table A: Scheduled Walk-Through Inspections -- Please mark the frequency of walkthrough inspections. Varying levels of inspection are expected.

|Area or Equipment |Daily |Weekly |Monthly |N/A |

|Ramp Area | | | | |

|Concourse and Parking Lighting | | | | |

|Heating Ventilation Air Conditioning (HVAC) Systems | | | | |

|Bathrooms | | | | |

|Chilled Water (CHW) & Hot Water (HW)Pump Rooms | | | | |

|Air Handling Units (AHU) & Fan Coil Units (FCU) | | | | |

|Jet Bridges | | | | |

|Pre-Conditioned Air (PCA) Systems for Aircraft | | | | |

|Elevators, Escalators, and Moving Walkways | | | | |

|Direct Expansion (DX) HVAC systems | | | | |

|Potable Water Cabinets | | | | |

|Exhaust Fans | | | | |

|400 Hz Power Systems | | | | |

|Baggage Handling Equipment | | | | |

|Automatic Doors | | | | |

|Storm Water Oil Separator | | | | |

|Chillers | | | | |

|Boilers and Heat Exchangers | | | | |

Table B: Scheduled Preventive Maintenance Schedule-- Please mark the frequency of PM.

|Equipment |Weekly |Monthly |Quarterly |Semi-Annually |Annually |N/A |

|Chillers | | | | | | |

|Boilers | | | | | | |

|CHW & HW Pumps | | | | | | |

|Exhaust Fans | | | | | | |

|Heat Exchangers | | | | | | |

|Power Control Area AHU s | | | | | | |

|Steam Pressure Reducing Valves | | | | | | |

|Steam Traps | | | | | | |

|Fan Coil Units | | | | | | |

|Variable Air Volume (VAV) Terminal Boxes | | | | | | |

|Variable Frequency Drives | | | | | | |

|Domestic HW System | | | | | | |

|DX HVAC Systems | | | | | | |

|Baggage Conveyor Systems | | | | | | |

|Escalators & People Movers | | | | | | |

|Elevators | | | | | | |

|Jet Bridges | | | | | | |

Final note: Would you be available for a brief telephone interview if we need additional information? If so, what time of day and phone number is best to reach you? Time (AM/PM) ____ Phone __________

Comments: Please use this space for any additional comments on questions in the survey or for anything you may want to add.

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