sda checklist final

7/17/2019 SDA Checklist Final

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A State Designated Agency (SDA)

1 Name of State Designated Age

Checked !y"#$cial

% Athorised Signatory from SDA

' Designated Consmer Details

1 Sector and S!"Sector in hich

Name of the nits

% *egistration No (As +ro,ided !

%

. *egistered #$ce address ith

2

C M&V " -m+anelled Accredited -

1 -mA-A

*egistered #$ce address ith

Com+lete Postal address of Plamo!ile/ tele+hone/ fa0 nos & e

Name/ designation/ address/ mCerti5ed -nergy Manager a++oiConsmer nder -C Act



Details

cy (SDA)

Designated Consmer falls

'--)

ele+hone/ fa0 nos & e"mail

nergy Adior 3irm (-mA-A) Details

ele+hone/ fa0 nos

t Chief -0ecti,e4s Name/ designation/mail

!ile/ tele+hone/ fa0 nos & e"mail ofnted or designated !y Designated



Check Points for PAT M&V

A'C

Name

Designation

NameDesignation

Sector

678

Name

Designation

*egistration No



-mail id

Mo! No

-mail idMo! No

S!"Sector

-mail id

Mo! No

Ph No93a0 No



Name of State Designated Agency (SDA) ABC

Name of the Units !"

Check#ist Com$#etion

Sr No Contents SS No Descri+tion

C1 -%

%%

%'

%

'

'%

''

'

% No of MM *ith the P#ant management

'

+Doc,ment from the DC a-o,t dates for M&V

.m$ane##ed Accredited

.nergy A,ditorName of /rm0Agency em$ane##ed *ithB,rea, for M&V

Uni1,e identi/cation n,m-er of em$ane##ed/rm0Agency

Certi/cate of .m$ane#ment of 2irm0Agency*ith B,rea, for M&V

Veri/cation team mem-er(Team %3 Team '34)

Name of Accredited .nergy A,ditor (A.A)*ith A.A registration N,m-er

Name of mem-ers in team constit,ted -yA.A

Name of Certi/ed .nergy A,ditor in teamand their registration no

Min,tes of Meetings *ith

P#ant ManagementAttendence and Signat,re of TeamMeme-ers in the MM




... 5

*e:irement Ty+e

+anelled Accredited -nergy AditorName

N0A

No

Not 6

Certi/cate $ro7ided -y B.. Co$y of certi/cate

6

Name

N0A

8ist

Name

Nos and Dates

Check the $resence of Team Mem-er in MMName

Vari5cation#;9Not #;

Name as $er the 8ist $,-#ishied in B..9e-site

:egistration No as $er 8ist $,-#ishied in B..9e-site

Name and :egistration No as $er 8ist$,-#ishied in B.. 9e-site

Team Com$osition; Minim,m + mem-ers in ateam inc#,ding Accredited .nergy A,ditor

Name and :egistration No as $er 8ist$,-#ishied in B.. 9e-site

Dates of MM to -e entered in the :emarks

Co#,mn



*emarks



Name of State Designated Agency (SDA) ABC

Name of the Units !"

Check#ist Com$#etion

Sr No Contents SS No Descri+tion

i Use of 2ina# Proforma sent -y B..

% %%

%' Contact Detai#s and :egistered o<ce DCs

%

%+

%= Se#ection of S,->sector

' '%

''

'

'?

'+

C Pro"forma (The res+ecti,e d

@enera# nformationSheet

Unit registration no Designated Cons,mers(DCs)

Sector and S,->sector of DCs noti/ed ,nderPAT :,#e

Designated0a$$ointed .nergy Managersdetai#s *ith the s,$$orting doc,ment

Sector S$eci/c Pro>formafor Man,fact,ringnd,stries

Maor Prod,ct in Base#ine !ear andAssessment !ear

nsta##ed Ca$acity and Prod,ction of maor

$rod,ct and others

m$ort and .$ort of intermediary Prod,ct

$ening and C#osing Stock of maor $rod,ctand others

So,rce of .nergy *ith generation re$ort forD@0@@0@T0ST@0Cogen09E: etc

Ce##s of Po*er So,rces eneterd correct#y andmatching *ith the 2,e# ,sed in theres$ecti7e 2ie#ds



% 8anded cost of 2,e#

' 2,e# CV 7a#,e

F,antity of 2,e# cons,med and P,rchased

+ Moist,re Content as recei7ed -asis

=

G Use of A#ternate f,e#

H Use of Biomass as f,e#

G

? Steam .nergy m$ort

I Steam .nergy .ntha#$y

+ +% Tota# .#ectrica# .nergy Cons,m$tion

+'

= =%

G G%

G'

A## the .#ectrica# energy ,sed inCo#ony0thers sho,#d -e reJected in thetota# grid in$,t or generation

2,e# 1,a#ity ana#ysis re$orts (U#timate andProimate ana#ysis)

A#ternate f,e# a7ai#a-i#ity o$tion

Tota# Therma# .nergy Cons,m$tion

Section *ise e#ectrica# and therma# s$eci/c

energy cons,m$tion (S.C) of $#ants

Unsched,#ed $#ant sh,tdo*n (Start0Sto$)d,e to eterna# factor

.nergy Sa7ed d,ring the /rst Cyc#e of PAT



G

G+

G=

G=

GG

GH

G?

H H% Anne; Additiona# .1,i$ment nsta##ation

H'

H

H+ Anne; Cogen for P,#$ and Pa$er Sector

H=

? ?%

?'

?

?+ Po*er Mi (So,rce of energy) Doc,ments

?= Prod,ct Mi>Doc,ment

?G ther 2actors re#ated Doc,ments

n7estment made for the com$#iance ofenergy cons,m$tion norms and standard

8inkage of Sector s$eci/c $ro>forma *ith the2orm>%

Noti/ed Target S$eci/c .nergy Cons,m$tion(S.C) for -ase#ine and Assessment !ear

Noti/ed .1,i7a#ent Maor Prod,ct ,t$,t intonnes

Signat,re of Chief .ec,ti7e o<cer *iththeir name and rganiKation Sea#

Discre$ancy3 if any -et*een the Base#ineS.C in Base#ine .nergy A,dit re$ort andBase#ine S.C ca#c,#ated as $er sectors$eci/c Pro>forma

The Norma#iKed S.C and S.C in target year$ro7ided at PATN.T

Anne; Additiona# .1,i$ment nsta##ation for.n7ironmenta# Concern

Anne; Ca$ti7e Po*er P#ant for A#,mini,mSector

Anne; Procees and Cogen Boi#er for P,#$and Pa$er Sector

Doc,mentation forNorma#iKation forMan,facti,ring nd,stries

2,e# 1,a#ity ana#ysis (U#timate and Proimate) nterna# and .terna# re$ort Doc,ment as$er M&V @,ide#ines

ntermediary Prod,ct im$ort and e$ort

re#ated Doc,mentCa$acity Uti#iKation (CU)0P#ant #oading factor(P82) re#ated Doc,ment



?H

?? Scra$ Norma#isation

?I Car-one Anode m$ort and .$ort

?%L

I I% P#ant Ca$acity detai#sI' Data in dierent section

I

I+

I= CD of the $#ant

IG

IH

I?

II Coa# U#timate and Proimate Ana#aysis

I%L Detai#s of 2,e# Cons,m$tion

I%%

I%'

I% Nos of start ,$ in Coa# -ased Po*er P#ant

I%+ APC C,r7e

I%=

%L %L%

%L' P82>Doc,ment A7ai#a-#e for Norma#isation

%L

%L+

%L=

%LG

P#ants Start & Sto$ d,e to .terna# factorsre#ated Doc,ments

A,thentic Doc,mentation on UnforeseenCirc,mstances

Sector S$eci/c Pro>formafor Therma# Po*er P#ant

Design Data (Eeat :ate) from .Mdoc,ment

Characteristics C,r7e -et*een T,r-ine Eeat:ate and 8oading (M9)

$erating Eeat :ate data of Units forBase#ine

$erating Eeat :ate data of Units forassessment year

Data .ntry for @as -ased Po*er P#ant *ithdierent f,e# mi

8oss of 8oad d,e to eterna# and interna#factor

APC for Nos of start ,$ and sto$$ages in @as-ased Po*er P#ant

ncrease in APC cons,m$tion d,e to.n7ironmenta# com$#iance

Doc,mentation forNorma#iKationforThermna# Po*er P#ant

Coa# F,a#ity >Doc,ment A7ai#a-#e forNorma#isation

APC P82>Doc,ment A7ai#a-#e forNorma#isation

APC CF Doc,ment A7ai#a-#e forNorma#isation

APC CF Doc,ment A7ai#a-#e forNorma#isation

@as 2,e# Mi Doc,ment A7ai#a-#e forNorma#isation



%LH

%L?

%LI

@as C Cyc#e Doc,ment A7ai#a-#e forNorma#isation

@as NCV>Doc,ment A7ai#a-#e forNorma#isation

thers 2actors>Doc,ment A7ai#a-#e forNorma#isation




<<< 5

*e:irement Ty+e

T -e checked *ith the 2ina# $ro>forma

A## the /e#ds to -e com$#ete#y /##ed Name

Name

As $er Noti/ctaion Ta-#e

S,mmary of sco$e of -ase#ine A,dit Descri$tion

Ta-#e0 8ist

Ta-#e0 8ist

Ta-#e0 8ist

8ist of 7ario,s energy so,rce Ta-#e0 8ist

The heat rate ot -e checked for correctness

Vari5cation#;9Not #;

ocment to !e checked for each +arameter entered !y DC and ,eri5ed !y -m

Contact Detai#s of C.3 .nergy managersetc

Pro$er se#ection of S,->sector from the dro$do*n #ist

Maor $rod,ct as s$eci/ed in form>% for-ase#ine year and maor $rod,ct as dec#ared-y DC for assessment year

Name of maor$rod,ct

nsta##ed $rod,ction ca$acity of the $#ant for

a## $rod,cts and $roc,ct *ise $rod,ction to-e matched *ith the s,$$orting doc,ment inassessment year and -ase#ine energy a,ditre$ort for -ase#ine year

F,antity of intermediary $rod,ct im$orted0e$orted d,ring assessment year

Prod,ct *ise o$ening and c#osing stock of a##$rod,cts



.ntry is mandatory

Co$y of re$ort

Ta-#e0 8ist

Ta-#e0 8ist

Ta-#e0 8ist

Ta-#e0 8ist

Descri$tion

Detai#s of sh,tdo*n taken -y $#ant Ta-#e0 8ist

Ca#c,#ation

The P#ant sho,#d not ded>ed,ct the.#ectricity ,sed in Co#ony thers from thegrid im$ort or from the generationA,tomatic ded,ction *i## take $#ace once thedata is entered correct#y

Methodo#ogy to -e maintained same asconsidered in the -ase#ine year Eo*e7er inth eremarks co#,mn3 the the As 2:.D @CVsho,#d -e entered

to -e eneterd and cross checked *ithre#e7ant doc,ment

To cross check the f,#e ,sed3 2,e# stocks and2,e# P,rchased

Test re$ort from NAB8 8a-0 inho,se testre$ort

To -e cross checked *ith the CPCB orres$ecti7e State PCBs g,ide#ines for ty$e ofBiomass category

To -e cross checked the CPCB or res$ecti7eState PCBs g,ide#ines for ty$e of Biomasscategory

Descri$tion on a7ai#a-i#ity of a#ternate f,e# inthe s,rro,nding region of DC

The Steam .ntha#$y needs to -e di7ided -ythe Boi#er .<ciency The condensate *atere$ort energy sho,#d not -e co,nted Since

in the -oi#er e<ceicny ca#c,#ation3 the eectof Condensate reco7ery has a#ready -eentaken care

To -e cross checked *ith the Steam Ta-#e onsam$#e -asis

.#ectricity cons,m$tion of the $#ant in theassessment year

Therma# energy cons,m$tion of the $#ant inthe assessment year

Descri$tion0 ta-#e $ro7iding section *ise S.C

of $#ant arri7ed thro,gh meas,rement0ca#c,#ation

.nergy sa7ing achie7ed0not achie7ed *rt tothe target gi7en for the onging PAT cyc#e



Va#,e

Signat,re & Stam$

Va#,e

Va#,e

Check

8ist of 7ario,s energy e<ciency $roects,ndertaken3 toat# in7estment made foreec,tion of a## these $ro,cts and energysa7ing res,#ting from these in7estments

Descri$tion0 Ta-#e08ist

8inking of 2orm>% ce##s *ith a$$ro$riate ce##sif sector s$eci/c $ro>forma

Check ece# ce###inking

Ta##y the noti/ed S.C 7a#,e for -ase#ine andassessment year *ith the res$ecti7e 7a#,es$ro7ided in sector s$eci/c $ro>forma

Check *ith noti/ed7a#,e

Prod,ction as noti/ed -y B.. and check *ithnoti/ed 7a#,e

Co$y of re#e7ant doc,ment signed -ya,thoriKed signatory of the $#ant

Co$y of re#e7ant doc,ment signed -y

a,thoriKed signatory of the $#antCo$y of re#e7ant doc,ment signed -ya,thoriKed signatory of the $#ant






kca#0k9h

CD of the $#ant in 00 date format

kca#0k9h

kca#0k9h

S,$$orted -y .terna# doc,ment

To -e checked thro,gh $ro$er doc,ment

Additiona# .1,i$ment 8isting



The data in dierent section needs to -e/##ed as $er instr,ctioin sheet

Needs to matched as $er Base#ine :e$ortdesign data

Sho,#d -e from .M c,r7e or EBD data-ased on minim,m +>= design $oint

Base#ine E: to -e matched *ith the Base#ine:e$ort (Data S,-mitted -y P#ant

management d,#y signed)As $er Coa# in$,t and generation or the datas,-mitted to C.:C and C.A

@eneration detai#s from dierent f,e# to -eentered

As $er a,thentic doc,ment DC has tomention the ty$e of test carried o,t

Ca#c,#ation doc,ment to -e checked for-se#ine as *e## as assessment year

Checked thro,gh a,thentic doc,ment forAPC in MU

Data to -e 7eri/ed from the ca#c,#aytionsheet and P#otted c,r7e $ro7ided -y DC and7eri/ed -y the .mA.A


Co$y of re#e7ant doc,ment signed -y

a,thoriKed signatory of the $#antCo$y of re#e7ant doc,ment signed -ya,thoriKed signatory of the $#ant






*emarks

-A)



Name of State Designated Agency (SDA)

Name of the Units

Date of s,-mission;

Sr No Contents SS No

% %%

%'

%

''%

''

'

Backgro,nd%

+ +%

+'

+

++

++%

++'

+=

==%

='

=

=+

ntrod,ction of.m$ane##ed Accredited.nergy A,diting 2irm.mA.AO

ntrod,ction ofDesignated Cons,mer

A$$roach3 Sco$e andmethodo#ogy

Base#ine & assessmentyear Scenario (Briefcom$arison in ta-,#arformat)



==

G

G%

G%%

G%'

G%

G%+

G%=

H

H%

H'

? ?%

?'

?'%

?''

?=

?+

?=

?=%

?G

?H

F,arter#y3 !ear#y and .ndof Cyc#e (.oC) Data

:e$orts -y DCs ('L%'>'L%=)

Meas,ring .1,i$ment andnstr,ment Ca#i-ration

.nergy Scenario inassessment year



??

I

I%

I'

I'%

I''

%L %L%

%L%%

%L%'

%L'

%L'%

%L''

%L

%L%

%L'

%L

%L+

%L+

%L+%

%L+'

%L+

%L++

.nergy Scenario inassessment year for

Therma# Po*er P#ant

Process and 2,e#Descri$tion



%L=

%%.nergy & Mass Ba#ance

%%%

%' Pro>forma 7eri/cation %'%

%''

%'

%'+

%'+%

%'+'

%'+

%'++

%'+=

%'=

%'=%

%'='

%'=

%'=%

%'=+

%'=+%

%'=+'

%'=+

%'==

%'G



%'G%

%'G'

%'G

%'G+

%'G=

%'GG

%'GH

%'G?

%'GI

%'G%L

%'H

%'H%

%'H'

%'H

%'H+

%'?

% Norma#isation 2actors%%

%'

%



%+%+%

%+'

%= thers (if re1,ired)

%G

%H %H%

%H'

%H

%H+

%H=

%HG

%HH

%H?

%HI

%H%L

%H%%

%H%'

%H%

%? Anne,res%?%

%?'

%?

%?+

%?=

%?G

%?H

%??

%?I

%?%L

%?%%

@ate to @ate Bo,ndaryDiagram

Conc#,sions &:ecommendations *ith.SCerts ca#c,#ation

Doc,mentation (To -einc#,ded in the re$ort)




ABC

!"

Check#ist Com$#etion <<<

Descri+tion *e:irement

C% Veri5cation *e+ortName of the 2irm Name of .mA.As /rm

:egistration No As $ro7ided -y B..

Sector

Name and Address of Designated Cons,mer DCs name and address

P,r$ose of the 7eri/cation re$ort

9ork order co$y from DC Co$y of *ork order from DC

Period of 7eri/cation Start and end date of 7eri/cation $eriod

Com$osition of Team

Assignments to the Team Task assigned to indi7id,a# team mem-er

Acti7ity *ise time and man day chart

MoM

Check 8ist $re$ared -y .mA.A

P#ant Ca$acity

P#ant Prod,ction

.nergy Cons,m$tion

Undertaking from .mA.A n Mandatory.nergy A,dit (M.A) not carried o,t -y the/rm and team mem-ers in7o#7ed in M&VO

n /rms #etter head and signed -ya,thorised signatory

Name of the noti/ed sector ,nder *hich theDC fa##s

Name and detai#s of energy manager andA,thorised signatory of DC

9rite>,$ on the $,r$ose for *hich the7eri/cation re$ort has -een $re$ared

Name of team mem-ers3 their 1,a#i/cationand e$erience

Brief *rite>,$ on Time & Acti7ities Chart *ithtask in man days

Min,tes of Meeting *ith the P#ant and7eri/cation team

8ist of critica# acti7ities to -e carried o,t -y.mA.A d,ring the M&V a,dit

Tota# as *e## as $rod,ct *ise $rod,ctionca$acity of the $#ant

Tota# as *e## as $rod,ct *ise $rod,ction ofthe $#ant

.nergy in$,t from 7ario,s so,rce *ithin the$#ant -o,ndary

nc#,sion and .c#,sion for -ase#ine andassessment year

:e$ort any change in $#ant -o,ndary and0orcommissioning0 decommissioning of anyne* section *ithin the $#ant -o,ndary



thers (f any)

9tire>,$

9tire>,$

9rite>,$

thers (f any)

2re1,ency of ca#i-ration

Brief *rite>,$ on .nergy Scenario of P#ant 9rite>,$

@eneration

@eneration and Eeat :ate

9rite ,$ on ty$e of 9E: and generation Ty$e of 9E: and generation

Share of .nergy Cons,m$tion

Prod,ction

S$eci/c .nergy Cons,m$tion

@ate to @ate (@t@) -efore Norma#isation

Any other information *hich DC *ishes tocon7ey to B.. *ith regard to itso$eration0-,siness -earing any eect on itsenergy cons,m$tion and $rod,ction

Brief *rite ,$ on :e$orts s,-mitted -y DC (%.oC :e$ort3 !ear#y :e$orts and %'F,arter#y :e$orts)

9rite>,$ on P#ant Performance on .nergyCons,m$tion and Prod,ction $rocess -asedon .oC re$ort s,-mitted -y DC

Brief *rite ,$ of .oC :e$ort on Prod,ction3energy cons,med3 S.C achie7ed and data inta-,#ated form

8ist of Meas,res ado$ted for energyconser7ation and 1,antity of energy sa7ed-ased on F,arter#y3 !ear#y and .oC re$orts

@ra$hica# re$resentation of time#ines formeas,res ado$ted and s$eci/c energycons,m$tion changes o7er the $eriod ofthree years


8ist of meas,ring .1,i$ment and nstr,ment8ist s$ecifying the Name3 Make and !ear ofman,fact,ring of meas,ring e1,i$mentsand instr,ments

8ist s$ecifying the Name3 Make andfre1,ency of ca#i-ration of meas,ringe1,i$ments and instr,ments

CPP0Co>@en0D@ generation & Uti#isation *ithEeat :ate ca#c,#ation

Process Therma# .nergy System & Uti#isation

Process0 section *ise energy cons,m$tionshare

Therma# and .#ectrica# .nergy Cons,m$tionfor ntermediate Prod,cts in terms of $rimaryenergy cons,m$tion *rt S.C ca#c,#ation



thers (f any)

Brief *rite>,$ on .nergy Scenario of P#ant

Eeat :ate

Process Jo* diagram

:a* Materia# Processing

Con7ersion or $rod,ct factor to /na# $rod,ct

2,e# Eand#ing & Uti#isation (9rite>,$)

2,e# Ana#ysis


Unit *ise 2,e# ,sed for Eeat :ate ca#c,#ation

9rite ,$ on methodo#ogy ,sed for heat :ateca#c,#ation

Addition or de#etion of .1,i$ment ascom$ared to -ase#ine scenario in ta-,#atedform (P2D com$arison)

Changes in Process 2#o*3 P#ant & Machinery3

Techno#ogy3 Prod,ct Mi3 addition3 de#etionof $rod,cts etc in c,rrent year as com$aredto -ase#ine

8ist of :a* materia# ,sed in the year *ith1,a#ity $arameters

So#id 2,e#s Eand#ing (Coa#3 8ignite3 PetCoke3Bio>Mass3 Bagasse3 etc4)

8i1,id 2,e#s Eand#ing (23 ESD3 8D3 8SES3ESES3 B#ack #i1,or3 8i1,id 9aste3 etc4)

@aseo,s 2,e#s Eand#ing (N@3 CN@3 Bio>gas3etc4)

By>$rod,ct 2,e#s generated inside the $#ant(Name3 8ist3 Fty3 @CV etc)

Date *ise3 8ist of 2,e# ana#ysis re$ort3interna##y and eterna##y a7ai#a-#e *ith theDesignated Cons,mer

9rite ,$ on $roced,re fo##o*ed on 2,e#ana#ysis in interna# #a-

2,e# Ana#ysis re$ort (nterna# and .terna#)as anne,res *ith fre1,ency of f,e# testingas $er M&V g,ide#ines

2,e# Ana#ysis on QAs 2ired BasisR (@CV) -yinterna# and eterna# #a-



thers (f Any)

Base#ine data Veri/cation

Assessment year data Veri/cation

Data Sam$#ing

Discre$ancies or thers if any


Ta-,#ated form as $er M&V g,ide#ines orthro,gh method de7ised -y .mA.A

2indings on #inking errors3 ca#c,#ation errorsif any Checking of $ro>forma for com$#eteness andcorrectness

Discre$ancies in ca#c,#ations in Pro>formaand Norma#isation sheets

Potentia# im$ro7ements to achie7e moreacc,rate re$orting

Discre$ancies of data eist after 7eri/cationfrom doc,ments (f any)

8ist of doc,ment 7eri/ed *ith each$arameter

8ist of $arameters 7eri/ed from the -ase#inere$ort

8ist of essentia# $arameters (Not entered inthe -ase#ine as *e## as assessment year -ythe Designated Cons,mer that aectsnegati7e Norma#isation)

8ist of $arameters a#tered in the Pro>formafrom the -ase#ine re$ort *ith reason ofde7iation and doc,mentation

8ist of doc,ment 7eri/ed *ith each$arameter

8ist of Parameters arri7ed thro,ghca#c,#ation or form,#ae *ith #ist of doc,mentas so,rce of data

8ist of $arameter re$orted -ased ondisaggregation of recorded data *ithre7ie*ed doc,ments

9rite>,$ of methodo#ogy or #ogic orca#c,#ation for arri7ing s,-mitted data

No of data sam$#es 7eri/ed ,$ to Primaryso,rce of data

8ist of sam$#e data and doc,ments as so,rceof data 7eri/ed

Discre$ancies (if any) from the re$orted dataand doc,ment for sam$#e data

Pro>forma 7eri/cation for Therma# Po*erP#ant



2,e# sam$#ing method (9rite>,$)

EMBD at dierent #oad

De/nition of eterna# factors and *rite>,$

Discre$ancies or thers (if any)

S.C0NE: F,anti/cation

thers (if any)

Ca#c,#ation of Eeat :ate thro,gh 2,e# andgeneration of indi7id,a# ,nits as $ro7ided and -y Designated Cons,mer

2,e# Ana#ysis methodo#ogy $erformed atP#ant #e7e# (9rite>,$ and a#so inc#,de the

e1,ation if $erformed thro,gh Proimateana#ysis for -ase#ine and assessment year)

Characteristic c,r7e Q8oading (M9) Vs T,r-ine Eeat :ateR (rigina# @ra$h and .ce#to$o#ogy)

Characteristic c,r7e #oading (5) Vs Station5 APC (9rite>,$ on Data inc#,sion for$#otting c,r7e)

Ana#ysis of Characteristics c,r7e dra*n in.ce# from .M C,r7e or EMBD

8o* 8oad and ho,rs ca#c,#ation methodo#ogyd,e to eterna# factors

:e#ationshi$ *ith the .nergy sa7ed from.nergy Sa7ing Proects im$#emented anddierence of S.C0NE: -et*een -ase#ine andassessment year

:e#ationshi$ *ith the .nergy sa7ed fromCa$acity ,ti#isation -et*een -ase#ine andassessment year

8ist of .nergy Sa7ing Proects descri$tion in-rief for PAT Cyc#e *ith toe sa7ings

Photo gra$h0DCS0CC: SCADA Screen shotsof .nergy Sa7ing Proects


8ist and De/nition of eterna# factors

identi/ed for a Designated Cons,merAdditiona# factor (if any) to -e considered inassessment year *ith $ro$er ,sti/cation3ca#c,#ation and doc,mentation for itseterna#ities

Undertaking from Designated Cons,mer fornon>a7ai#a-i#ity of data for Norma#isationfactors (Signed -y the P#ants A,thorisedSignatory)



Ann,a# Prod,ction :e$ort

Ann,a# Po*er :e$ort

Ann,a# .nergy Cons,m$tion :e$ort

Ann,a# @eneration :e$ort

Norma#isation Doc,ment for Start0Sto$

ther 2actors (Doc,mentation)

F,arter#y :e$orts

!ear#y :e$orts

.nd of Cyc#e (.oC) :e$orts

ther Doc,ment

S,mmary Sheet (Signed)

Co$y of 2orm A

Co$y of 2orm B

Norma#isation Ca#c,#ation sheets

Dec#aration (Signed -y DC and .mA.A)

9ork rder Co$y

ther Doc,ments (8ist to -e $ro7ided)

.nergy3 Prod,ct and :a* materia# nc#,sionand .c#,sion

Co#ony3 Mines3 ther acti7ities nc#,sion and.c#,sion


Doc,mentary s,$$ort for Norma#isationfactors and its eterna#ities

2,e# F,a#ity (F,arter#y>.terna# 8a- re$ortDoc,ment)

:a* materia# F,a#ity (.terna# 8a- re$ortDoc,ment)

2orm (Signed a#ong *ith so,rce data/##ed)

Sector S$eci/c Pro>forma *ith Anne,res(Signed)

Veri/cation :e$ort Acce$tance #etter fromDesignated Cons,mer

m$orted doc,ments re#ated to .terna#

factors



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Name of the Units

Date of s,-mission;


% 2orm %%

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.1,i7a#ent $rod,cts .1,i7a#ent $rod,ct #inkage

Eeat :ate as $er Pro>forma #inkage

As $er 8inkage in Pr>foma

8inking from the Pro>forma 2ie#d and enteredcorrect#y in the 2orm

.nerterd as $er 8ist of :egistration N,m-eriss,ed -y B..

Prod,ction Detai#s; Man,fact,ring nd,striesnoti/ed as Designated Cons,mers

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check the dierence of S.C -et*een-ase#ine and assessment

$erati7e and Design Eeat :ate detai#s for Therma# Po*er P#ant

$erating Net Eeat :ate for Base#ine !earand Norma#ised $erati7e Net Eeat :ate forassessment year



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As $er 8ist of .mA.A iss,ed -y B..

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Base#ine S$eci/c .nergy Cons,m$tion

Prod,ction (-ase#ine)

As $er Noti/cation S G?H (. )

As $er Noti/cation S G?H (. )

Ca#c,#ation check as $ro7ided in the 2orm A

Name of .m$ane##ed Accredited energya,ditor (.mA.A)

8ist of Doc,ments in terms of 2ormS,-mission and Date of S,-mission

Date of s,-mission of 2orm for three years(2or ' and 2orm is not re#e7ant for Pat

Cyc#e )Base#ine S.C as a$$eared in the ProformaS,mmary Sheet or in 2orm

Base#ine Prod,ction as $er target noti/cationS G?H (. )

Noti/ed -ase#ine S$eci/c .nergyCons,m$tion (S.C)

Noti/ed target s$eci/c energy cons,m$tionfor the cyc#e

Dierence of -ase#ine S.C and Target S.C as$er noti/cation

Achie7ed s$eci/c energy cons,m$tion as $er2orm and Proforma

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.nergy sa7ings certi/cates iss,ed *ithca#c,#ation

Ca#c,#tion check as $er e1,ation $ro7ided in2orm A

.nergy .<ciency Proect im$#ementedd,ring the /rst cyc#e

Com$#ete #ist of .nergy .<ciency and itsdetai#s from the A$r 'L%' to Mar 'L%= *ithn7estment



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.nergy .<ciency Proect im$#ementedd,ring the /rst cyc#e

Detai#s of in7estment made for thecom$#iance

Signat,re of .m$ane##ed Accredited energya,ditor *ith name of 2irm0Agency.m$ane##ed *ith B,rea,



5

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2orm A To /## a## the mandaotry Ce##s

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% Name of State Designated Agency (SDA)

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#!ser,ation

sda checklist final

Documents

accredited energy auditorlist2

accredited energy auditor

certified energy auditor

aea team composition

energy managers etcname1

presence of team member

designated consumers

signature of team memebers