Meadowview Surgery Center Monthly Generator Test (SN 33CFGMGJ0023)

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Unit Hours

A- Pre-Opwereational Checks

• Pre-Operational Checks

  Pass

  Fail

  N/A

B-Battery and Charger

• Battery and Charger

  Pass

  Fail

  N/A

• Pass

  Fail

  N/A

• Ambient Temperature

• Battery Pass/Fail

  Pass

  Fail

  N/A

C-Engine Cooling Syatem

• Engine Cooling System Pass/Fail

  Pass

  Fail

  N/A

• Last Coolant Fill Date

• Jacket Water Temperature

• Last Coolant Maintenance Date

• Freeze Point= -40

• Appearance-Green

D-Genset Controls and Accessories

• GenSet Controls and Accessories Pass/Fail

  Pass

  Fail

  N/A

E-Main Alternator

• Main Alternator Pass/Fail

  Pass

  Fail

  N/A

F-Fuel System

• Fuel System Pass/Fail

  Pass

  Fail

  N/A

• Main Tank Level

G-Intake and Exhaust System

• Intake and Exhaust System Pass/Fail

  Pass

  Fail

  N/A

H-Engine and Lubrication System

• Engine and Lubrication System Pass/Fail

  Pass

  Fail

  N/A

I-Generator Operations

• Generator Operations Pass/Fail

  Pass

  Fail

  N/A

J-Transfer Switch/Switchgear

• Transfer Switch/Switchgear Pass/Fail

  Pass

  Fail

  N/A

K-System Operations Test

• System Operation Test Pass/Fail

  Pass

  Fail

  N/A

L- Record Engine and Load Data

• Oil Pressure

• Oil Temperature

• Coolant Temperature

• Battery Voltage

• Engine Speed

• Generator Frequency/Hertz

M-Generator Voltage and Amperes

• Voltage A

• Voltage B

• Voltage C

• Amperes A

• Amperes B

• Amperes C

• This signature certifies that I have tested the generator according to NFPA 110 (generator testing under load).

  Sign