Sapling Grove Surgery Center Monthly Generator Test (SN K000170066)

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Unit Hours

• Outdoor

A: Pre-Operational Checks

• Pre-Operational Checks Pass/Fail

  Pass

  Fail

  N/A

B: Battery and Battery Charger

• Battery and Battery Charger

  Pass

  Fail

  N/A

• Float Volts

• Current

• Battery Load Test

• Ambient Temperature

• Battery Pass/Fail

  Pass

  Fail

  N/A

C: Engine Cooling System

• Engine Cooling System Pass/Fail

  Pass

  Fail

  N/A

• Last Coolant Fill Date

• Jacket Water Temperature

• Last Coolant Maintenance Date

• Freeze Point = -35

• Appearance = Blue

D: Genset Controls and Accessories

• Genset Controls and Accessories

  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 Fuel 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

  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 Operation Test

• With Load

  Yes

  No

  N/A

• With Remote Start

  Yes

  No

  N/A

L: Record Engine and Load Data

• Oil Pressure

• Oil Temperature

• Coolant Temperature

• Battery Voltage

• Engine Speed

• Generator Frequency/Hertz

• Load PF

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