|Electrical Systems - Essential Electric System Maintenance and Testing|
The generator or other alternate power source and associated equipment is capable of supplying service within 10 seconds. If the 10-second criterion is not met during the monthly test, a process shall be provided to annually confirm this capability for the life safety and critical branches. Maintenance and testing of the generator and transfer switches are performed in accordance with NFPA 110.
Generator sets are inspected weekly, exercised under load 30 minutes 12 times a year in 20-40 day intervals, and exercised once every 36 months for 4 continuous hours. Scheduled test under load conditions include a complete simulated cold start and automatic or manual transfer of all EES loads, and are conducted by competent personnel. Maintenance and testing of stored energy power sources (Type 3 EES) are in accordance with NFPA 111. Main and feeder circuit breakers are inspected annually, and a program for periodically exercising the components is established according to manufacturer requirements. Written records of maintenance and testing are maintained and readily available. EES electrical panels and circuits are marked, readily identifiable, and separate from normal power circuits. Minimizing the possibility of damage of the emergency power source is a design consideration for new installations.
6.4.4, 6.5.4, 6.6.4 (NFPA 99), NFPA 110, NFPA 111, 700.10 (NFPA 70)
Name: CHAPEL - Component: 02 - Tag: 0918
Based on observation and interview, the facility failed to maintain essential electrical systems for one of over ten emergency generator functioning components.
1. Observation on October 7, 2019, at 1:35 p.m., revealed the emergency generator servicing this building, lacked a remote manual stop station, located outside the room housing the generator, in accordance with NFPA 110, 18.104.22.168.
Interview with the maintenance director on October 7, 2019, at 1:35 p.m. confirmed the emergency generator servicing this building lacked a remote manual stop station.
| ||Plan of Correction - To be completed: 10/31/2019|
Christ the King Manor intents to maintain essential electrical systems for the emergency generator according to Life Safety regulations.
Systematic changes that were put into effect so the deficient practice does not recur; the Safety Director coordinated with electrician to install emergency stop per code.
The Maintenance staff shall receive education on this regulation for the safety and importance of exterior emergency stops.
The Safety Director shall be responsible for the installation of the emergency stops by 10-31-19.
The results of the to installation will be reported to Quality Assurance Committee for approval.