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)
|
Observations:
Name: SKILLED ADDITION - Component: 02 - Tag: 0918
Based on document review and interview, it was determined the facility failed to maintain and inspect the emergency generator, affecting the entire component.
Findings include:
Document review on May 23, 2024, at 8:00 a.m., revealed the facility failed to provide documentation of the following tests and inspections:
a. Monthly testing of battery electrolyte specific gravity or conductance;
b. Annual 90 minute load bank;
c. Preventative maintenance showing no evidence of wet stacking;
d. Annual fuel quality test.
Exit Interview with the Administrator and the Assistant Maintenance Director on May 23, 2024, at 10:45 a.m., confirmed the lack of documentation.
********************************
Based on document review and interview during an onsite Revisit conducted on July 22, 2024, the following was determined:
Not Completed. The facility failed to provide documentation of the Annual fuel quality test.
Exit Interview with the Administrator and the Assistant Maintenance Director on July 22, 2024, at 10:00 a.m., confirmed the lack of documentation.
All other items listed under this tag were corrected.
| | Plan of Correction - To be completed: 08/05/2024
Contractor was contacted and fuel quality test was conducted on July 24, 2024. Results were received on 8/5/2024 and e-mailed to Life/Safety surveyor with a copy to Safety Inspection Manager on 8/5/2024.
|
|
