7-Exhibit F_NFPA 110 EPSS Maintenance History Form_04012026_BA.pdf

This document is a template form for recording the maintenance history of Emergency Power Supply Systems (EPSS) at the Beltsville Agricultural Research Center (BARC), a USDA-ARS facility located in Beltsville, Maryland. The form is designated as Exhibit F within the BARC EPSS (Generator/ATS/MTS) Maintenance and Repair IDIQ contract.

The form is structured to document maintenance activities for multiple equipment components including the EPS (Generator Set), Engine, Automatic Transfer Switch (ATS), and Other systems. For each component category, the form captures identifying information such as make, model, specification, serial number, standby rating in kilowatts, fuel type, voltage, and amperage. The maintenance reporting section includes columns for date, meter hours, person performing the work, and task/comments. The "Unsatisfactory Conditions" section allows detailed documentation of any deficiencies identified during maintenance, including the specific deficiency, its cause, corrective actions taken, and parts replaced. Additionally, the form includes a column for recording operational test results and comments. The template accommodates multiple maintenance records with rows for up to six separate deficiency entries per maintenance visit, enabling comprehensive tracking of equipment performance and maintenance history in compliance with NFPA 110 standards.