January Generator PM Report.pdf
PDF 19 MB Posted
- Attached to
- J061--518-25-2-4829-0027: Services - 518-25-510 ATS Preventive Maintenance (VA-25-00034583)
- Solicitation number
- 36C24125Q0219
About this file
This is a generator inspection and maintenance log dated January 2024 containing detailed records for multiple backup generators and automatic transfer switches (ATS) at the Bedford VA Medical Center. The logs document routine preventive maintenance checks, testing, and operating parameters for several generators including Water Tower, Portable units 1-3, and generators #8, 10, 19, 22, 61, 70, 92-95.
The logs record key operational data such as oil pressure, water temperature, fuel levels, voltage readings, amperage, battery status, and general conditions of each generator system. The forms include sections for recording automatic transfer switch testing, cooling system checks, and load bank testing results. All generators appear to have received routine inspections and testing during January 2024, with detailed readings documented for each unit. The forms were completed by maintenance personnel and verified by supervisors, with most testing performed according to standard operating procedures outlined in VA preventive maintenance requirements.
View the file
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|---|---|---|
| 2523-102-E706.pdf | ||
| Generator 92 one-line.pdf | ||
| generator 61 One line drawing.pdf | ||
| Electrical Distribution upgrades one-line.pdf | ||
| Automatic Transfer Switch Spec 263623.docx | DOCX document | |
| 2523-102-E704.pdf | ||
| 2523-102-E701.pdf | ||
| 2523-102-E705.pdf | ||
| VHA directive 1028.pdf | ||
| generator 95 One line drawing.pdf | ||
| generator 70 One line drawing.pdf | ||
| ATS Testing and Generator Load Bank Testing RFIs.docx | DOCX document | |
| Generator 94 one-line.pdf | ||
| 36C24125Q0219_3.docx | DOCX document | |
| ATS List 2025.xlsx | XLSX spreadsheet | |
| ATS service report April 2024.pdf | ||
| 2523-102-E703.pdf | ||
| 2523-102-E702.pdf | ||
| Generator 93 one-line.pdf | ||
| 36C24125Q0219_2.docx | DOCX document | |
| ATS List 2024.xlsx | XLSX spreadsheet | |
| 36C24125Q0219_1.docx | DOCX document | |
| Generator List.xlsx | XLSX spreadsheet | |
| 36C24125Q0219.docx | DOCX document |
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Text version
All indictor lights working properly
Line 533-US lithe 322-1397H1
L.* Are both 13&V breakers in charged Position
Record amperage Lino 533-US Voltage Line 533-15 _, 7
Record
Record Amperage Linn 322-1397KI - -c
Record voltage Line 322-13711 ®
Record ragL- c
Fe e A reedet B t
Fier c
Feeder D e Record D.C. l3attery Voltage set battery charge- to 24 on the fit erday Of- each month.
Record R7'eperat Ure
A,11 covers on and -area left clean and lacked
ELcT1ICIA$ /Y4
`2T. : B: WJOB2
DATE
OME __S
EMERGENCY/AUXILIARY GENERATOR OPERATING LOG MONTH:
r
YEAR:
1. ENGINE DATA: WATER TOWER 6. INDICATOR LIGHTS & ANNUCIATOR PANELS
a. MAKE
KOHLER
b. MODEL
KDI 3404TM
S U
REMARKS
a. GENERATOR
PANEL
.J
C. SERIAL NUMBER d. START TIME:
<j
b. ATS PANEL(S)
h. TOTAL RUN TIME:
7. AUTOMATIC TRANSFER
PANEL USED TO TRANSFER THE LOAD
I. INSPECTION /TEST OP RATOR
1 J/ //I
j. DATE
~Z
ATS #
(10 SEC)
k. BASE/POST
BEDFORD VA
I. UNIT
WATER TOWER ATS #
2. ALTERNATOR DATA
a. MAKE
KOHLER
b. MODEL
4P8X
c. SERIAL NUMBER d. KW RATING
e. VOLTS
120/208V
f. PHASE
8. COOLING SYSTEM (See Note 2)
a. TEMP. DURING STANDBY b. TEMP. DURING OPERATIONS
c. COOLANT ADDED (Level)
J
d. ANTIFREEZE PROTECTION (See
Note 3) IS g. LOCATION (Building)
WATER TOWER
j. RECORD IDENT NUMBER
e. FAN BELT CONDITION
f. RADIATOR AND LOUVER CON-
DITION S
3. GENERAL CONDITIONS (See Note 1)
REMARKS 9. LUBE OIL SYSTEM
a. CLEANLINESS
a. OIL CHANGED (X)
YES rx i NO
b. OIL ADDED (Sum level) fl YES NO
b. EXHAUST
CONDITION
f
c. LUBE OIL CONDITION (Visual)
,_3
d. LEVEL IN GOVERNOR
N/A
C. ENGINE VIBRATION d
ITEM (See Note 2) ALTERNATOR EXCITER
10.
d. LOOSE ITEMS (Bolts, Linkage, etc.)
11. AMPERAGE
PHI PH2
PH3
e. TURBO VIBRATION ,/
12. VOLTAGE
PHI
,l
PH2
L., 1;{ _
f. WATER LEAKS (X)
YES [7 NO
g. LOCATION OF LEAK
13. LOAD PERCENTAGE
WORK SHEET
FLA 30'/ OF LOAD =
4. FUEL SYSTEM (See Note 1)
REMARKS 14. ACTUAL
AMPERAGE
AAL/FLA
a. FUEL LEVEL (Day Tank)
15. GENERATOR
LOAD RATING
% LOAD
b. FUEL LEVEL (Storage Tank)
16. WET STACKING: YES:
X
NO:
<30 % RATED LOAD
c. WATER DRAINED (X)
YES flZ 1 NO
d. FUEL LEAKS (X)
YES NO 17. BATTERY CHARGER
e. LOCATION OF LEAK a. VOLTS , b. AMPS
5. BATTERY BANK (See Note 1) 18. BATTERY
LEVELS
19. AMBIENT TEMP.
(F) /.
20.
a. CONNECTIONS f
21. FILTER CHANGE
b. CLEANLINESS
a. LUBE OIL (X)
YES fl NO
b. FUEL (X)
YES NO
I c. AIR INTAKE (X)
YES NO
c. ELECTROLYTE LEVEL
22. IT STARTED ON (X)
1ST TRY 2ND TRY fl3RD TRY flNOT AT ALL
Use the reverse side of this form and/or 8-1/2 x 11" paper if required for additional comments, continuation of item entries (identify by item number), and for corrective action(s) taken.
NOTE 1: Mark S for Satisfactory, U for Unsatisfactory, or indicate in Remarks column, as applicable.
NOTE 2: Enter data as indicated. Where no instrumentation is provided, indicate Satisfactory, Unsatisfactory, etc., as applicable.
NOTE 3: Enter Antifreeze Protection as the freeze temperature in degrees (F) as indicated on an appropriate hydrometer.
23. GENERATOR NO. WATER TOWER Enter readings immediately after start-up and prior to shut-down. If engine runs more a. MODEL b. SERIAL NO. c. KW RATING d. VOLTS I20/208V than one hour, record every two hours with minimum of two readings.
24. ENGINE READINGS I. VOLTS J. AMPS
a. b. c. d. e. f. g. h. L1-L2 L2-L3 L1-L3 L1-LO L1- L2-L3 L1- k. I.
DATE HOUR HOUR OIL WATER FUEL EXHAUS KW
L2
L3 FRENQUENC BATTERY
METER METER PRESSUR TEMP. LEVEL T LOAD
Y 60HZ CHARGE
START STOP E
CON/TEM
R AMPS
l C
Vic e s
Automatic Transfer Switches: Starte Tested Automatic Transfer Switches: Started Tested Note: Mark started when ATS is used to start load testing
ZENITH ZBTS00 BOO 026E
Mark tested when ATS has passed its load transfer testing l.vmmtry I s:
OIL PRESSURE RANGE
OUTDOOR: 70-95 PSIG
INDOOR: 45-65 PSIG
WATER TEMPERATURE RANGE
OUTDOOR: 150-180 DEG. F
INDOOR: 150-180 DEG. F
NOTE: PLEASE WRITE DOWN THE TRANSFER
SWITCHES TESTED, & TRANSFER TIME.
TESTED BY NAME: r~ lip iG ll`%
(PRINT)
SUPERVISOR NAME:
(PRINT)
SIGNATURE:
SIGNATURE:
DATE:
DATE:
EMERGENCY/AUXILIARY GENERATOR OPERATING LOG MONTH: ~,` YEAR:
1. ENGINE DATA: #PORTABLE 1 6. INDICATOR LIGHTS & ANNUCIATOR PANELS
a. MAKE b. MODEL S U REMARKS
CUMMINS QSM11-G4-NR3 a. GENERATOR /
c. SERIAL NUMBER d. START TIME: PANEL
35241431 ,~(V j~ b. ATS PANEL(S)
I h. TOTAL RUN TIME:
I. INSPECTION TEST OPER TOR j. DATE N )
k. BASE/POST I. UNIT
BEDFORD VA PORTABLE 1
2. ALTERNATOR DATA
a. MAKE b. MODEL
CUMMINS A300CUIV
c. SERIAL NUMBER d. KW RATING
C800500472 300
e. VOLTS f. PHASE
120/208V 3
7. AUTOMATIC TRANSFER PANEL USED TO TRANSFER THE LOAD
t n Mxh ;4 c r , ' R ti 1 REMARKS
ATS #
(10 SEC)
ATS #
(10 SEC)
ATS #
(10 SEC)
ATS #
(10 SEC)
/1..) .:
d. ANTIFREEZE PROTECTION (See
Note 3) g. LOCATION (Building)
BOILER PLANT
j. RECORD (DENT NUMBER
e. FAN BELT CONDITION
(2-1
DITION Cr 3. GENERAL CONDITIONS (See Note 1)
J/
YES NO
b. OIL ADDED (Sum level)
YES NO
b. EXHAUST
C. LUBE OIL CONDITION (Visual) d. LEVEL IN GOVERNOR
c. ENGINE VIBRATION f
e. TURBO VIBRATION
PHI PH2
g. LOCATION OF LEAK
13. LOAD PERCENTAGE
WORK SHEET
FLA
n/a unless on load
30% OF LOAD =
n/a unless on load
a. FUEL LEVEL (Day Tank) l
300 KW % LOAD
16. WET STACKING: YES: NQ:
1•
YES NO
e. LOCATION OF LEAK a. VOLTS b. AMPS
LEVELS
19. AMBIENT TEMP.
( F) t.
a. CONNECTIONS
b. CLEANLINESS f
a. LUBE OIL (X) b. FUEL (X) I C . AIR INTAKE (X)
YES 7. NO YES NO YES ~f NO
c. ELECTROLYTE LEVEL 7
22.,UNIT STARTED ON (X)
1ST TRY 2ND TRY fl3RDTRY NOT AT ALL
Use the reverse side of this form and/or 8-1/2 x 11" paper if required for additional comments, continuation of item entries (identify by item number), and for corrective action(s) taken.
NOTE 1: Mark S for Satisfactory, U for Unsatisfactory, or indicate in Remarks column, as applicable.
NOTE 2: Enter data as indicated. Where no instrumentation is provided, indicate Satisfactory, Unsatisfactory, etc., as applicable.
NOTE 3: Enter Antifreeze Protection as the freeze temperature in degrees (F) as indicated on an appropriate hydrometer.
23. GENERATOR NO. PORTABLE 1
Enter readings immediately after start-up and prior to shut-down. If engine runs more than one hour, record every two hours with minimum of two readings. a. MODEL
QSM11-G4-NR3
b. SERIAL NO.
352441431
C. KW RATING
d. VOLTS
24.ENGINE READINGS
I. VOLTS
j. AMPS a.
DATE
b.
HOUR
METER
START
c.
HOUR
METER
STOP
d.
OIL
PRESSUR
E e.
WATER
TEMP.
f.
FUEL
LEVEL
g.
EXHAUS
T
CON/TEM
h.
KW
LOAD
L1-L2 L2-L3 L1-L3 L1-LO L1-
L2
L2-L3 L1- L3 k.
FRENQUENC
Y 60HZ
I.
BATTERY
CHARGE
COMMENTS:
OUTDOOR: 70-95 PSIG
INDOOR: 45-65 PSIG
TESTED BY NAME: / V / 9I 7/ (PRINT)
r
SUPERVISOR NAME: ~ J~ R fr
WATER TEMPERATURE RANGE
OUTDOOR: 150 - 180 DEG. F
INDOOR: 150 - 180 DEG. F
SIGNATURE:
SIGNATURE:
NOTE: PLEASE WRITE DOWN THE TRANSFER
SWITCHES TESTED, & TRANSFER TIME.
DATE: %'' /`
EMERGENCY/AUXILIARY GENERATOR OPERATING LOG MONTH: J ` `1 YEAR:
1. ENGINE DATA: #PORTABLE 2 6. INDICATOR LIGHTS & ANNUCIATOR PANELS
a. MAKE
JOHN DEERE
b. MODEL
JD365-021T4
° S U
c. SERIAL NUMBER
UNKNOWN
d. START TIME:
i / .?
b. ATS PANEL(S) /
Y
PANEL USEDTO TRANSFER THE LOAD
I. INSPECTION)TES) OPERATOR // j. DATE j t Ji //L/ a ATS #
1. UNIT
PORTABLE 2 ATS #
BLUE STAR POWER SYS.
b. MODEL
433CSL6216
d. KW RATING
f. PHASE
a. TEMP. DURING STANDBY o
b. TEMP. DURING OPERATIONS
1 —7
,J
d. ANTIFREEZE PROTECTION (See Note 3) C> g. LOCATION (Building)
BOILER PLANT
j. RECORD IDENT NUMBER
e. FAN BELT CONDITION
S
DITION 3. GENERAL CONDITIONS (See Note 1)
YES [71 NO
b. OIL ADDED (Sum level) fl YES NO
b. EXHAUST
CONDITION
V
d. LEVEL IN GOVERNOR
C. ENGINE VIBRATION 7
1I. AMPERAGE
Y ' .
PH2
r ;
y
PH3
PH2 PH3
f. WATER LEAKS )
g. LOCATION OF LEAK
13. LOAD PERCENTAGE
WORK SHEET
FLA
n/a unless on load
30% OF LOAD =
n/a unless on load
-7 AAL/FLA
365 KW % LOAD
b. FUEL LEVEL (Storage
16. WETSTACKING: YE?S:
<30 % RATED LOAD c. WATER DRAINED (X)
d. FUEL LEAKS
e. LOCATION OF LEAK a. VOLTS 7~ b. AMPS
LEVELS
19. AMBIENT TEMP.
( F)
a. CONNECTIONS J
b. CLEANLINESS
a. LUBE OIL (X) b. FUEL (X) C. AIR INTAK X)
ES NO YES - NO YES NO
c. ELECTROLYTE LEVEL
22 NIT STARTED ON (X)
1ST TRY 2ND TRY fl3RDTRY flNOTATALL
Use the reverse side of this form and/or 8-1/2 x 11" paper if required for additional comments, continuation of item entries (identify by item number), and for corrective action(s) taken.
NOTE 1: Mark S for Satisfactory, U for Unsatisfactory, or indicate in Remarks column, as applicable.
NOTE 2: Enter data as indicated. Where no instrumentation is provided, indicate Satisfactory, Unsatisfactory, etc., as applicable.
NOTE 3: Enter Antifreeze Protection as the freeze temperature in degrees (F) as indicated on an appropriate hydrometer.
23. GENERATOR NO. PORTABLE 2
JD365-021 T4
b. SERIAL NO.
UNKNOWN
c. KW RATING
I. VOLTS J. AMPS
b.
HOUR
METER
START
c.
HOUR
METER
STOP
d.
OIL
PRESSUR
E e.
WATER
TEMP.
f.
FUEL
LEVEL
g.
EXHAUS
T
CON/TEM
h.
KW
LOAD
LI-L2 L2-L3 LI-L3 L1-LO L1-
L2
L2-L3 L1- L3 k.
FRENQUENC
Y 60HZ
I.
BATTERY
/,t V: , . =
7/
_vas e r
OUTDOOR: 70-95 PSIG
INDOOR: 45-65 PSIG
TESTED BY NAME: / v `,) h " `'' j t y
(PRINT)
SUPERVISOR NAME: ~l PSG
(PRINT)
WATER TEMPERATURE RANGE
OUTDOOR: 150 - 180 DEG. F NOTE: PLEASE WRITE DOWN THE TRANSFER
INDOOR: 150 - 180 DEG. F SWITCHES TESTED, & TRANSFER TIME.
SIGNATURE: DATE:
SIGNATURE: DATE:
s/
EMERGENCY/AUXILIARY GENERATOR OPERATING LOG MONTH: J ~) YEAR:
1. ENGINE DATA: #PORTABLE 3 6. INDICATOR LIGHTS & ANNUCIATOR PANELS
a. MAKE
JOHN DEERE
4045HFG93
PE4045R094741
j t) L 471. ,b.
ATS PANEL(S)
1 I `S 7. AUTOMATIC TRANSFER PANEL
USEDTOTRANSFER THELOAD
i. INSPECTION TEST OPERATOR
/ e i i' l
j. D E
'y/ ATS #
I. UNIT
j PORTABLE 3 ATS #
MAGNA PLUS
b. MODEL
363NSL1661
735914-0315
d. KW RATING
f. PHASE
C. COOLANT ADDED (Level) d. ANTIFREEZE PROTECTION (See Note 3) _S g. LOCATION (Building)
BOILER PLANT
j. RECORD IDENT NUMBER
e. FAN BELT CONDITION
DITION C 5 3. GENERAL CONDITIONS (See Note 1)
a. CLEANLINESS f
b. OIL ADDED (Sum level)
YES NO
b. EXHAUST
c. ENGINE VIBRATION
PHI PH2 PH3
) L ((:
g. LOCATION OF LEAK
13. LOAD PERCENTAGE
WORK SHEET
FLA
372 AMPS
30% OF LOAD =
112 AMPS 4. FUEL SYSTEM (See Note 1) t { =T "uw n/a unless on load AAL/FLA
125 KW % LOAD
16. WET STACKING: YES: NO:
<30 % RATED LOAD C. WATER DRAINED (X)
d. FUEL LEAKS pp
YES fX7 NO 17. BATTERY CHARGER
e. LOCATION O LEAK a. VOLTS r ~
b. AMPS
5. BATTERY BANK (See Note 1) 18. BATTERY
LEVELS
19. AMBIENT TEMP.
( F)
20.
LUBE OIL (X)
b. FUEL (X)
YES NO
c. AIR INTAKE (X)
C. ELECTROLYTE LEVEL
KIT
k 22'.
IINIT STARTED ON (X)
1ST TRY 2ND TRY fl3RD TRY NOT AT ALL Use the reverse side of this form and/or 8-1/2 x 11" paper if required for additional comments, continuation of item entries (identify by item number), and for corrective action(s) taken.
NOTE 1: Mark S for Satisfactory, U for Unsatisfactory, or indicate in Remarks column, as applicable.
NOTE 2: Enter data as indicated. Where no instrumentation is provided, indicate Satisfactory, Unsatisfactory, etc., as applicable.
NOTE 3: Enter Antifreeze Protection as the freeze temperature in degrees (F) as indicated on an appropriate hydrometer.
23. GENERATOR NO. PORTABLE #3
than one hour, record every two hours with minimum of two readings. a. MODEL b. SERIAL NO. c. KW RATING d. VOLTS
4045HFG93
PE4045RO947
125 KW 120/208V
i. VOLTS j. AMPS b.
HOUR
METER
START
c.
HOUR
METER
STOP
d.
OIL
PRESSUR
E e.
WATER
TEMP.
f.
FUEL
LEVEL
g.
EXHAUS
T
CON/TEM
h.
KW
LOAD
L1-L2 L2-L3 L1-L3 L1-LO L1-
L2
L2-L3 L1- L3 k.
FRENQUENC
Y 60HZ
I.
BATTERY
CHARGE
I //
X! / /O 1 ) /
WATER TEMPERATURE RANGE
OUTDOOR: 70-95 PSIG
OUTDOOR: 150 - 180 DEG. F NOTE: PLEASE WRITE DOWN THE TRANSFER
INDOOR: 45-65 PSIG
INDOOR: 150-180 DEG. F SWITCHES TESTED, & TRANSFER TIME.
TESTED BY NAME:
SIGNATURE: DATE:
(PRINT)
SUPERVISOR NAME: '~C SIGNATURE: ®/ DATE: i\ sf
PRINT /~
EMERGENCY/AUXILIARY GENERATOR OPERATING LOG MONTH: ~ YEAR:
1. ENGINE DATA: #8 6. INDICATOR LIGHTS & ANNUCIATOR PANELS
a. MAKE
JOHN DEERE
b. MODEL
6081AFOOIC50RO a. GENERATOR
Unknown
d. START TIME:
1 /
I
I b. ATS PANEL(S)
PANEL USED TOTRANSFER THE LOAD
I. INSPECTION TEST PERATge~ v c~~ - t.~ r~{~r~~ ~~
Ii. DATE
I / ) " ATS #
k. BASEIPOST
I. UI1IT
GEN 8 ATS ft
KOHLER
b. MODEL
WOROZJ
C. SERIAL NUMBER
378244
d. KW RATING
(to SEC)
480V
f. PHASE
a. TEMP. DURING STANDBY b. TEMP. DURIN3 OPERATIONS
/10
d. ANTIFREEZE PROTECTION (See Note 3) S g. LOCATION (Building)
j. RECORD IDENT NUMBER
e. FAN BELT CONDITION ,, f. RADIATOR AN LOUVER CON-
b. OIL ADDED (Sum level)
YES NO
b. EXHAUST
CONDITION
C. LURE OIL CONDITION (Visual)
S
d. LEVEL IN GOVERNOR
C. ENGINE VIBRATION
11.AMPERAGE
PH1 PH2 PH3
12. VOLTAGE`
PH1 PH2 PH3
g. LOCATION OF LEAK
13. LOAD PERCENTAGE
WORK SHEET
FLA
271 AMPS
30% OF LOAD =
81 AMPS 4. FUEL SYSTEM (See Note 1)
AMPERAGE 1
~~, AAL/FLA
15.GENERATOR
181 KW % LOAD
16. WET STACKING: YESy NO:
30 % RATED LOAD C. WATER DRAINED (X)
YES 1X1N0 17.BATTERY CHARGER
e. LOCATION OF LEAK a. VOLTS
b. AMPS
5. BATTERY BANK (See Note 1) 18. BATTERY
LEVELS -
19. AMBIENT TEMP.
( F)
a. LUKE OIL (X)
YE NO
b. FUEL (X)
YES NO
C. AIR INTAKE (X)
fl YES NO
22. IT STARTED ON (X)
IST TRY fl2ND TRY fl3RD TRY flNOT AT ALL
Use the reverse side of this form and/or 8-1/2 x 11" paper if required for additional comments, continuation of item entries (identify by item number), and for corrective action(s) taken.
NOTE 1: Mark S for Satisfactory, U for Unsatisfactory, or indicate in Remarks column, as applicable.
NOTE 2: Enter data as indicated. Where no instrumentation is provided, indicate Satisfactory, Unsatisfactory, etc., as applicable.
NOTE 3: Enter Antifreeze Protection as the freeze temperature in degrees (F) as indicated on an appropriate hydrometer.
23. GENERATOR NO. 8 Enter readings immediately after start-up and prior to shut-down. If engine runs more
a. MODEL b. SERIAL NO. c. KW RATING d. VOLTS than one hour, record every two hours with minimum of two readings.
6081AF001C50RO unknown 180 480V
24. ENGINE READINGS
i. VOLTS JP S___________
a. b. c. d. e. f. g. h. Ll-L2 L2-L3 L1-L3 L1-LO L1- L2-L3 L1- k. I.
Y60HZ CHARGE
CONITEM
Gen 8 Automatic Transfer Switches: Sta d Tested
Gen 8-1
Note: Mark started when ATS is used to start load testing.
Mark tested when ATS has passed its load transfer testing.
OIL PRESSURE RANGE WATER TEMPERATURE RANGE
OUTDOOR: 70-95 PSIG OUTDOOR: 150 - 180 DEG. F NOTE: PLEASE WRITE DOWN THE TRANSFER
INDOOR: 45-65 PSIG INDOOR: 150-180 DEG. F SWITCHES TESTED, & TRANSFER TIME.
TESTED BY NAME:
(PRINT) 7
SUPERVISOR NAME: l f j
(PRINT)
SIGNATURE: V
1 A'
SIGNATURE:
DATE: ~' c
DATE: ____I ____
EMERGENCY/AUXILIARY GENERATOR OPERATING LOG MONTH: YEAR:
1. ENGINE DATA: #10 6. INDICATOR LIGHTS & ANNUCIATOR PANELS
a. MAKE
CUMMINS
QSM15-G9
Unknown
d. START TIME: I
I. INSPECTION TES OPERATO
j. D TE
T
I. U IT
GEN 10 ATS #
ONAN
b. MODEL
B258
d. KW RATING
f. PHASE
a. TEMP. DURING STANDBY
b. TEMP. DURING OPERATIONS
6,
c. COOLANT ADDED (Level) d. ANTIFREEZE PROTECTION (See
Note 3)
g. LOCATION (Building)
j. RECORD IDENT NUMBER
e. FAN BELT CONDITION
f. RADIATOR AND LOUVER CON-
DITION
a. OIL CHANGED (X) I
b. OIL ADDED (Sum level) fl YES NO
b. EXHAUST
C. LUBE OIL CO ITION (Visual)
T
d. LEVEL IN GOVERNOR
N/A
C. ENGINE VIBRATION
y
PHI I
~' 1
PH2 I PH3
'1
PH2 I PH3
g. LOCATION OF LEAK
13. LOAD PERCENTAGE
WORK SHEET
FLA
774 AMPS
30% OF LOAD =
232 AMPS 4. FUEL SYSTEM (See Note 1)
' )~ ,fit + ~~ •`F; ~~ S U
LOADRA11NG
400 KW % LOAD
16. WET STACKING: YE
.r
30 % RATED LOAD
YES rX1NO
e. LOCATION Oi1 LEAK a. VOLTS b. AMPS
LEVELS
19. AMBIENT TEMP.
( F)
b. FUEL (X)
YES NO
c. AIR INTAKE (X)
22• IT STARTED ON (X)
1ST TRY 2ND TRY fl3RDTRY NOT AT ALL
Use the reverse side of this form and/or 8-1/2 x 11" paper if required for additional comments, continuation of item entries (identify by item number), and for corrective action(s) taken.
NOTE 1: Mark S for Satisfactory, U for Unsatisfactory, or indicate in Remarks column, as applicable.
NOTE 2: Enter data as indicated. Where no instrumentation is provided, indicate Satisfactory, Unsatisfactory, etc., as applicable.
NOTE 3: Enter Antifreeze Protection as the freeze temperature in degrees (F) as indicated on an appropriate hydrometer.
23. GENERATOR NO.
QSM15OG9
b. SERIAL NO.
unknown
c. KW RATING
i. VOLTS I. AMPS b.
HOUR
METER
START
c.
HOUR
METER
STOP
d.
OIL
PRESSUR
E e.
WATER
TEMP.
f.
FUEL
LEVEL
g.
EXHAUS
T
CON/TEM
h.
KW
LOAD
L1-L2 L2-L3 L1-L3 L1-LO L1-
L2
L2-L3 L1- L3 k.
FRENQUENC
Y 60HZ
I.
BATTERY
CHARGE
•r te ,s `1 inn
Jl %L' 1 !li
Gen 10 Automatic Transfer Switches: Startefr Teste
Gen 10-1
I0-looamp
(. UMMtN I J:
OIL PRESSURE RANGE
OUTDOOR: 70-95 PSIG
INDOOR: 45-65 PSIG
WATER TEMPERATURE RANGE
OUTDOOR: 150 - 180 DEG. F
INDOOR: 150-180 DEG. F
NOTE: PLEASE WRITE DOWN THE TRANSFER
SWITCHES TESTED, & TRANSFER TIME.
A< TESTED BY NAME: A< !
(PRINT)
SUPERVISOR NAME: `~ h Kc dy\ L
(PRINT)
SIGNATURE:
SIG NATURE
DATE: / ,
DATE: L
EMERGENCY/AUXILIARY GENERATOR OPERATING LOG MONTH: l YEAR: .✓
1. ENGINE DATA: #19 6. INDICATOR LIGHTS & ANNUCIATOR PANELS
a. MAKE
TRITON
b. MODEL
NEF67TE2X
$ - r, "ass ' S U
01675328
d. START TIME:.
J3 :
b. ATS PANEL(S) V
7. AUTOMATIC TRANSFER PANEL
i. INSPECTION TEST OyERATOR J. DATE
ATS# n
U REMARKS
I. UNIt
GEN 19 ATS #
TRITON
b. MODEL
UC127461
160 kW
120/208
f. PHASE
Note 3) j g. LOCATION (Building)
j. RECORD IDENT NUMBER
e. FAN BELT CONDITION < f. RADIATOR AND LOUVER CON-
YES flfl NO
b. OIL ADDED (Sum level)
YES FY NO
c. LUBE OIL dONDITION (Visual)
.5
d. LEVEL IN GOVERNOR
N/A
C. ENGINE VIBRATION
;,l
PH2 PH3
PH3
I`
g. LOCATION OF LEAK
13. LOAD PERCENTAGE
WORK SHEET
FLA 30% OF LOAD =
V
160 KW % LOAD
16. WET STACKING: YES:
v
<30 % RATED LOAD c. WATER DRAINED (X)
e. LOCATION dF LEAK a. VOLTS .— b. AMPS
LEVELS -
19. AMBIENT TEMP.
(F)
a. CONNECTIONS v/
ES NO
b. FUEL (X)
YES ?t NO
C. AIR INTAKE (X)
22. NIT STARTED ON (X)
1ST TRY fl2NDTRY fl3RDTRY flNOTATALL
Use the reverse side of this form and/or 8-1/2 x 11" paper if required for additional comments, continuation of item entries (identify by item number), and for corrective action(s) taken.
NOTE 1: Mark S for Satisfactory, U for Unsatisfactory, or indicate in Remarks column, as applicable.
NOTE 2: Enter data as indicated. Where no instrumentation is provided, indicate Satisfactory, Unsatisfactory, etc., as applicable.
NOTE 3: Enter Antifreeze Protection as the freeze temperature in degrees (F) as indicated on an appropriate hydrometer.
than one hour, record every two hours with minimum of two readings. a. MODEL b. SERIAL NO. c. KW RATING d. VOLTS
TP-I160-T3-UL
01675328
160 120/208V
a. b. c. d. e. f. g. h. L1-L2 L2-L3 L1-L3 L1-LO L1- L2-L3 L1- k. I.
Gen 19 Automatic transfer switches: Starte Tested Gen 19 Automatic Transfer switches: Started Tested Note: Mark started when ATS is used to start load testing
GEN 19 - Building 19
OUTDOOR: 70-95 PSIG OUTDOOR: 150 - 180 DEG. F NOTE: PLEASE WRITE DOWN THE TRANSFER
INDOOR: 45 - 65 PSIG INDOOR: 150-180 DEG. F SWITCHES TESTED, & TRANSFER TIME.
TESTED BY NAME: 1 ?t'?{k
(PRINT)
SUPERVISOR NAME: 5
(PRINT)
SIGNATURE:
SIGNATURE: /L
DATE: ;_
EMERGENCY/AUXILIARY GENERATOR OPERATING LOG MONTH: v1 YEAR: 2C; 7
1. ENGINE DATA: #22 6. INDICATOR LIGHTS & ANNUCIATOR PANELS
a. MAKE
CUMMINS
b. MODEL
QSM11-G4
+ > 'fix • "" ,a
a. GENERATOR
3000233 f f̀ ' f, G 7. AUTOMATIC TRANSFER PANEL
USEDTOTRANSFER THE LOAD
i. INSP€C) ION TEST 9.RRATOR i7 v
j. DATE
!- ATS #
U REMARKS
I. UNIT
GEN 22 ATS #
ONAN
b. MODEL
B24C
G120361818
d. KW RATING
277/480V
f. PHASE
Note 3) -y g. LOCATION (Building)
j. RECORD IDENT NUMBER
e. FAN BELT CONDITION
. 7
f. RADIATOR AND OVER CON-
a. CLEANLINESS v
b. OIL ADDED (Sum level)
YES X 7 NO
b. EXHAUST
C. LUBE OIL CONDITION (Visual)
GI
d. LEVEL IN GOVERNOR r i
S ~
PH2
I;
r
. j
g. LOCATION OF LEAK
13. LOAD PERCENTAGE
WORK SHEET
FLA
360 AMPS
30% OF LOAD =
108 AMPS 4. FUEL SYSTEM (See Note 1)
300 KW % LOAD
d. FUEL LEAKS (X
e. LOCATION O1 LEAK a. VOLTS . d' b. AMPS
LEVELS
19. AMBIENT TEMP.
b. FUEL (X)
YES NO
C. AIR INTAKE (X)
C. . ELECTROLYTE LEVEL
IT STARTED ON (X)
1ST TRY fl2NDTRY fl3RDTRY flNOTATALL Use the reverse side of this form and/or 8-1/2 x 11" paper if required for additional comments, continuation of item entries (identify by item number), and for corrective action(s) taken.
NOTE 1: Mark S for Satisfactory, U for Unsatisfactory, or indicate in Remarks column, as applicable.
NOTE 2: Enter data as indicated. Where no instrumentation is provided, indicate Satisfactory, Unsatisfactory, etc., as applicable.
NOTE 3: Enter Antifreeze Protection as the freeze temperature in degrees (F) as indicated on an appropriate hydrometer.
than one hour, record every two hours with minimum of two readings. a. MODEL b. SERIAL NO. C. KW RATING d. VOLTS
QSM11-G4
3000233
300 2ni480V
I. VOLTS j. AMPS
a. b. c. d. e. f. g. h. LI-L2 L2-L3 L1-L3 L1-LO L1- L2-L3 L1- k. I.
hI S_
~ `j~ 5 due% C %
Gen 22 Automatic Transfer Switches: Started Testeçl
Gen 22-1
OIL PRESSURE RANGE WATER TEMPERATURE RANGE
OUTDOOR: 70-95 PSIG OUTDOOR: 150-180 DEG. F NOTE: PLEASE WRITE DOWN THE TRANSFER
INDOOR: 45-65 PSIG INDOOR: 150-180 DEG. F SWITCHES TESTED, & TRANSFER TIME.
TESTED BY NAME: 111 SIGNATURE: DATE: %
(PRINT)
SUPERVISOR NAME: L :'1 SIGNATURE: DATE:
EMERGENCY/AUXILIARY GENERATOR OPERATING LOG MONTH: . YEAR:
1. ENGINE DATA: #61 6. INDICATOR LIGHTS & ANNUCIATOR PANELS
a. MAKE
Catapillair
C15
FTE 03236
.? 1 7
h. TOTAL RUN TIME: it
i. INSPECTION TE T OPERATO j. DATE
ATS#
BEDFORD VA jGEN61
I. UI4IT
a. MAKE b. MODEL ATS #
C. SERIAL NUMBER d. KW RATING
467KW
e. VOLTS f. PHASE 8. COOLING SYSTEM (See Note 2)
g. LOCATION (Building)
Bldg. 61
j. RECORD (DENT NUMBER
e. FAN BELT CONDITION f. RADIATOR AND LOUVER CON-
b. OIL ADDED (Sum level)
YES NO
C. LUBE OIL CONDITION (Visual)
d. LEVEL IN GOVERNOR
PHI I PH2
i
V\~
PHI i
PH2
.'C
g. LOCATION OF LEAK
13. LOAD PERCENTAGE
WORK SHEET
FLA
910 AMPS
273 AMPS 4. FUEL SYSTEM (See Note 1)
LI. ~ AAL/FLA
a. FUEL LEVEL (Day Tank) ,/'
410 KW LOAD
16. WETSTACKING:
YES:]
YES NO
e. LOCATION OF LEAK a. VOLTS 7 v~
b. AMPS
5. BATTERY BANK (See Note 1) 18. BATTERY
LEVELS
19. AMBIENT TEMP.
(F) l ~
L
b. FUEL (X)
YES NO
c. AIR INTAKE (X)
22. IT STARTED ON (x)
1ST TRY 2ND TRY fl3RDTRY flNOTATALL
Use the reverse side of this form and/or 8-1/2 x 11" paper if required for additional comments, continuation of item entries (identify by item number), and for corrective action(s) taken.
NOTE 1: Mark S for Satisfactory, U for Unsatisfactory, or indicate in Remarks column, as applicable.
NOTE 2: Enter data as indicated. Where no instrumentation is provided, indicate Satisfactory, Unsatisfactory, etc., as applicable.
NOTE 3: Enter Antifreeze Protection as the freeze temperature in degrees (F) as indicated on an appropriate hydrometer.
a. MODEL C15
b. SERIAL NO.
FTC03236
C. KW RATING
120/208 b.
HOUR
METER
START
c.
HOUR
METER
STOP
d.
OIL
PRESSUR
E e.
WATER
TEMP.
f.
FUEL
LEVEL
g.
EXHAUS
T
CON/TEM
h.
KW
LOAD
L1-L2 L2-L3 L1-L3 L1-LO L1-
L2
L2-L3 L1- L3 k.
FRENQUENC
Y 60HZ
I.
BATTERY
l t 6 i TI x ô7
/L J7 i3
`l r / It
Gen 61 Automatic Transfer Switches: Started Tested Note: Mark started when ATS is used to start load testing.
Gen B61 - 61 EQ
Gen B61 - 61 LS
Gen B62 - 62 EQ
Gen B62 - 62 LS
INDOOR: 45-65 PSIG
TESTED BY NAME:
(PRINT)
SUPERVISOR NAME: a /
(PRINT) I
WATER TEMPERATURE RANGE
OUTDOOR: 150 - 180 DEG. F NOTE: PLEASE WRITE DOWN THE TRANSFER
INDOOR: 150 - 180 DEG. F SWITCHES TESTED, & TRANSFER TIME.
SIGNATURE: DATE: ---___ J "' /2
EMERGENCY/AUXILIARY GENERATOR OPERATING LOG MONTH: ~2 Vl YEAR:
1. ENGINE DATA: #70 6. INDICATOR LIGHTS & ANNUCIATOR PANELS
a. MAKE
Caterpillar
b. MODEL
C15 ACERT a. GENERATOR
FTE03237
/ s 7. AUTOMATIC TRANSFER PANEL
I. INSPECTION TES OPERATOR
til l
j. DA E ' {.,"' <<~ ` i
ATS#
I. JNIT
GEN 70 ATS #
a. MAKE b. MODEL
LCL
G6B23929
d. KW RATING
f. PHASE
a. TEMP. DURING STANDBY b. TEMP/U7 TEMP/U7 ≤3 OPERATIONS
C. COOLANT ADDED (Level) j
d. ANTIFREEZE PROTECTION (See
Note 3) g. LOCATION (Building)
j. RECORD IDENT NUMBER
e. FAN BELT CONDITION s
b. OIL ADDED (Sum level) fl YES NO
_S
d. LEVEL IN GOVERNOR
PHI I
PH2 I
P,H2; .
H3
g. LOCATION OF LEAK
13. LOAD PERCENTAGE
WORK SHEET
FLA
910 AMPS
30% OF LOAD =
273 AMPS 4. FUEL SYSTEM (See Note 1)
+~*' F a'" S U
a. FUEL LEVEL (Day Tank) /
410 KW % LOAD
16. WET STACKING: YES: I NQl
30 % RATED LOAD C. WATER DRAINED (X)
YES ri NO
YES [71 NO 17. BATTERY CHARGER
e. LOCATION OF LEAK a. VOLTS - I b. AMPS
LEVELS
19. AMBIENT TEMP.
( F)
? "t
20.
b FUEL (X)
YES NO
c. AIR INTAKE (X)
YES flNO
22. UNIT STARTED ON (X)
1ST TRY 2ND TRY 3RD TRY NOT AT ALL
Use the reverse side of this form and/or 8-1/2 x 11" paper if required for additional comments, continuation of item entries (identify by item number), and for corrective action(s) taken.
NOTE 1: Mark S for Satisfactory, U for Unsatisfactory, or indicate in Remarks column, as applicable.
NOTE 2: Enter data as indicated. Where no instrumentation is provided, indicate Satisfactory, Unsatisfactory, etc., as applicable. NOTE 3: Enter Antifreeze Protection as the freeze temperature in degrees (F) as indicated on an appropriate hydrometer.
-- Enter readings immediately after start-up and prior to shut-down. If engine runs more
MODEL a. b. SERIAL NO. c. KW RATING d. VOLTS
C15
T3300139
410 1201208V
a. b. c. d. e. f. g. h. LI-L2 L2-L3 L1-L3 L1-LO L1- L2-L3 L1- k. I.
L3 FRENQUENC
Y 60HZ
BATTERY
! -f.
ma
5 %"'.)`t j
Gen 70 Automatic Transfer Switches: Started Tested
FP-ATS
V Note: Mark started when ATS is used to start load testing.
Gen 70-EQ -1
Gen 70-LS
I COMMENTS:
OUTDOOR: 70-95 PSIG OUTDOOR: 150 - 180 DEG. F NOTE: PLEASE WRITE DOWN THE TRANSFER
INDOOR: 45-65 PSIG INDOOR: 150-180 DEG. F SWITCHES TESTED, & TRANSFER TIME.
TESTED BY NAME: ' /i ~~~~
(PRINT)
SUPERVISOR NAME: ~" h
(PRINT)
EMERGENCY/AUXILIARY GENERATOR OPERATING LOG MONTH: v1 YEAR: - '7 2 /
1. ENGINE DATA: #92 6. INDICATOR LIGHTS & ANNUCIATOR PANELS
a. MAKE
CUMMINS
X15-G9
8025308
~j '> , 3
I. INSPECTION TEST OPERATOR j. DATE
UNIT
FGEN 92 ATS #
Stamford
b. MODEL
HC1534E1
X20B092603
d. KW RATING
f. PHASE
Note 3) g. LOCATION (Building)
j. RECORD IDENT NUMBER
e. FAN BELT CONDITION f. RADIATOR AND LOUVER CON-
b. OIL ADDED (Sum level)
YES NO
c. LUBE OIL CONDITION (Visual) d. LEVEL IN GOVERNOR
YES fl NO
g. LOCATION OF LEAK
13. LOAD PERCENTAGE
WORK SHEET
FLA
902.1 AMPS
30% OF LOAD =
271 AMPS 4. FUEL SYSTEM (See Note 1)
'" I` '} S U
600 KW % LOAD
d. FUEL LEAKS (X)
YES NO 17. BATTERY CHARGER
e. LOCATION OF LEAK a. VOLTS b. AMPS
5. BATTERY BANK (See Note 1) 18. BATTERY
LEVELS
19. AMBIENT TEMP.
( F)
„}. ' fie ,." S U
b. FUEL (X)
YES NO
C. AIR INTAKE (X)
22. UNIT STARTED ON (X)
Use the reverse side of this form and/or 8-1/2 x 11" paper if required for additional comments, continuation of item entries (identify by item number), and for corrective action(s) taken.
NOTE 1: Mark S for Satisfactory, U for Unsatisfactory, or indicate in Remarks column, as applicable.
NOTE 2: Enter data as indicated. Where no instrumentation is provided, indicate Satisfactory, Unsatisfactory, etc., as applicable.
NOTE 3: Enter Antifreeze Protection as the freeze temperature in degrees (F) as indicated on an appropriate hydrometer.
f/f
a. MODEL
X15-G9
24.ENGINE READINGS
a. b.
DATE HOUR
METER
START
cal ., ' , 92 Enter readings immediately after start-up and prior to shut-down. If engine runs more
b. SERIAL NO. c. KW RATING d. VOLTS than one hour, record every two hours with minimum of two readings.
8025308 600 1201208V
c. d. e. f. g. h. L1-L2 L2-L3 L1-L3 LI-LO L7- L2-L3 L1- k. I.
HOUR OIL WATER FUEL EXHAUS KW L2 L3 FRENQUENC BATTERY
METER PRESSUR TEMP. LEVEL T LOAD Y 60HZ CHARGE
STOP E CON/TEM R AMPS
Gen 92 Automatic Transfer Switches: Started Tested Gen 92 Automatic Transfer Switches: Started Tested Note: Mark started when ATS is used to start load testing
Gen 92
Gen 92-2
Gen 92-2B
Gen 92-A
1/
Gen 92-17
Gen 92-2A
Gen 92-1 `v
Gen 92-18
OUTDOOR: 70 - 95 PSIG
INDOOR: 45-65 PSIG
TESTED BY NAME: ~ °2l
(PRINT)
SUPERVISOR NAME:
(PRINT)
WATER TEMPERATURE RANGE
OUTDOOR: 150- 180 DEG. F NOTE: PLEASE WRITE DOWN THE TRANSFER
INDOOR: 150 - 180 DEG. F SWITCHES TESTED, & TRANSFER TIME.
SIGNATURE: DATE: _ r
SIGNATURE: DATE:
a. b. c. d. e. f. g. h. L1- L2-L3 L1-L3 L1-LO LI-L2 L2-L3 L1-L3 k. I.
DATE HOUR HOUR OIL WATER FUEL EXHAUST KW LOAD L2 FRENQUENCY BATTE
EMERGENCY/AUXILIARY GENERATOR OPERATING LOG MONTH: YEAR:
1. ENGINE DATA: #93 6. INDICATOR LIGHTS & ANNUCIATOR PANELS
a. MAKE
CUMMINS
b. MODEL
X15-G9
: ' >^ t k 1'u' f~ '
a. GENERATOR
802533032
d. STA T TIME i2 7. AUTOMATIC TRANSFER
I. INSPECTION TEST OPERATOR
_ ~2~~' fi/?t
I. DATE
l )`f ~~f ATS#
I. UNI
GEN 93 ATS #
Stamford
b. MODEL
HC1534
X20B092601
d. KW RATING
f. PHASE
C. COOLANT ADDED (Level) d. ANTIFREEZE PROTECTION (See Note 3) 5 g. LOCATION (Building)
j. RECORD IDENT NUMBER
e. FAN BELT CONDITION .7
a. CLEANLINESS v
YES I I NO
b. OIL ADDED (Sum level) fl YES NO
c. LUBE OIL CONDITION (Visual) d. LEVEL IN GOVERNOR
(Bolts, Linkage, etc.) V
PH2
13i
___________ e. TURBO VIBRATION
C
Pk12
PH3
g. LOCATION OF LEAK
13. LOAD PERCENTAGE
WORKSHEET
FLA
902.1 AMPS
S UL.
L ç-
600 KW % LOAD
/ b. FUEL LEVEL (Storage
16. WET STACKING: YES,] NO:
30 % RATED LOAD c. WATER DRAINED (X)
e. LOCATION F LEAK a. VOLTS b. AMPS
LEVELS
19. AMBIENT TEMP.
( F)
, '1: S U
a. CONNECTIONS I
b. FUEL (X)
YES NO
C. AIR INTAK (X)
22. liNf i STARTED ON (X)
1ST TRY 2ND TRY 3RD TRY flNOTATALL
Use the reverse side of this form and/or 8-1/2 x 11" paper if required for additional comments, continuation of item entries (identify by item number), and for corrective action(s) taken.
NOTE 1: Mark S for Satisfactory, U for Unsatisfactory, or indicate in Remarks column, as applicable.
NOTE 2: Enter data as indicated. Where no instrumentation is provided, indicate Satisfactory, Unsatisfactory, etc., as applicable.
NOTE 3: Enter Antifreeze Protection as the freeze temperature in degrees (F) as indicated on an appropriate hydrometer.
than one hour, record every two hours with minimum of two readings. a. MODEL b. SERIAL NO. c. KW RATING d. VOLTS
X15-G9
X20B092601
600 1201208V
I VOLTS j. AMPS
a. b. c. d. e. f. g. h. L1-L2 L2-L3 LI-L3 L1-LO L1- L2-L3 L1- k. I.
ç, 1 t, ~~
~ lam- 13s lay
1&67
Gen 93 Automatic transfer switches: Started Tested Gen 93 Automatic Transfer switches: Started Tested Note: Mark started when ATS is used to start load testing
Mark tested when ATS has assed its load transfer testing
Gen 93 - B4 — LS ___
Gen 93-85 — EQ
Gen93-B4—EQ
Gen93-B80—EQ
Gen 93 - B5 - LS
Gen 93 - B82
OUTDOOR: 70-95 PSIG OUTDOOR: 150-180 DEG. F NOTE: PLEASE WRITE DOWN THE TRANSFER
INDOOR: 45-65 PSIG INDOOR: 150 - 180 DEG. F SWITCHES TESTED, & TRANSFER TIME.
TESTED BY NAME: J)u' `~ ̀
(PRINT)
SUPERVISOR NAME: 1 ~ Q
SIGNATURE:
SIGNATURE: .e;;:/1. -
DATE: `
EMERGENCY/AUXILUARY GENERATOR OPERATING LOG MONTH: YEAR: 2i -
1. ENGINE DATA: #94 6. INDICATOR LIGHTS & ANNUCIATOR PANELS
a. MAKE b. MODEL ' M ' i-- "' U REMARKS
CUMMINS X15-G9 a.
C . SERIAL NUMBER d. START TIME: GENERATO
80255109 n R PANEL -_ __ fi f ) , b. ATS PANEL(S)
h. TOTAL RUN TIME:
7. AUTOMATIC TRANSFER PANEL USEDTOTRANSFER THELOAD_
I. INSPECTION TEST OP
ERATO
j. D TE
ATS
#w: S U
✓ i;.iLi // l
It. BASE/POST I. NIT
BEDFORD VA GEN 94 ATS #
a. MAKE b. MODEL ATS #
Stamford HC1534 (10 SEC)
X20H092601 600
e. VOLTS f. PHASE 8. COOLING SYSTEM (See Note 2)
120/208V 3 a. TEMP. DU ING STANDBY b. TEMP. D INC OPERATIONS
c. COOLANT ADDED (Level) d. ANTIFREEZE PROTECTION (See Note 3) 5
g. LOCATION (Building) J. J RECORD (DENT NUMBER
a. FAN BELT CONDITION < f. RADIATOR AND LOUVER
CON- DITION
33 GENERAL. CONDITIONS (See Note 1) c ' l ~sas S I U F REMARKS 9. LUBE OIL SYSTEM
a. OIL CHANGED (X) b. OIL ADDED (Stun level)
YES NO YES NO
h. EXHAUST
CONDITIO
.5
N /A
PH2 P143
e. N BB RIO
I LL
PH S
PPHIPI12
>j' .- J
f. WATER LE A (X) g. LOCATION OF LEAK "
YE5 NO J
13. LOAD PERCENTAGE
WORK SHEET
FLA
902.1 AMPS
30 % OF LOAD =
' S U
REMARKS 14. ACTUAL (/, :1 AAL/FLA
a. FUEL LEVEL (Day Tank) /
15. GENERATOR 600 KW % LOAD
J J
J--
b. FUEL LEVEL
LOADRATING ~j
(Storage rank) I _L
16. WET STACKING: YES;' NO:
r;. WATER DRAINED (X) d. FUEL LEAKS (X)
17. BATTERY CHARGER
e. LOCATION OF LEAK a. VOLTS b. AMPS
LEVELS
19. AMBIENT TEMP.
r =b7 S U a CONNECTIONS
a. LURE OIL (X b. FUEL (X) C. AIR INTAKE (X)
YES NO YES NO YES NC)
22- UNIT STARTED ON (X)
Use the reverse side of this form and/or 8-1/2 x 11" paper if required tor additional comments, continuation of item entries (identify by item number), and for corrective action(s) taken.
NOTE 1: Mark S for Satisfactory, U for Unsatisfactory, or indicate in Remarks column, as applicable.
NOTE 2: Enter data as indicated. Where no instrumentation is provided, indicate Satisfactory, Unsatisfactory, etc., as applicable.
1 NOTE 3: Enter Antifreeze Protection as the freeze temperature in de,lrees (F) as Indicated on an appropriate hydrometer.
1 Enter readings immediately after start-up and prior to shut-down. If engine runs more than d VOLTS one hour, record every two hours with minimum of two readings.
r 5. SERIAL NO, c. 1 RATtNCs I 42o1208u a
MODEL
X 5 G9 i 80255 ® 600
I. VOLTS L AMPS
8 f 0. h. L4-L2 L2-L3 L9-L3 L1-LO L1- L2-L3 L1- k. 1.8ATTERY
I L3 FRENQUENC I CHARGER a h d
I I DATE HOUR I HOUR OIL ~14IATER FUEL EXHAUS
LOAD
( I Y 60HZ AMPS
METER METER PRESSUR TEMP. LEVEL T i
START STOP E CONUTEM
Gen 94 Auton
Gen 94-B6-
Gen-
Gen 94 - B7 -
Gen94-B7-
Note: Mark started when ATS is used to sti mark tPstad when ATS has sassed its load
OIL PRESSURE RANGE
OUTDOOR: 70-95 PSIG
INDOOR: 45-55 PSIG
TED BY NAME: l ~T_FS A f ~
(PRINT)
SUPERVISOR NAME:
j (PRINT}
WATER TEMPERATURE RANGE
OUTDOOR: 150- 180 DEG. F NOTE PLEASE WRITE DOWN THE TRANSFER
INDOOR: 150- 180 DEG. F SWITCHES TESTED, & TRANSFER TIME.
SIGNATURE: DATE: 2
SIGNATURE:
EMERGENCY/AUXILIARY GENERATOR OPERATING
LOG
MONTH: J ~( YEAR:
1. ENGINE DATA: #95
k,-'
6. INDICATOR LIGHTS & ANNUCIATOR PANELS
Caterpillar C15 ACERT
PANEL lit
C. SERIAL NUMBER d. START TIME:
FTE03239 ! t~.
• 'I
h. TOTAL RUN TIME: `~ 1: ' `
7. AUTOMATIC TRANSFER PANEL USED TO TRANSFER THE LOAD
U
I. INSPECTION TEST OPERATQR /~ ~ DATE
PS
k.
BASE/POST I.
UNIT
(10
GEN 95
SEC)
ATS # f
f. PHASE
(I0SEC)
8. COOLING SYSTEM (See Note
2)
c. COOLANT ADDED (Level) d. ANTIFREEZE PROTECTION (See g. LOCATION (Building) j. RECORD IDENT NUMBER
e. FAN BELT CONDITION f. RADIATOR AN4LOUVER CON-
S U REMARKS
9. LUBE OIL SYSTEM
a. CLEANLINESS a. OIL CHANGED (X) b. OIL ADDED (Sum level)
b. EXHAUST /
CONDITION ✓
c. LURE OIL COND ION (Visual) d. LEVEL IN GOVERNOR
C. ENGINE VIBRATION ITEM (See Note 2) ALTERNATOR EXCITER
d. LOOSE ITEMS 10.
11. AMPERAGE 7 ' PH2 PH3
C. ~1.1 6, t
f. WATER LEAKS (X) g. LOCATION OF LEAK 12. VOLTAGE
PHI PH2 ^H3
✓ •v YES NO `l ':J: cg
13. LOAD PERCENTAGE FLA 30% OF LOAD
WORK SHEET 910 AMPS 273 AMPS
S U REMARKS
a FUEL LEVEL (Day Tank) 14. ACTUAL / / L f AAL/FLA
AMPERAGE l / 7
15. GENERATOR 410 KW % LOAD
Tank)
LOAD RATING 1
C, C. WATER DRAINED (X) d. FUEL LEAKS
76. WETSTACKING: YES: NO:
30 % RATED LOAD
YES NO YES NO 17. BATTERY CHARGER e. LOCATION OF LEAK
a. VOLTS b. AMPS
5. BATTERY BANK (See Note 1)
18. BATTERY 19. AMBIENT TEMP. 20.
S U REMARKS LEVELS ( F) ,---~~
a. CONNECTIONS . J̀
/ 21. FILTER CHANGE
b. CLEANLINESS ✓ a. LUBE OIL (X) b. FUEL (X)
_C_AIRINTAKE (X)
YES NO YES NO YES NO C. ELECTROLYTE LEVEL 22. IT STARTED ON (X)
1ST TRY fl2ND TRY fl3RD TRY flNOT AT ALL Use the reverse side of this form and/or 8-1/2 x 11" paper if required for additional and for corrective action(s) taken. comments, continuation of item entries (identify by item number), NOTE 1: Mark S for Satisfactory, U for sfactory or rks column, as applicable. NOTE 2: Enter data as indicated. Whe e nno instrumentation ume indicate ntation is p ovided and indicate NOTE Satisfactory, Unsatisfactory, etc., as applicable. 3: Enter Antifreeze Protection as the freeze temperature in degrees (F) as indicated on an appropriate hydrometer.
a. MODEL b. SERIAL NO. C. d' KW RATING I201208
SR4B T3300142
I. VOLTS . AMPS
a b d e f.
24.ENGINE READINGS
y, h. LI-L2 L2-L3 L1-L3 L1-LO L1- L2-L3 L1-
L3 k.
FRENQUENC
I.
BATTERY
DATE HOUR HOUR OIL WATER FUEL EXHAUS
IMF
Y60UE CHARGE
a
Gen 95 Automatic Transfer switches: Started Tested Note: Mark started when ATS is used to start load testin
Gen 95 Automatic transfer switches: Started Test Mark tested when ATS has assed its load transfer testin
Gen 95~ EP-1
Gen 95-78 EQD
Gen 95-3 EP-2
Gen 95-78CRD
GEN95-E1
Gen 95-78A
Gen 95-78 LSD
WATER TEMPERATURE RANGE
NOTE: PLEASE WRITE DOWN THE TRANSFER
OUTDOOR: 150 - 180 DEG. F
150 180 DEG. F SWITCHES TESTED, & TRANSFER TIME.
INDOOR: 45-65 PSIG
INDOOR: -
L /C IEJf
SIGNATURE:
TESTED BY NAME:
SIGNATURE: [l/ISl _ DATE: J
SUPERVISOR NAME:
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File details come from the government source that posted it. Updated .