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
Issued by

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.

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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

PRINT

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 .