36C26319Q0995-002.docx

ATTACMENT A

October/November – PREVENTIVE and MAINTENANCE INSPECTION REPORT EMERGENCY GENERATOR SETS - FORT MEADE AND HOT SPRINGS VA MEDICAL CENTERs

FORT MEADE AND HOT SPRINGS, SD

Equipment Location: _____________________________ Date of Inspection: ________________

Inspection Data Code X=Checked Okay A=Additional Work Required R=Required Adjustment or Repair C=Critical Repair Required N/A=Not Applicable

______ 1. Check and adjust as required, mechanical fasteners, mounts, braces, and safety devices.

______ 2. Inspect engine and generator mounts.

______ 3. Examine all duct work and louvers.

______ 4. Checked condition of hoses and tighten clamps.

______ 5. Check engine coolant pump and coolant leaks.

______ 6. Check engine antifreeze solution ______degrees.

______ 7. Check engine block heater.

______ 8. Check for fuel or oil leaks.

______ 9. Check and adjust drive belts.

______10. Check all fluid levels.

______ 11. Inspect engine condition.

______ 12. Check crankcase breather.

______ 13. Check governor sensitivity and droop.

______ 14. Check all linkage and ball joints on governor.

______ 15. General inspection of all governor components.

______ 16. Lubricate all grease fittings.

______ 17. Inspect starter motor and check solenoid.

______ 18. Clean/inspect battery terminals, read gravity, and provide reading ___________

______ 19. Check battery charger for proper operation.

______ 20. Complete general inspection of exhaust system.

______ 21. Check for wet stacking.

______ 22. Check all safety shutdown and alarm circuits.

______ 23. Inspect generator condition.

______ 24. Inspect generator end bearing.

______ 25. Check condition of electrical wiring, secure in holder where broken or loose.

______ 26. Test transfer switch.

______ 27. Check day tank operation.

______ 28. During exercise operation, check for any unusual vibration or noise.

______ 29. Blow out any accumulation of dust in generator and ATS with clean, dry Compressed air.

______ 30. Clean exterior of radiator.

_______31. Take megger reading of main rotor winding and record ____________________

_______32. Take megger reading of main stator winding and record ____________________

_______33. Take megger reading of exciter rotor and record ________________________

_______34. *Change oil per manufacturer’s recommendations

_______35. Change fuel filter(s)

_______36. Change air filter(s)

_______37. Change oil filters(s)

_______37. Take oil sample and provide analysis report.

_______38. Take coolant sample and provide analysis report.

_______39. Take fuel sample and provide analysis report.

_______40. Load bank test annually per requirements and provide test report.

*Oil changes will be addressed and scheduled based on hour meter readings and will be addressed outside the scope of this contract. Contact FM.HS POC’s for approval before commencement of this work.

Comments: ____________________________________________________________________

Report Completed by: ______________________ Company: ____________________________

Submit report with recommendations, actions taken, etc. to Facility POC within 30 days of completion of inspection.