36C26319Q0995-003.docx

ATTACHMENT B

May/June– 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 manufactures recommendations

NA_____35. Change fuel filter(s)

NA_____36. Change air filter(s)

NA_____37 Change oil filter(s)

NA_____38. Take oil sample and provide analysis report.

NA_____39. Take coolant sample and provide analysis report.

NA_____40. Take fuel sample and provide analysis report.

NA_____41. 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.