7-Exhibit F_NFPA 110 EPSS Maintenance History Form_04012026_BA.pdf

This document is Exhibit F, a template form for recording NFPA 110 Emergency Power Supply System (EPSS) maintenance history for the Beltsville Agricultural Research Center (BARC) under a USDA-ARS Maintenance and Repair Indefinite Delivery/Indefinite Quantity (IDIQ) contract in Beltsville, Maryland.

The form is designed to track maintenance and operational data for EPSS equipment including generator sets, engines, automatic transfer switches (ATS), and other related components. The template captures equipment identification information such as make, model, specification, serial number, standby rating in kilowatts, fuel type, voltage, and amperage. The maintenance reporting section includes fields for date, meter hours, personnel performing the work, and task/comments. The form documents unsatisfactory conditions through a structured deficiency tracking system that records the deficiency identified, root cause, corrective action taken, and parts replaced. Additionally, the form includes a section for operational test results and comments. The template provides multiple rows to record multiple maintenance events and deficiencies associated with a single EPSS location, enabling comprehensive maintenance history documentation that supports compliance with NFPA 110 standards.