Attachment 20 - Appendix B - 55 CES ELECTRIC POWER OUTAGE REPORT - 3-4-26.pdf
PDF 923 KB Posted
- Attached to
- B518 Generator Maintenance and Operations Federal contract opportunity
- Solicitation number
- FA460026Q0035
About this file
This is a template for an Electric Power Outage Report used by the 55th Civil Engineer Squadron at Offutt Air Force Base. The form is designed to document and categorize power outages affecting base facilities and infrastructure.
The report captures essential outage information including date, time out, time in, reporting personnel, and whether the outage was scheduled or unscheduled. Section (2) documents the number of generators affected and failures. Section (3) requires identification of the main problem category, with options including commercial power, backup power, UPS systems, substation issues, distribution problems, A/F lighting, equipment failures, power conditioner malfunctions, and frequency converter issues. Section (4) lists affected building numbers and their missions, with entries provided for facilities B185 (AFWA), B518 (Power Plant), E4-N, B301, and 565, with space for additional facilities. Sections (5) through (8) provide coded lists for identifying specific component faults and causes, covering both commercial power items (batteries, cables, transformers, switches, relays, etc.) and backup power systems (engines, generators, fuel systems, cooling systems, batteries, etc.), along with corresponding failure causes such as arcing, corrosion, overheating, operator error, and weather-related damage. Section (9) identifies the circuit affected, with options including various OPPD circuits (183, 241, 242, 244, 334, 355, and 1195-2005) and Burt County. The form concludes with fields for the person completing the report and space for additional comments.
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Text version
55TH CIVIL ENGINEER SQUADRON
ELECTRIC POWER OUTAGE REPORT
(1) DATE:
TO:
FROM:
BASE:
REPORTED BY:
DATE/TIME OUT: DATE/TIME IN:
(2) WAS THIS POWER OUTAGE A SCHEDULED (S) OR UNSCHEDULED (U)
NUMBER OF GENERATORS AFFECTED:
NUMBER OF GENERATOR FAILURES:
(3) MAIN PROBLEM:
C - COMMERCIAL POWER D - DISTRIBUTION S - SUBSTATION
B - BACKUP POWER E - EQUIPMENT
U - U.P.S.
L - A/F LIGHTING
P - POWER CONDITIONER F - FREQUENCY
CONVERTER
(4) LIST BUILDING NUMBERS AND FUNCTIONS:
Facility Number: Mission:
Facility Number: Mission:
Facility Number: Mission:
Facility Number: Mission:
Facility Number: Mission:
Facility Number: Mission:
Facility Number: Mission:
Facility Number: Mission:
Facility Number: Mission:
Facility Number: Mission:
Facility Number: Mission:
Facility Number: Mission:
Facility Number: Mission:
Continued on page 3
(5) COMMERCIAL POWER ITEM FAULT:
01 - BATTERY 13 - CROSSARM
02 - BUSS 14 - CUT-OUT
03 - BUSHING 15 - DISCONNECT
04 - CABLE OH/PRI 16 - FUSES
05 - CABLE UG/PRI 17 - INSULATOR
06 - CABLE OH/SEC 18 - LIGHTNING PROT
07 - CABLE UG/SEC 19 - POLE
08 - CAPACITOR 20 - POTHEAD
09 - CIRCUIT BREAKER 21 - REGULATOR
10 - CONNECTOR/PRI 22 - RELAY
11 - CONNECTOR/SEC 23 - SERVICE DROP
12 - CONTROLS 24 - SWITH/AIR
(6) CAUSE:
01 - ARCING 08 - GROUND
02 - BLOWN 09 -INSULATION
03 - BROKEN 10 - OPERATOR
04 - BURNT 11 - LOOSE
05 - CORROSION 12 - OBJECT IN CKT
06 - CUT 13 - OPEN
07 - CUT DIGGING 14 - OVERHEAT
25 - SWITCH/OIL
26 - SWITCH/GAS
27 - TRFMR - DIST/AIR
28 - TRFMR - DIST/OIL
29 - TRFMR - CT
30 - TRFMR - INSTRMT
31 - TRFMR - PT
32 - TERMINATOR
33 - O.C.B.
34 - A.C.B.
35 - OTHER _________
99 - NOT APPLICABLE
15 - OVERLOAD
16 - SHORTED
17 - TRIPPED
18 - WEATHER
19 - OTHER__________
20 - DISCHARGE
99 - NOT APPLICABLE
(7) BACK-UP POWER ITEM FAULT:
04 - COOLING SYSTEM 07 - V-BELTS
05 - START SYSTEM 08 - VOLT REG
01 - ENGINE
02 - GENERATOR
03 - FUEL SYSTEM 06 - BATTERY(S) 09 - ATS
(8) CAUSE:
01 - ARCING 06 - LOOSE 11 - LOW OIL
02 - BLOWN 07 - OVERHEAT 12 - FUEL
03 - BROKEN 08 - OVERLOAD 13 - OPERATOR ERROR
04 - BURNT 09 - SHORTED 14 - OTHER_________
05 - CORROSION 10 - TRIPPED
(9) CIRCUIT:
07 - 1195 OPPD
08 - 1196 OPPD
09 - 1197 OPPD
10 - 1198 OPPD
11 - 1199 OPPD
01 - 183 OPPD
02 - 241 OPPD
03 - 242 OPPD
04 - 244 OPPD
05 - 334 OPPD
06 - 355 OPPD 12 - 2000 OPPD
13 - 2001 OPPD
14 - 2002 OPPD
15 - 2003 OPPD
16 - 2004 OPPD
17 - 2005 OPPD
18 - Burt County
OUTAGE REPORT COMPLETED BY:
ADDITIONAL COMMENTS IF REQUIRED:
| Check Box1: |
| 0: Off |
| 1: Off |
| 2: Off |
| Check Box2: |
| 0: Off |
| 1: Off |
| 2: Off |
| Check Box3: |
| 0: Off |
| 1: Off |
| 2: Off |
| Check Box4: |
| 0: Off |
| 1: Off |
| 2: Off |
| 3: Off |
| 4: Off |
| 5: Off |
| 6: Off |
| 7: Off |
| 8: Off |
| 9: Off |
| 10: Off |
| 11: Off |
| Check Box5: |
| 0: Off |
| 1: Off |
| 2: Off |
| 3: Off |
| 4: Off |
| 5: Off |
| 6: Off |
| 7: Off |
| 8: Off |
| 9: Off |
| 10: Off |
| 11: Off |
| Check Box6: |
| 0: Off |
| 1: Off |
| 2: Off |
| 3: Off |
| 4: Off |
| 5: Off |
| 6: Off |
| 7: Off |
| 8: Off |
| 9: Off |
| 10: Off |
| 11: Off |
| Check Box7: |
| 0: Off |
| 1: Off |
| 2: Off |
| 3: Off |
| 4: Off |
| 5: Off |
| 6: Off |
| Check Box8: |
| 0: Off |
| 1: Off |
| 2: Off |
| 3: Off |
| 4: Off |
| 5: Off |
| 6: Off |
| Check Box9: |
| 0: Off |
| 1: Off |
| 3: Off |
| 4: Off |
| 5: Off |
| Check Box10: |
| 0: Off |
| 1: Off |
| 2: Off |
| Check Box11: |
| 0: Off |
| 1: Off |
| 2: Off |
| Check Box12: |
| 0: Off |
| 1: Off |
| 2: Off |
| Check Box13: |
| 0: Off |
| 1: Off |
| 2: Off |
| 3: Off |
| 4: Off |
| Check Box14: |
| 0: Off |
| 1: Off |
| 2: Off |
| 3: Off |
| 4: Off |
| Check Box15: |
| 0: Off |
| 1: Off |
| 2: Off |
| 3: Off |
| Check Box17: |
| 0: Off |
| 1: Off |
| 2: Off |
| 3: Off |
| 4: Off |
| 5: Off |
| Check Box18: |
| 0: Off |
| 1: Off |
| 2: Off |
| 3: Off |
| 4: Off |
| 5: Off |
| Check Box19: Off |
| Check Box20: Off |
| Text21: |
| 0: B185 |
| 1: B518 |
| 2: E4-N |
| 3: B301 |
| 4: 565 |
| 5: |
| 6: |
| 7: |
| 8: |
| 9: |
| 10: |
| 11: |
| 12: |
| Text22: |
| 0: AFWA |
| 1: Power Plant |
| 2: |
| 3: |
| 4: |
| 5: |
| 6: |
| 7: |
| 8: |
| 9: |
| 10: |
| 11: |
| 12: |
| Text23: |
| Text24: |
| Check Box25: Off |
| Check Box26: Off |
| Date27_af_date: |
| Date28_af_date: |
| Text29: |
| Text30: Offutt |
| Text31: |
| Text32: |
| Text33: |
| Text34: |
| Text35: |
| Text36: |
| Text37: |
| Text38: |
| Check Box41: |
| 0: Off |
| 1: Off |
| 2: Off |
| 3: Off |
| 4: Off |
| 5: Off |
| Date1_af_date: |
| Text1: |
| Text4: |
| Text2: CP service |
| Text3: |
| Text5: |
File details come from the government source that posted it. Updated .