Healthcare Facility Compliance 11 items
Emergency Generator & EPSS NFPA 110 Audit
Audit of the emergency power supply system covering generator testing, load transfer, fuel management, and maintenance under NFPA 110.
NFPA 110NFPA 99CMS 42 CFR 482.15The Joint Commission EC
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Inspection & Testing
- Is the emergency power supply system (EPSS) inspected weekly per the manufacturer and NFPA schedule? *
- Is the generator load-tested monthly for at least 30 minutes at a minimum of 30% nameplate rating (or exhaust temperature)? *
- Is an annual load bank test performed if monthly tests do not meet the minimum load criteria? *
Transfer & Restoration Time
- Does the EPSS restore power to life-safety and critical branches within 10 seconds of normal power loss? *
- Are automatic transfer switches tested for proper operation during monthly testing? *
Fuel & Environment
- Is the on-site fuel supply sufficient for the required runtime and periodically tested for quality? *
- Is the generator room/enclosure maintained with adequate ventilation, cooling, and battery condition? *
- Are batteries inspected and electrolyte/charging levels verified? *
Documentation & 4-Hour Test
- Is a 3-hour continuous test (36-month) or 4-hour load test performed and documented as required? *
- Are written records of all inspections, tests, exercising, and repairs retained? *
- Is a preventive maintenance program based on manufacturer recommendations documented? *
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