PREFUNCTIONAL TEST CHECKLIST Emergency Power System (Emrgpwr) - _________ Specification Section 1______ Project: __________________________________ Project No:

__________

Components included: ___prime mover, ___ generator, ___ fuel system, ____ cooling system, ____ battery system, ___ exhaust system, ____ ATS, ___ UPS Associated Checklists: ___ pipe, ___ pump, ____ exhaust fan, ___ other _________ 1. Submittal / Approvals Submittal. The above equipment and systems integral to them are complete and ready for functional testing. The checklist items are complete and have been checked off only by parties having direct knowledge of the event, as marked below, respective to each responsible contractor. This prefunctional checklist is submitted for approval, subject to an attached list of outstanding items yet to be completed. A Statement of Correction will be submitted upon completion of any outstanding areas. None of the outstanding items preclude safe and reliable operation of the system. ___ List attached. _____________________ Electrical Contractor _____________________ Plumbing Contractor _____________________ Mechanical Contractor __________ Date __________ Date __________ Date _____________________ __________ Controls Contractor Date _____________________ TAB Contractor _____________________ General Contractor __________ Date __________ Date

This checklist is to be completed prior to activation by MDAD. This checklist does not take the place of the manufacturers recommended checkout and startup procedures or report. Contractors assigned responsibility for sections of the checklist shall be responsible to see that checklist items by their subcontractors are completed and checked off.

Approvals. This filled-out checklist has been reviewed. Its completion is approved. _____________________ __________ Commissioning Authority/Agent Date 2. ____________________ __________ Owners Representative Date

Requested documentation submitted

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PREFUNCTIONAL TEST CHECKLIST Emergency Power System (Emrgpwr) - _________ a) b) c) d) e) 3. Manufacturers cut sheets: Performance data: Sequences and control strategies: O & M Manuals: Data base sheets: Model Verification Specified Submitted Installed Yes / Yes / Yes / Yes / Yes / No - date to be submitted _______ No - date to be submitted _______ No - date to be submitted _______ No - date to be submitted _______ No - date to be submitted _______

Item Manufacturer Model Serial Number Size/Rating (kw continuous or standby) Fuel Type Voltage/Phase 4. Installation Checks

a) General Installation i) Permanent labels affixed: Yes / No ii) Physical condition acceptable: Yes / No iii) Properly mounted with vibration isolators: Yes / No iv) Factory alignment appears acceptable: Yes / No v) Field alignment complete: N/A / Yes / No vi) Fuel piping and/or primer mover exhaust system are properly supported (independent of prime mover and /or generator): Yes / No vii) As-built drawings updated: Yes / No b) Prime Mover i) Unit able to run on diesel fuel or a combination of natural gas and diesel fuel: Yes / No ii) Air cleaner and oil filter(s) installed: Yes / No iii) Vibration isolators active: Yes / No iv) Proper oil type used, with level correct: Yes / No v) Exhaust duct installed with proper insulation and silencer/muffler: Yes / No vi) Exhaust system discharges to outside: Yes / No vii) Condensables able to be removed from exhaust system and discharged properly: Yes / No viii) Combustion and/or ventilation air louvers installed correctly: Yes / No ix) Cooling water radiator ducted to inlet louver: Yes / No c) Generator
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PREFUNCTIONAL TEST CHECKLIST Emergency Power System (Emrgpwr) - _________ i) Bearings lubricated: Yes / No ii) Rotor and stator in proper conditions: Yes / No iii) Voltage regulator installed: Yes / No iv) Main breaker installed, rated at full load capacity: Yes / No v) Instrument panel is mounted on unit: Yes / No vi) Remote annunciator panel installed: Yes / No vii) Generator auxiliary panel (dedicated to generator room equipment/lighting) is installed: Yes / No d) Fuel System i) Piping checklist complete and accepted: Yes / No ii) Day tank installed, with electric pump, hand pump and bypass piping/valves: Yes / No iii) Above ground fuel tank installed, with pump(s): Yes / No iv) Monitoring system installed: Yes / No v) DERM and MDAD Environmental reviews complete and accepted: Yes / No e) Battery Charger and Batteries i) Batteries installed in a nonmetallic rack (wall mounted) adjacent to the prime mover: Yes / No ii) Battery electrolyte level is correct: Yes / No iii) Automatic trickle battery charger is installed (wall mounted) adjacent to battery bank: Yes / No iv) Battery cable connections are tight, terminals are clean: Yes / No f) Automatic Transfer Switch (ATS) i) ATS rated for operation at the same output as the emergency generator, capacity is greater than total system transferred load: Yes / No ii) Transferred loads identified at panel, agree with listed loads: Yes / No iii) ATS installation is complete: Yes / No g) Electrical and Controls )i Panel devices labeled and wiring tagged per drawings: Yes / No )ii Unit mounted instrument panel includes: ()1 AC voltmeter: Yes / No ()2 Ammeter: Yes / No ()3 V-a selector switch: Yes / No ()4 Frequency meter: Yes / No ()5 Running time meter: Yes / No ()6 Voltage adjusting rheostat: Yes / No ()7 Exciter overload protection: Yes / No ()8 Warning lights and alarms: Yes / No )iii Batteries provided with electronic sensing device for remote notification of battery conditions: Yes / No
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PREFUNCTIONAL TEST CHECKLIST Emergency Power System (Emrgpwr) - _________ )iv )v )vi )vii )viii )ix )x )xi )xii )xiii h) Final i) ii) iii) iv) v) 5. a) b) c) d) e) f) g) I/O devices labeled and wiring tagged per drawings: Digital inputs and outputs operational: All electrical connections tight: Proper grounding installed for components and unit: Safeties in place and operable: Sensors, transmitters, gages, etc., installed: Sensors calibrated (see below) : Control system interlocks hooked up and functional: All control devices and wiring complete: Lightning protection installed: Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes / / / / / / / / / / No No No No No No No No No No

List of items/systems served by the emergency power system is attached: Startup report completed with this checklist attached: Yes / No Fuel tank(s) full: Yes / No Safeties and safe operating ranges for this equipment have been reviewed and accepted: Yes / No System is ready for functional testing: Yes / No / No / No / No / No / No / No record / No

Operational Checks Associated prefunctional checklists are complete and accepted: Yes ATS operates correctly: Yes Resistance check(s) complete with results attached: Yes Fuel system operates correctly: Yes Ignition and battery systems operate correctly Yes Cooling system operates correctly: Yes Specified point-to-point checks have been completed and documentation submitted for this system: Yes Sensor and/or Gage Calibration

6.

All field-installed temperature sensor, [relative humidity sensor], meters and gages on this piece of equipment shall be calibrated. Sensors installed in the unit at the factory with calibration certification provided need not be field calibrated. All test instruments have had a certified calibration within the last 12 months: Y/N______.

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PREFUNCTIONAL TEST CHECKLIST Emergency Power System (Emrgpwr) - _________ Sensor or Gage Location OK (Y/N) Sensor/Gage Verification Table Sensor or BMS Value Instrument Gage Value Measured Value Pass (Y/N)

Thermometer/Gage reading = reading of the permanent instrument on the equipment. BMS = building management system. Instrument = testing instrument. All sensors/gages are calibrated within required tolerances ___ YES ___ NO

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PREFUNCTIONAL TEST CHECKLIST Emergency Power System (Emrgpwr) - _________ -- END OF SECTION--

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