Failure to Perform Required Generator Load Bank Test
Penalty
Summary
The facility failed to maintain its emergency generator system as required by NFPA standards. Specifically, the facility did not perform the mandatory 3-year, 4-hour load bank test on the generator, which is crucial for ensuring the generator's capability to supply emergency power within the required 10 seconds. This deficiency was identified during a document review and interview conducted on January 23, 2025, between 9:15 AM and 10:30 AM. The Director of Maintenance confirmed during an interview that the load bank test had not been performed. This oversight indicates a lapse in the facility's adherence to the maintenance and testing schedule outlined in NFPA 110, which mandates regular inspections and testing to ensure the reliability of emergency power systems. The failure to conduct this test could potentially compromise the facility's ability to provide essential power during emergencies.
Plan Of Correction
1. Facility has contracted with an outside vendor to complete the 4 hour load bank test, to be completed by Compliance date. 2. Maintenance Director or Designee will ensure the generator load bank scheduling will be reviewed yearly for documentation of the 3 year, 4-hour load bank test on the generator was performed as required. 3. Maintenance Director will report findings to the QAPI committee.