Failure to Maintain Emergency Generator Documentation
Penalty
Summary
The facility failed to maintain and inspect the emergency generator as required, which affected the entire facility. During a document review on March 19, 2025, it was found that the facility could not provide documentation for weekly inspections of battery electrolyte levels or battery voltage. Additionally, there was no documentation for monthly electrolyte specific gravity or conductance testing. Interviews with the Facility Administrator, Maintenance Personnel, and the Plant Operations Director confirmed the absence of the necessary documentation at the time of the survey. This lack of documentation indicates a failure to adhere to the maintenance and testing protocols outlined in NFPA 101 and related standards, which are critical for ensuring the reliability of the emergency power system.
Plan Of Correction
1. The facility generator runs on a maintenance free battery. A battery voltage testing device has been obtained. The maintenance director or designee will conduct weekly battery voltage testing and monthly conductive testing and document the findings. 2. No other generator documentation was identified as missing. 3. Education was provided to the Maintenance Director on K918 and the weekly and monthly testing has been added to the TELS system. 4. The Director of Plant operations or designee will battery voltage and conductive testing monthly x 3 months.