Failure to Maintain Emergency Generator Control Board
Penalty
Summary
The facility failed to maintain the emergency generator as required by NFPA standards. During a document review, it was found that the annual planned maintenance inspection report for the 35 kW generator indicated that the unit's main control board needed to be replaced to prevent a possible no start condition. However, there was no documentation available to show that this issue had been corrected. This deficiency was confirmed during an interview with the maintenance supervisor, who acknowledged the lack of corrective documentation for the emergency generator. The report specifically notes that this failure affected one of two generators at the facility, and the required maintenance action was not completed or recorded as resolved.
Plan Of Correction
The systematic change will be to contact vendor to get the unit main control board replaced. The Director of Maintenance will monitor service needs to generator and have vendor repair onsite as needed. The Director of Maintenance will report this findings to the Administrator and Monthly Quality Assurance meeting.