Generator Purchase, Removal and Installation

122828 OR ATTACHMENT A
GENERATOR ACCEPTANCE TEST FORM DOCUMENT
Section 1: Site Demographics
* Site Location/Name: __________________________
* Purchase Order: __________________________
* Date of Test: __________________________
Removed Asset
* Property of State of Nebraska Tag Number: __________________________
* Manufacturer: __________________________
* Model: __________________________
* Serial Number: __________________________
Installed Asset
* Property of State of Nebraska Tag Number: __________________________
* Manufacturer: __________________________
* Model: __________________________
* Serial Number: __________________________
Section 2: Pre-Start Inspection Checklist
Check all that apply. If "Fail," provide a remediation note.
Inspection Point Pass Fail Notes/Comments
Coolant Level/Concentration

Oil Level/Quality

Fuel Level (100% Full)

Battery Voltage (>12.6V)

Belts & Hoses Tension/Wear

Block Heater Functioning

Battery Heater Functioning

Remote Monitoring
Functioning
Section 3: Load Test Data (60-Minute Run)
Time Voltage (L-L) Frequency (Hz) Load (%) Oil PSI Water Temp
Start
15 Min
30 Min
45 Min
60 Min

Section 4: Control System & Safety Verification
Verify the following safety parameters trigger correctly:
* [ ] Emergency Stop: Unit shuts down immediately when pushed.
* [ ] Remote Start: Unit engages via ATS signal.
* [ ] Fault Reset: Alarms clear properly on the control panel.
* [ ] Automatic Mode: Controller left in "AUTO" position after test.
Section 5: Final Sign-Off
Technician Certification:
I certify the above tests were performed according to manufacturer specifications.
* Signature: __________________________ Date: __________
Submit the completed "Generator Acceptance Test Form Document" to the Public Safety
Communications Department manager.