EMERGENCY POWER SYSTEM - ICU CHECKLIST

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--- SYSTEM ACTIVATION & TRANSFER ---
[ ] Time of Emergency Power System Activation
[ ] Activation Method (Automatic Transfer, Manual Transfer)
[ ] Transfer Time (seconds)
[ ] Transfer Success? (Yes, No)
[ ] Notes on Transfer Process (if any issues)
[ ] Synchronization Status (Synchronized, Not Synchronized)
[ ] Voltage Level (Emergency Power)

--- GENERATOR PERFORMANCE ---
[ ] Generator Voltage (Volts)
[ ] Generator Frequency (Hz)
[ ] Load Acceptance Time (Seconds)
[ ] Generator Speed (RPM)
[ ] Engine Oil Pressure (PSI) (Normal, Low, High)
[ ] Coolant Temperature (Degrees F) (Normal, High, Low)
[ ] Observations & Anomalies
[ ] Time of Load Acceptance

--- CRITICAL EQUIPMENT VERIFICATION ---
[ ] Ventilator Status (Operational, Not Operational, Partial Functionality)
[ ] ECG Monitor Battery Level (%)
[ ] Infusion Pump Status (Operational, Not Operational, Partial Functionality)
[ ] Patient Monitoring System (PMS) Status (Operational, Not Operational, Partial Functionality)
[ ] Oxygen Concentrator Output (LPM)
[ ] Medical Air Pressure (Within Range, Low, Out of Range)
[ ] Any observed abnormalities or issues with critical equipment

--- LIGHTING & HVAC ---
[ ] Emergency Lighting Status (Functional, Dim/Weak, Non-Functional)
[ ] Emergency Lighting Lumens (average)
[ ] HVAC System Status (Functional, Partial Functionality, Non-Functional)
[ ] Room Temperature (Â°C) - measured
[ ] Room Temperature (Â°F) - measured
[ ] HVAC Airflow (observed) (Adequate, Reduced, Insufficient)
[ ] Comments/Observations regarding Lighting and HVAC

--- FUEL SUPPLY & MONITORING ---
[ ] Initial Fuel Level (Gallons/Liters)
[ ] Fuel Consumption During Test (Gallons/Liters)
[ ] Remaining Fuel Level (Gallons/Liters)
[ ] Fuel Type Verified? (Correct Fuel Type, Incorrect Fuel Type - Investigate)
[ ] Fuel Gauge Functionality (Operational, Malfunctioning - Investigate)
[ ] Last Fuel Delivery Date
[ ] Notes on Fuel Condition (e.g., cleanliness, odor)

--- SYSTEM SHUTDOWN & RETURN TO UTILITY POWER ---
[ ] Time Utility Power Restored
[ ] Voltage Level (Utility Power)
[ ] Transfer Method to Utility Power (Automatic, Manual, Both)
[ ] Observations During Return to Utility Power (e.g., voltage fluctuations, equipment behavior)
[ ] System Stability Upon Return (Stable, Minor Fluctuations, Significant Fluctuations, Unstable)
[ ] Date of Return to Utility Power
[ ] Any deviations from standard procedure during return to utility power? If so, describe.
[ ] Engineer Signature Verifying Return to Utility Power

--- POST-TEST DOCUMENTATION & REPORTING ---
[ ] Date of Test
[ ] Start Time of Test
[ ] End Time of Test
[ ] Generator Load Acceptance (kW)
[ ] Transfer Time (Seconds)
[ ] Transfer Success? (Yes, No)
[ ] Observations & Deviations
[ ] Equipment Functionality Verified (Select All That Apply) (Ventilators, Patient Monitors, Infusion Pumps, ECG Machines, Lighting, HVAC)
[ ] Generator Data Log
[ ] Technician Signature

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