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Guide

Emergency Generator Testing Requirements in Healthcare Facilities

The emergency power supply system is one of the most heavily documented systems in a Healthcare facility, and generator records are one of the most common places surveyors find gaps. The requirements come from NFPA 110 and NFPA 99 as adopted by CMS through the 2012 Life Safety Code.

By Brandon Deaver, CHFM · Updated October 14, 2026

The tests are not complicated. The citations come from missed weeks, monthly tests that did not meet the load requirement, and records that do not capture every required reading.

Weekly

  • Visual inspection of the generator, fuel, oil, coolant, battery and transfer switch
  • Documented with date, inspector and any deficiencies

Monthly

  • Run under load for at least thirty minutes
  • Load of at least thirty percent of nameplate rating, or the minimum exhaust gas temperature recommended by the manufacturer
  • If the load requirement cannot be met, an annual supplemental load test is required
  • Transfer switches operated monthly
  • Record start time, run time, load, and readings for oil pressure, water temperature, frequency and voltage

Annual

  • Supplemental load bank test when monthly tests do not meet the thirty percent requirement: thirty minutes at twenty-five percent, thirty minutes at fifty percent, and sixty minutes at seventy-five percent of nameplate
  • Fuel quality testing for diesel systems
  • Battery and charger maintenance per manufacturer

Every three years

  • Four-hour test at not less than thirty percent of nameplate rating or the manufacturer's recommended exhaust temperature

Frequently asked questions

At least thirty minutes under load, at a minimum of thirty percent of the nameplate rating or the manufacturer's recommended exhaust gas temperature.

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