EC.02.5.

07 Standard & NFPA

110 (EPSS)
Documentation Best Practice

1: Division Team Mission

 Presenters

Pouyan Layegh, P.E., MBA, LEED AP

Director, Campus Services
Facilities Management
UT MD Anderson Cancer Center
Disclaimer: Although the speaker is a member of the NFPA Technical Committee on Emergency Power Supplies which is responsible
for NFPA 110 Supplies, which is responsible for NFPA 110 and 111, the views and opinions expressed in this presentation are purely
those of the speaker and shall not be considered the official position of NFPA or any of its Technical Committees and shall not be
considered to be, nor be relied upon as a Formal Interpretation nor be relied upon as, a Formal Interpretation.
Readers are encouraged to refer to the entire texts of all referenced documents. NFPA members can obtain staff interpretations of NFPA
standards at www.nfpa.org.

Javier J Hidalgo
Manager, Electrical Systems
Facilities Management
UT MD Anderson Cancer Center
 Background
The University of Texas MD Anderson Cancer Center is one of the
largest cancer centers in the United States, we span more than 15
million square feet across 40 structures and three campuses. We serve
hundreds of patients at any given time. MD Anderson Cancer Center is
supported by an emergency power supply system (EPSS) consisting of:
• 61 backup generators, with over 50 MW capacity
• a sophisticated fuel system that feeds 300,000
gallons of diesel to the generators,
• an electrical distribution system composed of over
200 automatic transfer switches, electrical switch
gears, and parallel gears supported by breakers,
synchronizers, and other sophisticated controls.
 Codes & Standards

• NFPA 111 – Standard on Stored Electrical Energy Emergency and Standby

Power Systems
• NFPA 110 – Standard for Emergency and StandbyPower Systems
• NFPA 101 – Life Safety Code
• NFPA 99 – Healthcare Facility Code
• NFPA 70E – Standard for Electrical Safety in the Workplace
• The Joint Commission (TJC)
• Centers for Medicare & Medicaid Services (CMS)
 Codes & Standards

CMS – 42 CFR 482.15(e) – Effective 15 November 2016

482.15 (e)(1) Emergency generator location. The generator must be located in accordance
with the location requirements found in the Health Care Facilities Code (NFPA 99 and
Tentative Interim Amendments TIA 12-2, TIA 12-3, TIA 12-4, TIA 12-5, and TIA 12-6), Life
Safety Code (NFPA 101 and Tentative Interim Amendments TIA 12-1, TIA 12-2, TIA 12-3, and
TIA 12-4), and NFPA 110, when a new structure is built or when an existing structure or
building is renovated.
482.15(e)(2) Emergency generator inspection and testing. The hospital must implement the
emergency power system inspection, testing, and maintenance requirements found in the
Health Care Facilities Code, NFPA 110, and Life Safety Code.
 Codes & Standards
Joint Commission – EC.02.05.07, EP 4-10 – Projected to become effective 9 January 2017
EP 4 - At least weekly, the hospital inspects the emergency power supply system (EPSS), including all associated components and batteries. The results and
completion dates of weekly inspections are documented. Note: For additional guidance, see NFPA 110-2010: 8.3.1; 8.3.3; 8.3.4; 8.4.1.
EP5 - At least monthly, the hospital tests each emergency generator under load for at least 30 continuous minutes. The cool-down period is not part of the
30 continuous minutes. The test results and completion dates are documented.
EP 6 - The monthly tests for diesel-powered emergency generators are conducted with a dynamic load that is at least 30% of the nameplate rating of the
generator or meets the manufacturer’s recommended prime movers’ exhaust gas temperature. If the hospital does not meet either the 30% of nameplate
rating or the recommended exhaust gas temperature during any test in EC.02.05.07, EP 5, then it must test the emergency generator once every 12 months
using supplemental (dynamic or static) loads of 50% of nameplate rating for 30 minutes, followed by 75% of nameplate rating for 60 minutes, for a total of 1
½ continuous hours. Note: Tests for non-diesel-powered generators need only be conducted with available load.
EP 7 - At least monthly, the hospital tests all automatic transfer switches on the inventory. The test results and completion dates are documented.
EP8 - At least annually, the hospital tests the fuel quality to ASTM standards. The test results and completion dates are documented. Note: For additional
guidance, see NFPA 110-2010: 8.3.8.
EP 9 - At least once every 36 months, hospitals with a generator providing emergency power for the services listed in EC.02.05.03, EPs 5 and 6, test each
emergency generator for a minimum of 4 continuous hours. The test results and completion dates are documented. Note: For
additional guidance, see NFPA 110-2010, Chapter 8. Note that NFPA 110 requires the transferring of all ATS during the triennial test.
EP 10 - The 36-month diesel-powered emergency generator test uses a dynamic or static load that is at least 30% of the nameplate rating of the generator
or meets the manufacturer’s recommended prime movers' exhaust gas temperature. Note: Tests for non-diesel-powered generators need only be
conducted with available load.
 NFPA 110 – Suggested
Operation & Testing Procedures
 NFPA 110
Typical Multiple-Unit EPSS
 Documentation
During a recent visit by The Joint Commission surveyors, UT MD Anderson
Cancer Center review of the EPSS documentation took less than 30 min.
This is the culmination of code compliance, third party verification and team
work.
Surveyors were presented with a binder that contained all equipment
required maintenance & compliance followed by detail information of
corrective and proactive work.
It also included pertinent EPSS institutional polices and procedures
And a summarized spreadsheet that included:
• Test Date
• Frequency Compliance
• Applicable Readings
• Test duration
• Test Result
Sample Summary View
Sample Documentation
 Demand Response (DR)
and EPSS Proper Functioning Validation

What is Demand Response?

It is a program that encourages customers to reduce
demand, thereby reducing the peak demand for
electricity among the utility power system. Demand
response allows end-use electric customers to reduce
their electrical usage in a given time period, in
response to a utility power system reliability and
financial incentive.
MD Anderson has and is participating in DR programs
for both Electrical Reliability Council of Texas (ERCOT)
and CenterPoint Energy CPE.
Last year several generators ran for 4 hours shedding
4MW of power from the grid and proving that our
EPSS is operating as intended during peak demand
time.
 TJC
ECNews December 2016
Questions?