Maintains boiler room and machine room logs including, but not limited to, steam, fuel and water consumption data, feed water and flue gas test results, medical gas system parameters, tank levels, fuel and medical gas deliveries and HVAC system parameters. Responds to various system alarms including, but not limited to, refrigeration, oxygen/piped gas, heating/cooling, boilers, and generators and acknowledges alarms, resets or takes appropriate corrective actions.