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In order to use a power supply tester, you might have to remove the power supply from the case first. This involves opening up the case, unscrewing the power supply, unplugging all the connectors, and taking it out. This guide on
how power supplies are installed may be of use to you when
uninstalling yours. Hopefully, you can open the case and unhook all the connectors without removing the PSU itself from the case.
Once you have disconnect the PSU, it's time to test it. Plug the regular power cord into the back of the power supply, as usual. Plug the P1 (20+4 pin) power connector into the designated area on the tester. Plug the power supply into the wall and turn it on (if you have to). If your main connector is functioning, you will see green lights on all voltages and possibly hear a sound (indicators varie by make and model of tester). Leaving the P1 plugged in, test the rest of the connectors in their respective sockets. For the Molex connectors, +12 and +5V should light. For 4/6/8 pins, +12V should be lit. For Floppy, +12 and +5V should be lit. For SATA, +12, +5 and +3.3V should be lit. If there is a problem with the main connector, then you'll need to purchase a new power supply. If another connector has a problem, check the other identical ones. If you only have one bad connector, just don't use it. If all of a certain kind have a bad voltage, it's time to reach into your wallet.