Radiators use fans to cool the engine, which are operated by electric motors. These motors are turned on and off by the PCM (Powertrain Control Module) based on readings from the ECT (Coolant Temperature Sensor). When the ECT sensor reaches a temperature set by the manufacturer, the PCM turns the fans on. When the temperature drops, it turns the fans off.
The Power Control Module or PCM handles the cooling fans through a ground signal. Then, this signal is sent to the cooling fan relay. If the signal circuit is not grounded, the signal voltage is high around the battery voltage. And when it is running or grounded, the voltage is near zero. The OBD2 DTC P0691 is set when the PCM detects low voltage when cooling fan number 1 is off.