Time / Date: 10/20/2022 8:13:36
JSP ID: 119
Scope of Work: Summary: NERSC QEW2's will work with vendor Intellitech to modify the FIKE EPSMS panel in rm. 2005 at B59 to reconfigure EPO #2 to parallel Firefighter's EPO #1. Upon completion functional test will be performed to verify operation without initiating shutdowns. Work will be performed under LOTO permit LP-4700. Procedure will be reviewed by electrical safety as part of the QEW pilot program assessment. 1. Notify FA Fire Alarm Electrician lead and NERSC operations of FIKE panel outage 2. Set up warning tape perimeter and warning signs in FIKE EPSMS panel area 3. Perform job briefing with Intellitech and NERSC safety watch (QEW 2) 4. Put FIKE panel in bypass 5. In BMS system, shut down SBL 20, 21, and EBL 20A, 20B, and 21 6. Proceed to both 3rd floor south and north electrical rooms, NERSC R.I. to perform LOTO briefing and initiate LOTO LP-4700 7. Return to Rm. 2005 and NERSC QEW2 will perform ZVV on FIKE EPSMS panel 8. Intellitech to perform re-wiring of EPO button #2 9. Once complete, Intellitech will open all output fuses prior to re-energization of FIKE panel 10. Notify FA Fire Alarm Electrician lead and NERSC operations of re-energization of FIKE panel 11. Proceed to 3rd floor south electric room, NERSC R.I. to perform re-energization briefing, release LOTO LP-4700, and re-energize FIKE panel circuits 12. Intellitech to visually verify that FIKE EPSMS panel is functioning as expected. (from outside LOTO perimeter) 13. Intellitech to simulate EPO button # 2 activation and verify relay activation 14. Once operation is confirmed, Intellitech to reset EPO button #2. 15. Once FIKE panel is confirmed as clear of input activations, and in bypass, NERSC QEW2 to close output fuses with appropriate PPE. 16. NERSC QEW2 to close FIKE panel and reset to clear bypass. 17. IN BMS system, restart SBL 20, 21 and EBL 20A, 20B, and 21 18. Notify FA Fire Alarm Electrician lead and NERSC operations that job is complete 19. Collect feedback from all involved on process 20. Remove all signs and barriers 21. Job complete
Work Order: N/A
Building:
Person in Charge: Jeff Grounds
Lead / Supervisor: Other
Logged Email: jtgrounds@lbl.gov
Division: Facilities
QEW Level: QEW 2
Modes of Work: Mode 0 - Electrically Safe Work Condition, Mode 1 - LOTO & Zero Voltage Verification, Mode 2 - Energized Diagnostics, Testing and Troubleshooting, Visual Inspection
Second Person Requirement: Safety Watch
Second Person Identified: Ernie Jew
List Other Participants: Ernie Jew (QEW2- (safety watch), Katherine Johnson (reviewer), Mike Rose (reviewer), Intellitech technician
Affected Persons Notified: Yes
Switching: Non-Hazardous Switching
Panel / Equipment ID: Panel E594A, U592A, FIKE EPSMS
System Information Review: Panel Schedules, Arc Flash Labels, Intellitech FIKE panel drawings
Control of Hazardous Energy: Complex LOTO w/ RIN/A (Mode 2 or Mode 3 only)
Equipment Condition: Properly installed, Properly maintained, All doors and covers closed and fully latched, No signs of impending failure, Not energizing equipment for the first time, or after electrical repair

Sequence of Job Steps

List basic sequence of steps from start to finish.

See Above

Control of Work Area

Minimum Approach Boundary: 42"
Barricade Tape / Attendant: Warning

Shock Risk Assessment

System Voltage: 120/208 V ac
Limited Approach Boundary: 42 inches
Restricted Approach Boundary: 12 inches
Will the hands enter the RAB: Yes
Voltage Glove Class: 0
Will any other part of the body enter the RAB: No

Arc Flash Risk Assessment

Incident Energy: 1.6 cal/cm2 cal/cm2
Arc Flash Boundary: 22"
Working Distance: 18 inches
Arc Flash PPE Level: 2
Incident Energy Reduction Measures: 0

Capacitor Hazards

Capacitor Bus Voltage: N/A
Capacitor total stored energy (joules): N/A
Discharge wait time (minutes): N/A

Emergency Response Plan

Nearest Landline Location: operations desk - rm. 2005
Emergency Number to Call: 911
Sufficient cell phone signal? Yes
Clear exit path? Yes
AED Location: 3rd floor lobby
Fire Extinguisher Location: Rm 2102 (adjacent computer room)
Contact release method available and tested: Rescue hook

Environmental Conditions

Does the environment present additional hazards that should be addressed?

Heavy traffic

Error Precursors

Task Demands: Critical steps or irreversible acts
Work Environment: Distractions/interruptions
Individual Capabilities:
Human Nature:
Error Precursor Mitigations:

Avoid interruptions, block off high traffic area

PPE Inspections

Notes / Other

Perform Job Breifing

PIC Conducts the Job Briefing. Cover all the contents of the Job Safety Plan.

A Job Briefing at a minimum must include:
  1. Detailed Scope of Work
  2. Shock and arc flash hazards for each task
  3. Controls to mitigate the hazards (procedures, precautions, energy source controls, PPE requirements)
  4. Work area controls (barricades, signs, attendants)
  5. Emergency Response Plan


Rev 2023.08.22.1
Form Content and Feedback Contact: Michael Rose -- mvr@lbl.gov