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QEW 1 / 2 / 3 Job Safety Plan

Electrical Safety
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Time / Date: 6/29/2023 10:32:55
JSP ID: 1191
Scope of Work: Disconnect temporary generator for LP-4943

General Information

Work Order
W0326110
Building
85
Person in Charge
Alma Armenta
Lead / Supervisor
Cameron, Benjamin
Logged Email
alarmentaduran@lbl.gov
Division
Facilities

Work Planning

Modes of Work
☑ Mode 0 - Electrically Safe Work Condition
QEW Level
QEW 2
Second Person Requirement
Not Required
Second Person Identified
Andrew Southward
Other Participants
GOEBEL
Affected Persons Notified
N/A

System / Equipment

Switching
Hazardous Switching
Panel / Equipment ID
E359A Ct2
System Information Review
☑ Arc Flash Labels
Control of Hazardous Energy
Complex LOTO (requires LP, CLP, FLP)
Equipment Condition
☑ Properly installed
☑ 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
Remove group loto locks at isolation points to be disconnected. Establish FLP-159 on temp generator. Disconnect DLO cables/remote start/extension cords. Replace neutral ground bonding jumper as was originally found. Return house generator to original condition-both remote start circuit and power cables. Test house generator in working condition.

Control of Work Area

Minimum Approach Boundary
113”
Barricade Tape / Attendant
Danger - Red

Shock Risk Assessment

System Voltage
277/480 V ac
Limited Approach Boundary
42 inches
Restricted Approach Boundary
12 inches
Will the hands enter the RAB
Yes
Voltage Glove Class
Not Required
Will any other part of the body enter the RAB
No

Arc Flash Risk Assessment

Incident Energy
25 cal/cm2 cal/cm2
Arc Flash Boundary
113”
Working Distance
18 inches
Arc Flash PPE Level
Minimum PPE for Electrical Work
Incident Energy Reduction Measures
Not Required

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
Building 85
Emergency Number to Call
5104867911
Sufficient Cell Phone Signal
Yes
Clear Exit Path
Yes
AED Location
On hand
Fire Extinguisher Location
By temporary generator
Contact Release Method Available and Tested
Voltage gloves

Environmental Conditions

Does the environment present additional hazards that should be addressed?
None

Error Precursors

Task Demands
Work Environment
Individual Capabilities
Human Nature
Error Precursor Mitigations
None

PPE Inspections

☑ Safety glasses (ANSI Z87)
☑ Hearing protection
☑ Rubber insulating gloves and leather protectors
☑ Non-melting footwear that fully covers the feet

Notes / Other

None

Perform Job Briefing

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