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Time / Date: 6/29/2023 10:32:55
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JSP ID: 1191
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Scope of Work: Disconnect temporary generator for LP-4943
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Work Order: W0326110
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Building: 85
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Person in Charge: Alma Armenta
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Lead / Supervisor: Cameron, Benjamin
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Logged Email: alarmentaduran@lbl.gov
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Division: Facilities
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QEW Level: QEW 2
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Modes of Work: Mode 0 - Electrically Safe Work Condition
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Second Person Requirement: Not Required
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Second Person Identified: Andrew Southward
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List Other Participants: GOEBEL
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Affected Persons Notified: N/A
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Switching: Hazardous Switching
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Panel / Equipment ID: E359A Ct2
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System Information Review: Arc Flash Labels
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Control of Hazardous Energy: Complex LOTO (requires LP, CLP, FLP)
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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
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Sequence of Job Steps
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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
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Minimum Approach Boundary: 113”
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Barricade Tape / Attendant: Danger - Red
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Shock Risk Assessment
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System Voltage: 277/480 V ac
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Limited Approach Boundary: 42 inches
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Restricted Approach Boundary: 12 inches
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Will the hands enter the RAB: Yes
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Voltage Glove Class: Not Required
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Will any other part of the body enter the RAB: No
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Arc Flash Risk Assessment
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Incident Energy: 25 cal/cm2 cal/cm2
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Arc Flash Boundary: 113”
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Working Distance: 18 inches
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Arc Flash PPE Level: Minimum PPE for Electrical Work
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Incident Energy Reduction Measures: Not Required
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Capacitor Hazards
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Capacitor Bus Voltage: N/A
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Capacitor total stored energy (joules): N/A
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Discharge wait time (minutes): N/A
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Emergency Response Plan
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Nearest Landline Location: Building 85
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Emergency Number to Call: 5104867911
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Sufficient cell phone signal? Yes
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Clear exit path? Yes
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AED Location: On hand
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Fire Extinguisher Location: By temporary generator
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Contact release method available and tested: Voltage gloves
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Environmental Conditions
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Does the environment present additional hazards that should be addressed?
None |
Error Precursors
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Task Demands:
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Work Environment:
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Individual Capabilities:
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Human Nature:
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Error Precursor Mitigations:
None |
PPE Inspections
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Safety glasses (ANSI Z87),
Hearing protection, Rubber insulating gloves and leather protectors, Non-melting footwear that fully covers the feet |
Notes / Other
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None
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Perform Job Breifing
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PIC Conducts the Job Briefing. Cover all the contents of the Job Safety Plan.
A Job Briefing at a minimum must include:
Rev 2023.08.22.1 Form Content and Feedback Contact: Michael Rose -- mvr@lbl.gov |