QEW 1 / 2 / 3 Job Safety Plan

General Information

Work Order

n/a

Building

Bldg. 2

Person in Charge

Felipe Sanchez

Lead / Supervisor

Other

Logged Email

fbsanchez@lbl.gov

Division

Facilities

Work Planning

Modes of Work

☑ Mode 0 - Electrically Safe Work Condition
☑ Mode 1 - LOTO & Zero Voltage Verification

QEW Level

QEW 1

Second Person Requirement

Standby Person

Second Person Identified

Jaime Romo

Other Participants

n/a

Affected Persons Notified

Yes

System / Equipment

Switching

Non-Hazardous Switching

Panel / Equipment ID

n/a

System Information Review

☑ Operational/shutdown procedure for the equipment was provided by customer.customer.

Control of Hazardous Energy

Cord & Plug LOTO

Equipment Condition

☑

Sequence of Job Steps

List basic sequence of steps from start to finish

This job was done on July 20, 20223. Upon arrival at the site, customer put his own LOTO on disconnects connected to main equipment. Advised him that we will replace his locks with our LOTO lock. Upon shutting down the equipment, measured ZVV, value = 244 Vac (proving unit). Measured zero values for the following (line -line terminals, line - ground terminals, neutral - ground terminals and line- neutral terminals). The new circuit breaker (to replace the broken handle) doesn't fit into the hole/slot. Customer was advised regarding the problem. Advised him that we'll research and purchase a new circuit breaker. QEW/LOTO locks were removed, disconnects were turned on and equipment was live for operation.

Control of Work Area

Minimum Approach Boundary

Barricade Tape / Attendant

Shock Risk Assessment

System Voltage

120/240 V ac

Limited Approach Boundary

None

Restricted Approach Boundary

None

Will the hands enter the RAB

No

Voltage Glove Class

00

Will any other part of the body enter the RAB

No

Arc Flash Risk Assessment

Incident Energy

No access/locked on electrical panel. cal/cm2

Arc Flash Boundary

n/a

Working Distance

No Arc Flash Hazard Present

Arc Flash PPE Level

Minimum PPE for Electrical Work

Incident Energy Reduction Measures

00

Capacitor Hazards

Capacitor Bus Voltage

Capacitor Total Stored Energy (Joules)

Discharge Wait Time (Minutes)

Emergency Response Plan

Nearest Landline Location

inside the laboratory room

Emergency Number to Call

(510) 486-6999

Sufficient Cell Phone Signal

Yes

Clear Exit Path

Yes

AED Location

outside of room

Fire Extinguisher Location

outside of hallway

Contact Release Method Available and Tested

Environmental Conditions

Does the environment present additional hazards that should be addressed?

Confined space, Insufficient/cramped/awkward space

Error Precursors

Task Demands

Work Environment

Individual Capabilities

Human Nature

Error Precursor Mitigations

n/a

PPE Inspections

☑ Safety glasses (ANSI Z87)
☑ Arc-rated clothing (flash suit
☑ daily wear) including face shield
☑ balaclava
☑ hood.
☑ Rubber insulating gloves and leather protectors
☑ Non-melting footwear that fully covers the feet
☑ Removal of conductive articles
☑ Insulated tools
☑ Multimeter and other electrical test instruments

Notes / Other

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:

Detailed Scope of Work
Shock and arc flash hazards for each task
Controls to mitigate the hazards (procedures, precautions, energy source controls, PPE requirements)
Work area controls (barricades, signs, attendants)
Emergency Response Plan