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Time / Date: 10/20/2023 11:38:43
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JSP ID: 1725
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Scope of Work: Remove temporary power from FPU 002 in 100 Hallway. Re-terminate the Epower panel circuit to the FPU.
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Work Order: 329794
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Building: 72
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Person in Charge: Anthony Pilz
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Lead / Supervisor: Ramer, Robert
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Logged Email: apilz@lbl.gov
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Division: Facilities
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QEW Level: QEW 2
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Modes of Work: Mode 1 - LOTO & Zero Voltage Verification
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Second Person Requirement: Standby Person
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Second Person Identified: Shane Miller
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List Other Participants:
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Affected Persons Notified: Yes
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Switching: Non-Hazardous Switching
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Panel / Equipment ID: 39A1A & E157A1A
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System Information Review: Panel Schedules, Arc Flash Labels
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Control of Hazardous Energy: Simple LOTO
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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
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Sequence of Job Steps
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List basic sequence of steps from start to finish.
-LOTO Normal Power panel and ZVV FPU002. -Remove the Flex from the receptacle in the hallway that feeds FPU j box. -Due to air gap in jbox in ceiling able to work off simple LOTO in panel 39A1A circuit 4. -Release LOTO to 39A1A circuit 4. -Implement Simple LOTO and ZVV on Panel E157A1A circuit 12. -Re splice the Epower circuit to the FPU j box -Release LOTO |
Control of Work Area
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Minimum Approach Boundary: 60 inches
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Barricade Tape / Attendant: Attendant
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Shock Risk Assessment
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System Voltage: 120 Vac
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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: No
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Voltage Glove Class: 00
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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: 39A1A= 8.69 cal/cm^2 ; E157A1A= <1.2 cal/cm^2 cal/cm2
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Arc Flash Boundary: 39A1A= 62 inches ; E157A1A= 18 inches
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Working Distance: No Arc Flash Hazard Present
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Arc Flash PPE Level: Minimum PPE for Electrical Work
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Incident Energy Reduction Measures: 00
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Capacitor Hazards
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Capacitor Bus Voltage:
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Capacitor total stored energy (joules):
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Discharge wait time (minutes):
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Emergency Response Plan
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Nearest Landline Location: In Office next to Panel
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Emergency Number to Call: 6999 / 911
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Sufficient cell phone signal? Yes
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Clear exit path? Yes
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AED Location: End of the Hall
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Fire Extinguisher Location: End of Hall
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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: Stress (limits attention)
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Error Precursor Mitigations:
Created a Clean Work environment by getting in the building early enough for no occupants to be in there. |
PPE Inspections
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Safety glasses (ANSI Z87),
Rubber insulating gloves and leather protectors, Non-melting footwear that fully covers the feet, Removal of conductive articles, Multimeter and other electrical test instruments |
Notes / Other
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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 |