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QEW 1 / 2 / 3 Job Safety Plan

Electrical Safety
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Time / Date: 10/25/2023 16:59:10
JSP ID: 1750
Scope of Work: Replace Rectifier Flow Switch - 8W598 Section D

General Information

Work Order
NA
Building
B88
Person in Charge
Ken Lambert
Lead / Supervisor
Other
Logged Email
mkireeffcovo@lbl.gov
Division
Other

Work Planning

Modes of Work
☑ Mode 0 - Electrically Safe Work Condition
☑ Mode 1 - LOTO & Zero Voltage Verification
QEW Level
QEW 1
Second Person Requirement
Not Required
Second Person Identified
NA
Other Participants
MIchel Kireeff COvo
Affected Persons Notified
Yes

System / Equipment

Switching
Non-Hazardous Switching
Panel / Equipment ID
Bending Magnet EE40
System Information Review
☑ print 8W598
Control of Hazardous Energy
Simple LOTO
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
Inform Control Room intention of applying the LOTO, Secure the power suply, Isolate the supply and return, LOTO E120 [2] - 1, Open flow switch cover, ZVV, Remove wiring, Replace with new flow switch, Rewire, Place back flow switch cover, Return water to the circuit, Check for leaks, Inform control Room intention of removing the LOTO, Remove LOTO, Test power supply

Control of Work Area

Minimum Approach Boundary
42
Barricade Tape / Attendant
Attendant

Shock Risk Assessment

System Voltage
120 Vac
Limited Approach Boundary
42 inches
Restricted Approach Boundary
3 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
NA cal/cm2
Arc Flash Boundary
NA
Working Distance
No Arc Flash Hazard Present
Arc Flash PPE Level
Minimum PPE for Electrical Work
Incident Energy Reduction Measures
0

Capacitor Hazards

Capacitor Bus Voltage
NA
Capacitor Total Stored Energy (Joules)
NA
Discharge Wait Time (Minutes)
NA

Emergency Response Plan

Nearest Landline Location
Switching Gear Room, next to the door
Emergency Number to Call
911
Sufficient Cell Phone Signal
Yes
Clear Exit Path
Yes
AED Location
Front of the building
Fire Extinguisher Location
Switching Gear Room, next to the door
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)
☑ 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
☑ 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:
  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 2026.03.17.1
Form Content and Feedback Contact: Michael Rose -- mvr@lbl.gov