Scope of Work:Replace communication cards in VFD’s
General Information
Work Order
W0361077
Building
34-201
Person in Charge
Colmenares
Lead / Supervisor
Cameron, Benjamin
Logged Email
jcolmenares@lbl.gov
Division
Facilities
Work Planning
Modes of Work
☑ Mode 1 - LOTO & Zero Voltage Verification
QEW Level
QEW 2
Second Person Requirement
Safety Watch
Second Person Identified
Turner
Other Participants
Norberto
Affected Persons Notified
Yes
System / Equipment
Switching
Hazardous Switching
Panel / Equipment ID
MCC308a7a -4br , 4fl, 2bl, and 2hl and heater circuits 345a ck22 , 21, 25, and 13. ZVV at VFD
System Information Review
☑ Panel Schedules ☑ Arc Flash Labels
Control of Hazardous Energy
Complex LOTO w/ RI
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
BRIEF, LOTO MCC308a7a -4br , 4fl, 2bl, and 2hl and heater circuits 345a ck22 , 21, 25, and 13. ZVV at VFD
Control of Work Area
Minimum Approach Boundary
75 inch
Barricade Tape / Attendant
Danger - Red, Attendant
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
0
Will any other part of the body enter the RAB
No
Arc Flash Risk Assessment
Incident Energy
16 cal cal/cm2
Arc Flash Boundary
75 inch
Working Distance
18 inches
Arc Flash PPE Level
3
Incident Energy Reduction Measures
0
Capacitor Hazards
Capacitor Bus Voltage
10 vdc
Capacitor Total Stored Energy (Joules)
Not listed
Discharge Wait Time (Minutes)
5 minutes
Emergency Response Plan
Nearest Landline Location
None
Emergency Number to Call
7911
Sufficient Cell Phone Signal
Yes
Clear Exit Path
Yes
AED Location
On site
Fire Extinguisher Location
On site
Contact Release Method Available and Tested
Voltage gloves
Environmental Conditions
Does the environment present additional hazards that should be addressed?
Lookalike equipment, Noisy environment
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. ☑ Hearing protection ☑ 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
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:
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)
