Time / Date: 2/24/2024 7:05:03
JSP ID: 2256
Scope of Work: Powering off E-power on 4 FA panels, 2 System 3s, 1 XLS and VESDA system, near each other to put on normal power while electrical wiring is run. 3 panels are on the same wall and the VESDA system is in the 2nd floor electrical room.
Work Order: 367581
Building: 6
Person in Charge: Pete Combs and Ed Bekheet
Lead / Supervisor: Baird, Shawn
Logged Email: edbekheet@lbl.gov
Division: Facilities
QEW Level: QEW 1
Modes of Work: Mode 0 - Electrically Safe Work Condition, Mode 1 - LOTO & Zero Voltage Verification
Second Person Requirement: Standby Person
Second Person Identified: Ed Bekheet
List Other Participants:
Affected Persons Notified: Yes
Switching: Non-Hazardous Switching
Panel / Equipment ID: E333A-1, E333A-3, E333A-5, E333A-24
System Information Review: Single Line Drawing, Panel Schedules, Arc Flash Labels
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.

1. Flip off 4 breakers to kill power to all 4 panels 2. Perform ZVV to confirm 0 voltage on all 4 panels 3. Take off E power electrical wires 4. Put on temp power wires on each panel one by one 5. Plug into temporary power source for each panel one by one 6. When work is finished, we will unplug the temp power to all 4 panels 7. Perform ZVV on all 4 panels and then wire up E-power to all panels 8. Then we will turn on breakers and confirm power to all 4 panels

Control of Work Area

Minimum Approach Boundary: 42
Barricade Tape / Attendant: Danger - Red

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: 1.2 cal/cm2
Arc Flash Boundary: 18
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: 0
Capacitor total stored energy (joules): 0
Discharge wait time (minutes): 0

Emergency Response Plan

Nearest Landline Location: Right outside door straight ahead from column 3 in the red zone at the desk no more than 30 ft from door by panel. For the 2nd floor it is right down the corridor on the right
Emergency Number to Call: 911
Sufficient cell phone signal? Yes
Clear exit path? Yes
AED Location: Bldg 6 lobby
Fire Extinguisher Location: Right outside exit door by the panel leading to the ring to the left. For the 2nd floor it is right down the corridor near the electrical room
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: Time pressure (in a hurry), Simultaneous or multiple tasks
Work Environment:
Individual Capabilities:
Human Nature:
Error Precursor Mitigations:

Will follow ISM

PPE Inspections

Safety glasses (ANSI Z87),
Arc-rated clothing (flash suit,
daily wear) including face shield,
balaclava,
hood.,
Rubber insulating gloves and leather protectors,
Removal of conductive articles,
Insulated tools,
Multimeter and other electrical test instruments

Notes / Other

Perform Job Breifing

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 2023.08.22.1
Form Content and Feedback Contact: Michael Rose -- mvr@lbl.gov