Time / Date: 3/19/2024 18:43:38
JSP ID: 2337
Scope of Work: Powering off old Fire Alarm Panel and swapping for the new Fire Alarm Panel and then powering the new panel back on
Work Order: 366907
Building: 56A
Person in Charge: Ed Bekheet and Michael Chatham
Lead / Supervisor: Baird, Shawn
Logged Email: edbekheet@lbl.gov
Division: Facilities
QEW Level: QEW 2
Modes of Work: Mode 0 - Electrically Safe Work Condition
Second Person Requirement: Safety Watch
Second Person Identified: Mike Chatham
List Other Participants: Electrician Beaux
Affected Persons Notified: Yes
Switching: Non-Hazardous Switching
Panel / Equipment ID: 631A15A-12
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. Perform LOTO of FA panel. Panel circuit was over 8 calories. We needed to have a QEW-2 electrician do this for us, as well as the ZVV and we also did ZVV when he confirmed it was safe. We also put our LOTO on with his. 2. Perform ZVV to indicate zero voltage at panel 3. Swap old panel for new panel 4. Remove LOTO and power panel back on. Same QEW-3 person came to do this for us and we removed our LOTO safely to let him turn power on.

Control of Work Area

Minimum Approach Boundary: 42
Barricade Tape / Attendant: Attendant

Shock Risk Assessment

System Voltage: 120/208 V ac
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: 0 cal/cm2
Arc Flash Boundary: 62
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: By door inside at street side entrance
Emergency Number to Call: 911
Sufficient cell phone signal? Yes
Clear exit path? Yes
AED Location: By door at street side entrance inside
Fire Extinguisher Location: By front 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:

All precursors reviewed

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 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