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Time / Date: 3/28/2024 8:07:56
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JSP ID: 2380
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Scope of Work: Perform P/M on Air conditioner
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Work Order: QEW Practical
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Building: 75A
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Person in Charge: Darren kranz
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Lead / Supervisor: Delgado, Alex
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Logged Email: drkranz@lbl.gov
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Division: Facilities
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QEW Level: QEW 2
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Modes of Work: Mode 0 - Electrically Safe Work Condition, Mode 1 - LOTO & Zero Voltage Verification
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Second Person Requirement: Standby Person
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Second Person Identified: Mike Rose
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List Other Participants:
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Affected Persons Notified: Yes
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Switching: Hazardous Switching
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Panel / Equipment ID: 234A
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System Information Review: Arc Flash Labels
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Control of Hazardous Energy: Simple LOTO
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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
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Sequence of Job Steps
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List basic sequence of steps from start to finish.
We will notify affected people , switch disconnect 16A to the open position ,perform ZVV on the ,load side ,install LOTO lock and challenge the lock . Open the air conditioner PNL 208A perform ZVV and sweep proximity tester .we will perform the preventive maintenance once complete we will notify effected people ,remove the LOTO and perform switching on disconnect 16A |
Control of Work Area
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Minimum Approach Boundary: 45
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Barricade Tape / Attendant: Warning - Orange
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Shock Risk Assessment
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System Voltage: 277/480 V ac
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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: Yes
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Voltage Glove Class: 0
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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: 6.29 cal/cm2
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Arc Flash Boundary: 45
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Working Distance: 18 inches
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Arc Flash PPE Level: 2
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Incident Energy Reduction Measures: 0
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Capacitor Hazards
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Capacitor Bus Voltage: N\A
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Capacitor total stored energy (joules): N/A
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Discharge wait time (minutes): N/A
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Emergency Response Plan
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Nearest Landline Location: 75 hallway
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Emergency Number to Call: 1510 486 7911
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Sufficient cell phone signal? Yes
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Clear exit path? Yes
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AED Location: 75A north wall
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Fire Extinguisher Location: 75A outside back door
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Contact release method available and tested: Upstream breaker or switch
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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:
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Error Precursor Mitigations:
None |
PPE Inspections
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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
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208V 6.29 calories panel208A
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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 |