Time / Date: 8/19/2024 12:57:26
JSP ID: 2856
Scope of Work: Enter Multistack HP-101 and HP-103 and make observations
Work Order: N/A
Building: B92
Person in Charge: Williams
Lead / Supervisor: Other
Logged Email: danwilliams@lbl.gov
Division: Other
QEW Level: QEW 2
Modes of Work: Mode 0 - Electrically Safe Work Condition, Mode 1 - LOTO & Zero Voltage Verification
Second Person Requirement: Standby Person
Second Person Identified: Espino
List Other Participants: Perez
Affected Persons Notified:
Switching: No Switching Required
Panel / Equipment ID: HP-101, HP-102
System Information Review: Single Line Drawing, Panel Schedules, Arc Flash Labels
Control of Hazardous Energy: Simple LOTO
Equipment Condition: All doors and covers closed and fully latched, No signs of impending failure

Sequence of Job Steps

List basic sequence of steps from start to finish.

LOTO E700A1A4A ckt HP-101 and HP-102, ZVV at Disc HP-101 and Disc HP-102, enter HP-101 and HP-102 with First Exposure ZVV make observations. Close equipment when complete and remove locks.

Control of Work Area

Minimum Approach Boundary: 42 in
Barricade Tape / Attendant: 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: .5 cal /cm2 cal/cm2
Arc Flash Boundary: 11 in.
Working Distance: 18 inches
Arc Flash PPE Level: Minimum PPE for Electrical Work
Incident Energy Reduction Measures: 0

Capacitor Hazards

Capacitor Bus Voltage:
Capacitor total stored energy (joules):
Discharge wait time (minutes):

Emergency Response Plan

Nearest Landline Location: B92 First Floor
Emergency Number to Call: 510-6999
Sufficient cell phone signal? Yes
Clear exit path? Yes
AED Location: Trailer Clark
Fire Extinguisher Location: 5th Floor Mech Room
Contact release method available and tested: Rescue hook

Environmental Conditions

Does the environment present additional hazards that should be addressed?

None

Error Precursors

Task Demands: High workload (memory requirements)
Work Environment:
Individual Capabilities:
Human Nature:
Error Precursor Mitigations:

STAR

PPE Inspections

Safety glasses (ANSI Z87),
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