QEW 1 / 2 / 3 Job Safety Plan

General Information

Work Order

None

Building

6 Manhole 159

Person in Charge

Cameron

Lead / Supervisor

Cameron, Benjamin

Logged Email

jcolmenares@lbl.gov

Division

ALS

Work Planning

Modes of Work

☑ Mode 0 - Electrically Safe Work Condition
☑ Mode 1 - LOTO & Zero Voltage Verification

QEW Level

QEW 2

Second Person Requirement

Safety Watch

Second Person Identified

Pica

Other Participants

Turner, RC, Justin, Cameron

Affected Persons Notified

Yes

System / Equipment

Switching

Hazardous Switching

Panel / Equipment ID

HVJO1

System Information Review

☑ Arc Flash Labels
☑ 60kv dc junction box

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

Sequence of Job Steps

List basic sequence of steps from start to finish

Check out fall protection and set up to enter man hole. Test air, brief

Control of Work Area

Minimum Approach Boundary

70 inch

Barricade Tape / Attendant

Danger - Red, Attendant

Shock Risk Assessment

System Voltage

60kv

Limited Approach Boundary

60 inches

Restricted Approach Boundary

3 feet, 6 inches

Will the hands enter the RAB

Yes

Voltage Glove Class

2

Will any other part of the body enter the RAB

Yes

Arc Flash Risk Assessment

Incident Energy

18 cal cal/cm2

Arc Flash Boundary

70 inch

Working Distance

24 inches

Arc Flash PPE Level

4

Incident Energy Reduction Measures

2

Capacitor Hazards

Capacitor Bus Voltage

Capacitor Total Stored Energy (Joules)

Discharge Wait Time (Minutes)

Emergency Response Plan

Nearest Landline Location

ALS

Emergency Number to Call

7911

Sufficient Cell Phone Signal

Yes

Clear Exit Path

Yes

AED Location

On site

Fire Extinguisher Location

Sub 3

Contact Release Method Available and Tested

Voltage gloves

Environmental Conditions

Does the environment present additional hazards that should be addressed?

Insufficient lighting, Confined space, Insufficient/cramped/awkward space

Error Precursors

Task Demands

Unclear goals, roles, or responsibilities

Work Environment

Individual Capabilities

Unfamiliar with, or first time performing task

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)
Emergency Response Plan