QEW 1 / 2 / 3 Job Safety Plan

General Information

Work Order

W0401262

Building

50a

Person in Charge

Juan Juárez

Lead / Supervisor

Delgado, Alex

Logged Email

juanjuarez37@lbl.gov

Division

Facilities

Work Planning

Modes of Work

☑ Mode 1 - LOTO & Zero Voltage Verification

QEW Level

QEW 2

Second Person Requirement

Safety Watch

Second Person Identified

Michael capeto

Other Participants

Affected Persons Notified

Yes

System / Equipment

Switching

Non-Hazardous Switching

Panel / Equipment ID

E35B15A1A/50AAC009

System Information Review

☑ Arc Flash Labels

Control of Hazardous Energy

Complex LOTO (requires LP, CLP, FLP)

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

After the safety briefing we will established LOTO AND ZVV ,removed the access panel to perform electrical visual inspection , thigh in screws and check electrical capacitors and contactors ,we will replaced air filters , checked indoor blower components,reconnect power supply and performed a system test.

Control of Work Area

Minimum Approach Boundary

102

Barricade Tape / Attendant

Attendant

Shock Risk Assessment

System Voltage

120/208 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

29.5 cal/cm2

Arc Flash Boundary

106

Working Distance

18 inches

Arc Flash PPE Level

4

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

1st floor

Emergency Number to Call

7911

Sufficient Cell Phone Signal

Yes

Clear Exit Path

Yes

AED Location

Portable

Fire Extinguisher Location

Inside room

Contact Release Method Available and Tested

Rescue hook, Voltage gloves

Environmental Conditions

Does the environment present additional hazards that should be addressed?

Fall hazard

Error Precursors

Task Demands

Work Environment

Individual Capabilities

Human Nature

Mental shortcuts (biases)

Error Precursor Mitigations

Review steps

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

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