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QEW 1 / 2 / 3 Job Safety Plan

Electrical Safety
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Time / Date: 5/14/2025 9:44:19
JSP ID: 3733
Scope of Work: LOTO the 1400 Helium Refrigerator and inspect/repair.

General Information

Work Order
N/A
Building
88
Person in Charge
Brendan Ford
Lead / Supervisor
Other
Logged Email
bpford@lbl.gov
Division
Other

Work Planning

Modes of Work
☑ Mode 0 - Electrically Safe Work Condition
☑ Mode 1 - LOTO & Zero Voltage Verification
QEW Level
QEW 2
Second Person Requirement
Standby Person
Second Person Identified
Yes
Other Participants
Building 88 Control Room and Mechanical shop and outside vendor (Negative One Eighty).
Affected Persons Notified
Yes

System / Equipment

Switching
Hazardous Switching
Panel / Equipment ID
Station A 1400 Helium Refrigerator
System Information Review
☑ Single Line Drawing
☑ Panel Schedules
☑ Arc Flash Labels
Control of Hazardous Energy
Complex LOTO w/ RI
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. Inform Control Room and Mechanical group to have the unit safely shut down. 2. Perform the LOTO using LOTO procedure R2A-5. 3. Perform Inspection/repairs. 4.Verify with Control Room and Mechanical group that unit is safe/ready to remove LOTO R2A-5. 5. Remove LOTO and return control back to Control Room and Mechanical Group.

Control of Work Area

Minimum Approach Boundary
42 inches
Barricade Tape / Attendant
Notice - Blue

Shock Risk Assessment

System Voltage
120 V ac, 240 V ac, 480 V ac.
Limited Approach Boundary
42 inches
Restricted Approach Boundary
12 inches
Will the hands enter the RAB
No
Voltage Glove Class
0
Will any other part of the body enter the RAB
No

Arc Flash Risk Assessment

Incident Energy
480 V ac is 5.64. 240 V ac is 9.69. cal/cm2
Arc Flash Boundary
67 inches.
Working Distance
18 inches
Arc Flash PPE Level
2+
Incident Energy Reduction Measures
0

Capacitor Hazards

Capacitor Bus Voltage
N/A
Capacitor Total Stored Energy (Joules)
N/A
Discharge Wait Time (Minutes)
N/A

Emergency Response Plan

Nearest Landline Location
15 feet away directly to the West on wall.
Emergency Number to Call
911
Sufficient Cell Phone Signal
Yes
Clear Exit Path
Yes
AED Location
Brought to switching location.
Fire Extinguisher Location
4 feet away directly behing wall of panels being switched..
Contact Release Method Available and Tested
Rescue hook, Voltage gloves

Environmental Conditions

Does the environment present additional hazards that should be addressed?
Noisy environment

Error Precursors

Task Demands
Critical steps or irreversible acts
Work Environment
Distractions/interruptions
Individual Capabilities
Human Nature
Stress (limits attention)
Error Precursor Mitigations
Have standby person double check each step verbally as it is performed per the LOTO procedure.

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:
  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