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QEW 1 / 2 / 3 Job Safety Plan

Electrical Safety
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Time / Date: 9/15/2025 13:04:06
JSP ID: 4116
Scope of Work: Commission replacement VFD for Sharp Lathe

General Information

Work Order
None
Building
77
Person in Charge
Ari Harding
Lead / Supervisor
Other
Logged Email
aharding@lbl.gov
Division
Other

Work Planning

Modes of Work
☑ Mode 0 - Electrically Safe Work Condition
☑ Mode 1 - LOTO & Zero Voltage Verification
☑ Mode 2 - Energized Diagnostics
☑ Testing and Troubleshooting
☑ Visual Inspection
QEW Level
QEW 1
Second Person Requirement
Standby Person
Second Person Identified
Ohmar Sowle
Other Participants
Affected Persons Notified
Yes

System / Equipment

Switching
Non-Hazardous Switching
Panel / Equipment ID
SHARP 1118H-CNC fed from 83A-27
System Information Review
☑ Manuals
Control of Hazardous Energy
Simple LOTO
Equipment Condition

Sequence of Job Steps

List basic sequence of steps from start to finish
Check LOTO Check wiring, close covers Notify Gabor Set barricade for mode 2 work Check vfd settings

Control of Work Area

Minimum Approach Boundary
42
Barricade Tape / Attendant
Danger - Red

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
3.99 at the switch cal/cm2
Arc Flash Boundary
35 inches
Working Distance
18 inches
Arc Flash PPE Level
Minimum PPE for Electrical Work
Incident Energy Reduction Measures
0

Capacitor Hazards

Capacitor Bus Voltage
Na
Capacitor Total Stored Energy (Joules)
Na
Discharge Wait Time (Minutes)
Na

Emergency Response Plan

Nearest Landline Location
Office
Emergency Number to Call
911
Sufficient Cell Phone Signal
Yes
Clear Exit Path
Yes
AED Location
By door
Fire Extinguisher Location
On beam by work
Contact Release Method Available and Tested
Upstream breaker or switch

Environmental Conditions

Does the environment present additional hazards that should be addressed?
None

Error Precursors

Task Demands
Work Environment
Individual Capabilities
Human Nature
Error Precursor Mitigations
None

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 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