QEW 1 / 2 / 3 Job Safety Plan

General Information

Work Order

Wo415067

Building

ALS bldg6

Person in Charge

Kevin Hope

Lead / Supervisor

Keusch, Justen

Logged Email

mjtaylor@lbl.gov

Division

Facilities

Work Planning

Modes of Work

☑ Mode 1 - LOTO & Zero Voltage Verification
☑ Mode 2 - Energized Diagnostics
☑ Testing and Troubleshooting
☑ Visual Inspection

QEW Level

QEW 2

Second Person Requirement

Safety Watch

Second Person Identified

Mayumi Taylor

Other Participants

N/a

Affected Persons Notified

Yes

System / Equipment

Switching

No Switching Required

Panel / Equipment ID

311a

System Information Review

☑ Panel Schedules
☑ Arc Flash Labels

Control of Hazardous Energy

LOTO Not Required (Mode 2 or 3 only)

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

Wear appropriate PPE for the task and verify the proper condition and operation of all required PPE and test equipment before beginning. Ensure relevant breaker is turned on in pnl 311a, then use a properly rated multimeter to confirm that voltage is present or absent. Troubleshooting may require toggling breakers on and off or replacing breaker(s) as needed.

Control of Work Area

Minimum Approach Boundary

42in

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

No

Voltage Glove Class

0

Will any other part of the body enter the RAB

No

Arc Flash Risk Assessment

Incident Energy

19.1cal/cm2 cal/cm2

Arc Flash Boundary

102in

Working Distance

18 inches

Arc Flash PPE Level

2

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

Door 2

Emergency Number to Call

911

Sufficient Cell Phone Signal

Yes

Clear Exit Path

Yes

AED Location

Bld6 lobby

Fire Extinguisher Location

Door2

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, Fall hazard, Lookalike equipment, Noisy environment

Error Precursors

Task Demands

Time pressure (in a hurry), Simultaneous or multiple tasks, Repetitive actions or monotony, Critical steps or irreversible acts

Work Environment

Distractions/interruptions, Changes/departures from routine, Workarounds/out of service instrumentation

Individual Capabilities

Human Nature

Stress (limits attention), Habit patterns, Assumptions

Error Precursor Mitigations

N/a

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