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QEW 1 / 2 / 3 Job Safety Plan

Electrical Safety
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Time / Date: 3/18/2026 10:39:16
JSP ID: 4638
Scope of Work: Measure current on S5ID XFRM

General Information

Work Order
None
Building
6
Person in Charge
Angela M
Lead / Supervisor
Bashaw, Doug
Logged Email
armiller@lbl.gov
Division
ALS

Work Planning

Modes of Work
☑ Mode 2 - Energized Diagnostics
☑ Testing and Troubleshooting
☑ Visual Inspection
QEW Level
QEW 1
Second Person Requirement
Not Required
Second Person Identified
Other Participants
Affected Persons Notified
N/A

System / Equipment

Switching
No Switching Required
Panel / Equipment ID
S5 IDH S0506 Stepper Motor Drive Chassis
System Information Review
☑ Panel Schedules
☑ Arc Flash Labels
Control of Hazardous Energy
Cord & Plug LOTO
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
clamp current probe around each of 4 wires and record oscilloscope and current meter data

Control of Work Area

Minimum Approach Boundary
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
No
Voltage Glove Class
1
Will any other part of the body enter the RAB
No

Arc Flash Risk Assessment

Incident Energy
11 cal/cm2
Arc Flash Boundary
none
Working Distance
No Arc Flash Hazard Present
Arc Flash PPE Level
2
Incident Energy Reduction Measures
1

Capacitor Hazards

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

Emergency Response Plan

Nearest Landline Location
S6
Emergency Number to Call
911
Sufficient Cell Phone Signal
Yes
Clear Exit Path
Yes
AED Location
outside LINAC
Fire Extinguisher Location
S6 tunnel door
Contact Release Method Available and Tested
Upstream breaker or switch, Voltage gloves

Environmental Conditions

Does the environment present additional hazards that should be addressed?
Insufficient lighting

Error Precursors

Task Demands
Work Environment
Individual Capabilities
Unfamiliar with, or first time performing task
Human Nature
Error Precursor Mitigations
Will bring extra lights and perform tests with the insertion device expert

PPE Inspections

☑ Safety glasses (ANSI Z87)
☑ Arc-rated clothing (flash suit
☑ daily wear) including face shield
☑ balaclava
☑ hood.
☑ 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

No exposed 208VAC. Finger safe covers will not need to be removed. Current camp does not require contact with conductors.

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