Time / Date: 2/8/2023 14:06:41
JSP ID: 570
Scope of Work: Perform annual maintenance on 70A Aru 004
Work Order: 299287
Building:
Person in Charge: Justin walker
Lead / Supervisor: Delgado, Alex
Logged Email: jwwalker@lbl.gov
Division: Facilities
QEW Level: QEW 2
Modes of Work: Mode 0 - Electrically Safe Work Condition, Mode 1 - LOTO & Zero Voltage Verification
Second Person Requirement: Safety Watch
Second Person Identified: Juan Garcia
List Other Participants: Plumber and electricians
Affected Persons Notified: Yes
Switching: Hazardous Switching
Panel / Equipment ID: 31A ckt 12/ 70A Aru 004
System Information Review: Panel Schedules, Arc Flash Labels, Maintainance switch
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.

Go over job scope. Fill out and submit JSP form.go over safety briefing with plumbers and electricians. Electicians to rack out breaker with remote racking device. And put into maintainecne mode to lower arc flash at chiller to 1.52 cal to perform zvv. Apply loto and verify zvv. Loto condensor inlet and outlet. Drain condensor, perform chiller annual. Reassemble. Remove loto and electricians use remote racking device to restore power to Aru 004.

Control of Work Area

Minimum Approach Boundary: 42 inches after remote switching and put into maintenance mode
Barricade Tape / Attendant: Warning - Orange

Shock Risk Assessment

System Voltage: 120/208 V ac
Limited Approach Boundary: 155 inches at chiller until remote switching and maintenance switch applied then 42 inches and drops to 1.52 cal2
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: 1.52 cal2 with maintenance switch activated cal/cm2
Arc Flash Boundary: No safe distance for initial switching. Using remote racking device
Working Distance: 18 inches
Arc Flash PPE Level: 2
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: Hall outside 3329
Emergency Number to Call: 911
Sufficient cell phone signal? Yes
Clear exit path? Yes
AED Location: Have HVAC portable AED on location
Fire Extinguisher Location: In hallway outside room 3329
Contact release method available and tested: Rescue hook, Voltage gloves, Used remote racking device and put into maintenance mode

Environmental Conditions

Does the environment present additional hazards that should be addressed?

Noisy environment

Error Precursors

Task Demands:
Work Environment:
Individual Capabilities:
Human Nature:
Error Precursor Mitigations:

No error precursors all trades comfortable with their job scope on this task

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,
Remote racking device

Notes / Other

Perform Job Breifing

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


Rev 2023.08.22.1
Form Content and Feedback Contact: Michael Rose -- mvr@lbl.gov