|
Time / Date: 3/14/2023 11:04:28
|
JSP ID: 746
|
|
Scope of Work: Switching for pmt’s
|
|
|
Work Order: 314508
|
Building:
|
|
Person in Charge: Joe colmanares
|
Lead / Supervisor: Cameron, Benjamin
|
|
Logged Email: AJTurner2@lbl.com
|
Division: Facilities
|
|
QEW Level: QEW 2
|
|
|
Modes of Work: Mode 1 - LOTO & Zero Voltage Verification
|
|
|
Second Person Requirement: Safety Watch
|
|
|
Second Person Identified: AveryTurner
|
|
|
List Other Participants: Pmt’ Jack and Jack
|
|
|
Affected Persons Notified: N/A
|
|
|
Switching: Hazardous Switching
|
Panel / Equipment ID: MCC 70A4A12A1A
|
|
System Information Review: Arc Flash Labels
|
|
|
Control of Hazardous Energy: Simple LOTO
|
|
|
Equipment Condition: Properly installed, 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.
Switching process performed |
Control of Work Area
|
Minimum Approach Boundary: 120
|
|
Barricade Tape / Attendant: Attendant
|
Shock Risk Assessment
|
System Voltage: 277/480 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: 24.9 cal cal/cm2
|
|
Arc Flash Boundary: 120 inches
|
|
Working Distance: 18 inches
|
|
Arc Flash PPE Level: 3
|
|
Incident Energy Reduction Measures: 0
|
Capacitor Hazards
|
Capacitor Bus Voltage: None
|
|
Capacitor total stored energy (joules): None
|
|
Discharge wait time (minutes): N/A
|
Emergency Response Plan
|
Nearest Landline Location: Hall way
|
|
Emergency Number to Call: 7911
|
|
Sufficient cell phone signal? Yes
|
|
Clear exit path? Yes
|
|
AED Location: Main entrance
|
|
Fire Extinguisher Location: Hall way
|
|
Contact release method available and tested: Voltage gloves
|
Environmental Conditions
|
Does the environment present additional hazards that should be addressed?
None |
Error Precursors
|
Task Demands: Time pressure (in a hurry)
|
|
Work Environment:
|
|
Individual Capabilities:
|
|
Human Nature:
|
|
Error Precursor Mitigations:
None |
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 |
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:
Rev 2023.08.22.1 Form Content and Feedback Contact: Michael Rose -- mvr@lbl.gov |