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DOCUMENT ID: |
6230
Electrical Safety Manual - Appendices |
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Appendices
Appendix A
Electrical Safety Inspection Form and Information
Appendix B
Electrical Safety Personal Protection Equipment
Appendix C
Electrical Code Equivalency and Form
Appendix D
Energized Electrical Work Permit (EEWP)
APPENDIX A
ELECTRICAL SAFETY INSPECTION
FORM
APPENDIX A- Electrical
Safety Inspection Form and Information
Electrical
Safety Inspection Process
1.0
Purpose
Jefferson Lab requires the use of appropriate electrical documentation to protect the worker from harm while work is being performed. This procedure complies with the requirements of NFPA 70E (2015 Edition) Standard for Electrical Safety in the Workplace and OSHA 1910 and 1926 requirements for when work is performed with electrical equipment. This is especially important within a shock and/or an arc flash protection boundary.
2.0
Scope
This document provides guidance to ensure that the
appropriate electrical hazards are addressed for the equipment being used. The
most effective way to reduce the risk associated with an electrical hazard is
elimination.
3.0
Responsibilities
NOTE: Management
authority may be delegated at the discretion of the responsible manager
3.1
Everyone at Jefferson
3.1.1
Be aware of the electrical hazards in your workplace. Stay clear
of electrical hazard boundaries that are identified by red with white stripe
tape.
3.1.2
Pay attention to all labeling on and around equipment. Electrical
Safety Inspection labels are maintained by ESH. Owners of specific equipment is
responsible for Arc Flash labels and Electrical Equipment Maintenance labels.
3.2
Qualified Electrical Workers (QEW) or those working with
Electrical/Electronic Equipment
3.2.1 Ensure that correct
Inspection stickers are placed on the equipment being used. They shall not be
more than one year old. If
they are, please contact appropriate personnel so that the equipment used is
properly inspected and up-to-date. Labeling may include the following:
3.2.1.1 Any damaged equipment shall be
locked out and tagged out until an inspection can be performed.
3.2.5.1 Any equipment with inspection
stickers found outside its maximum interval date shall not be used.
3.2.5.2 When
arc-rated labeling is applied to equipment, arc-rated clothing will need to be
donned.
3.3
There
are two types of inspection stickers on electrical equipment and usually only
one on electronics equipment racks. In addition, an Arc Flash rating sticker
(not on most electronics equipment) will be applied. On disconnects, power feed
junction boxes, breaker panels, portable power supplies, and knife switches
shall have an Arc Flash sticker (with the exception of junction boxes), an
Electrical Safety inspection sticker, and a Maintenance sticker.
3.4
Electrical
Safety Coordinator
3.4.1
Inspects
lab-wide electrical and electronics equipment for safety.
3.4.2
Maintains
inspection records.
3.4.3
Provides
on-the-spot inspections and on-the-job training (OJT) for electrical hazards.
3.5
Electrical Safety Engineer/Program Manager
3.5.1
Provides
the documentation for inspections.
3.5.2
Provides
electrical personnel upon request/need to lab employees to perform on-the-spot
inspections for safety.
3.5.3
Communicate
lab-wide electrical safety information.
4.0
Electrical
Safety Inspections
4.1
Inspections
will occur once a year and will be repeated each year. Equipment inspection are
good for one year. Equipment
due for inspection or is out of date from the last inspection can be brought to
the attention of the Electrical Safety Coordinator or Electrical Safety Program
Manager. This will include NRTL and non-NRTL equipment.
4.2
Electrical
Safety Inspection labels will have ESH as the maintainer, a date, equipment
number, and initials/signature of the inspector. Furthermore, the labels will
have one of three color dots affixed to them:
4.2.1 GREEN- Passed Inspection, No Hazards
4.2.2 YELLOW- Passed but needs to fix certain
non-critical hazardous items before next scheduled inspections
4.2.3 RED-
REJECTED, has MAJOR hazards and will need to be fixed IMMEDIATELY
4.3
Inspection
hazards that will become CATS items include the following:
4.3.1 Secured by a minimum of 4 screws
and the equipment/panels are secured in place.
a.
One
screw on each side, one on top, and one on the bottom for electronic cabinets
(ex. CPS rear panels) and all disconnect and distribution panels.
b.
Four
screws, two on each side for electronics cabinet equipment and equipment
chassis.
4.3.2 Voltage Verification Units (VVU)
are calibrated and in working order.
4.3.3 Knockouts/holes on the side
equipment or boxes for penetrations are blanked off and sealed to prevent shock
or other hazards.
4.3.4 Door latches are in working order
and can be fully closed and easily opened.
4.3.5 Electrical items that are sitting
on the bottoms of cabinets (or on top of other cables) shall be mounted
properly in the cabinet to prevent shock or fire hazards. This includes power
supplies and power strips.
4.3.6 Inspection labels are in clear view
and Arc Flash labels are current.
4.3.7 Voltages and panel numbers are
correct and equipment is labeled.
4.3.8 All doors on equipment can shut
properly and shall not be removed or open without prior authorization. Door
modifications can be approved with a safety inspection.
4.3.9 Dead-ended cables, especially ones
that are electrically LIVE (even low voltage), shall be taped off, tagged, and
set in the box or cabinet. Cables that have connectors shall be either removed
(if not using again) or properly capped and labeled to prevent a hazard.
Dead-ended cables must follow the LOTO program, if being reused, unless
approved by Electrical Safety Coordinators or Electrical Safety Program
Manager. This must be
documented.
4.3.10 All spaces in front of and around
access spaces such as doors, panels, disconnects, walkways, and electronics
racks must be clear in order to safely gain access to equipment, especially in
case of an emergency.
4.3.11 All spaces in front of and around
equipment must be free of fall, trip, and slip hazards.
4.3.12 Housekeeping of cables, trash,
equipment parts, and other items is imperative to the safety of electrical and
electronic equipment and spaces. These areas should remain clean for good
working order and fire prevention (i.e. dust and paper).
4.3.13 All extension cords, receptacles,
power supplies, and power strips are safe and being used for their intended
purposes. Proper loads will be followed. Extension cords are NOT to be used for permanent
power. Extension cords must be out of the way and routed correctly to prevent
hazards. There are NOT to be
cut and used a hard-wired cable for power. There is a 90-day maximum for use. (OSHA 1910.305)
4.3.14 General electrical safety for shock
hazards will be inspected.
5.0
References
5.1
NFPA
70E (2015 Edition) Standards for Electrical Safety in the Workplace
5.2
NFPA 70 (2020 Edition) National Electric Code
5.3
OSHA Regulation 29 CFR 1910 and 29
CFR 1926
5.4
DOE Electrical Safety Handbook
6.0
Revision Summary
Revision .01 -
01/29/2021 New
content written. Director and ES&H Director
approved.
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Electrical
Equipment Safety Inspection |
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1.0
Equipment/Installation
Identification |
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Equipment
Description |
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Unique
Identifier #: |
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Manufacturer: |
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Equipment Location: |
Model Number: |
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Division: |
Serial Number: |
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Equipment Owner: |
JLAB Property #: |
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IF THIS EQUIPMENT IS MODIFIED, DAMAGED, OR UTILIZED FOR OTHER
THAN ITS INTENDED USE, AFTER THE INSPECTION DATE, APPROVAL IS VOID, PENDING
RE-INSPECTION. |
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*** To Be Completed by the Qualified
Electrical Inspector*** |
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Equipment is: |
Equipment
requires: |
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Under Warranty:
Yes
No |
AND |
Approved
Rejected |
No Action |
OR |
Corrective Actions See 3.0 Equipment
Inspection Summary Code Equivalency* |
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* Contact Jefferson
Labs Electrical Authority Having Jurisdiction |
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Inspection Date: |
Inspector Name:
Inspector Signature: |
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2.0 INSPECTION CRITERIA |
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Enclosure |
Approve |
N/A |
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Operator not exposed
to any hazard |
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Not damaged |
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Appropriate material
used |
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Protects contents
from operating environment |
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Adequate shock
protection (components well secured) |
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Will contain
relevant/ applicable arcs, sparks and electrical explosions |
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Power
Source Cord and Plug |
Approve |
N/A |
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Proper
voltage and ampacity for plug and cord |
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Grounding conductor
included |
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Not frayed or damaged |
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Proper wiring of plug |
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Strain relief on cord |
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Power
Source Direct Wired |
Approve |
N/A |
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Proper voltage and
ampacity rating for wiring method |
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Installation
according to the NEC |
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Proper loading and
overcurrent protection in branch circuit |
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Foreign
Power Supplies and Equipment |
Approve |
N/A |
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Connected
to facility power with appropriate adapters |
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Correct voltage,
frequency and phasing |
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Correct wire ampacity
for United States use |
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Grounding |
Approve |
N/A |
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Ground is properly connected |
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All non-current
carrying exposed metal is properly bonded |
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All non-current
carrying internal subsystems are properly bonded |
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Equipment ground is
run with circuit conductors |
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Auxiliary ground is
permitted |
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Internal
Wiring |
Approve |
N/A |
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Polarity correct |
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Phasing correct |
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Landing of ground
correct |
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Separate line / high
voltage from low voltage |
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Wiring terminals and
leads ok (no tension on terminals) |
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Proper wire size |
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No loose parts
(mechanical bracing) |
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Proper overcurrent
protection |
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Marking
Requirements |
Approve |
N/A |
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Power requirements
(voltage, current, frequency) |
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Restrictions and
limitations of use |
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Make, model and
serial number |
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Hazards, including
stored energy |
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Requirements for
access (LOTO, stored energy, PPE) |
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Test
Performed |
Approve |
N/A |
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Ground continuity |
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Leakage current to
ground |
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Polarization of cord
and plug |
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Functional tests
(GFCI, Emergency shutoff) |
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Automatic discharge
of high voltage capacitor |
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Other
Issues |
Approve |
N/A |
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Neat workmanship |
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Proper management of
conductors |
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Free from sharp edges |
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Proper cooling
(review equipment owners tests or analysis) |
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Switches and controls
readily accessible |
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Any safety issues
with access and maintenance |
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Secondary
Hazards |
Approve |
N/A |
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RF hazards |
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DC electric or
magnetic fields |
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IR, visible or UV |
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X-Rays |
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Fire or electrical
explosion |
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Documentation |
Approve |
N/A |
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Documentation
adequate |
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Operating procedures |
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Training and
qualifications requirements |
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3.0
EQUIPMENT
INSPECTION SUMMARY If
rejected, include any corrective actions that need to be satisfied before
rescheduling an inspection. |
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Distribution: Equipment Owner, System Owner
Form Revision Summary Revision
2.0 01/29/21- Removed the reference to ES&H Manual 6200 T1 in
the form title. Periodic
Review 11/14/18 No changes per TPOC Revision
1.2 02/19/14- Deleted Section 2 Standards or Codes used for the
Inspection Revision
1.1 11/17/13- Deleted Department Head from Distribution Revision
1.0 10/31/13- Updated to reflect current laboratory operations;
most notable - department retain records of inspections Revision 0.0 10/01/09 Updated to reflect current laboratory requirements
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APPENDIX B
ELECTRICAL SAFETY PERSONAL
PROTECTION EQUIPMENT
APPENDIX B- Electrical Safety
Personal Protection Equipment
Jefferson Lab requires the use of appropriate electrical protective equipment to protect the worker from harm while work is being performed. This procedure complies with the requirements of NFPA 70E (2015 Edition) Standard for Electrical Safety in the Workplace regarding personal protective equipment (PPE) requirements for when work is performed with electrical equipment. This is especially important within a shock and/or an arc flash protection boundary.
This document
provides guidance to ensure that the appropriate electrical PPE, for the
assigned task, is selected and used while performing electrical work.
PPE is the last
line of defense in protecting from an electrical hazard before an incident
happens and therefore ranks as the lowest level of control for reducing the
risk. The most effective way to reduce the risk associated with an electrical
hazard is elimination (working on de-energized systems).
3.1.1
Be aware of the electrical hazards in your workplace. Stay clear
of electrical hazard boundaries that are identified by red with white stripe
tape.
3.1.2
Pay attention to all labeling on and around equipment.
3.2
Qualified
Individuals
3.2.1 Establish and monitor shock
approach and/or arc flash protection boundaries.
3.2.2 Select and use
appropriate PPE while exposed to electrical hazards.
3.2.3 Wear no conductive
articles of jewelry or clothing that could present an electrical contact
hazard.
3.2.4 Do not wear any fabric
underlayers next to the skin that are considered to be meltable
fibers such as acetate, nylon, polyester, polypropylene, and spandex while
performing work inside the arc flash boundary.
3.2.5 Ensure PPE
is inspected, tested, and cared for in accordance with manufacturers
instructions before each use:
3.2.5.3 Any damaged PPE shall be turned in
to be discarded and replaced.
3.2.5.4 Any PPE found outside its maximum
test interval date shall not be used and turned in to be replaced with PPE that
is within its testing interval date.
3.2.5.5 When
arc-rated clothing is cleaned, manufacturers instructions shall be followed.
3.2.5.6 An employee can self-launder their
arc rated clothing or make arrangements with the Electrical Safety Engineer/Program Manager to have it cleaned at a commercial
laundry site.
3.2.6 Electrical
Safety Engineer/Program Manager
3.2.6.1 Provide an electrical PPE evaluation, upon request, for shock and arc
flash hazards.
3.2.6.2 Provide electrical PPE upon
request/need to lab employees.
3.2.6.3 Administer the lab-wide electrical
rated glove change out every six months.
3.2.6.4 Provide a means for
cleaning/laundering arc-rated clothing.
Follow
the process steps outlined below to determine the appropriate electrical PPE to be worn in a shock approach
or arc flash protection boundary.
Step 1:
Determine
the task to be performed and the specific equipment to be worked on. Different
PPE levels may be required for different tasks on the same piece of equipment.
Step 2:
Refer
to the equipment specific arc flash and shock hazard label on the equipment to
be worked on. If the equipment does not have a label, go to Step 6.
Step 3:
Determine
the Approach Boundaries for shock protection with using the nominal system
voltage as displayed on the arc flash and shock hazard label. Refer to table
NFPA 70E (2015 Edition), Article 130.4(D)(a) for alternating current systems
& table NFPA 70E (2015 Edition), Article 130.4(D)(b) for direct current
systems for the approach boundaries to energized electrical conductors or
circuit parts for shock protection.
a.
Establish
shock and/or arc flash boundaries at correct distances with ES&H approved
boundary tape.
b. Meltable fibers such as acetate, nylon, polyester, polypropylene, and spandex shall not be permitted in fabric underlayers (underwear) next to the skin.
Step 4:
Determine the Approach Boundary for arc flash protection
by referring to the calculated distance displayed on the arc flash and shock
hazard label.
a.
When crossing the arc flash boundary where the calculated incident
energy is greater than 1.2cal/cm^2 then arc rated clothing shall be worn; the
arc flash rating of the PPE shall be equal to or greater than the incident
energy rating (cal/cm ^2) displayed on the arc flash
and shock hazard label.
Step 5:
Go to Step 9 if the arc
flash boundary is Class 1.
Step 6:
Determine the Approach Boundaries for shock protection using
the nominal system voltage of the equipment. Refer to the NFPA 70E (2015
Edition) table 130.4(D)(a) for alternating current systems &
the NFPA 70E (2015 Edition) table 130.4(D)(b) for direct current systems for the approach
boundaries to energized electrical conductors or circuit parts for shock
protection.
a.
Establish shock boundary at the correct distance with ES&H
approved boundary tape.
b.
When crossing the restricted approach boundary, where circuit
parts greater than 50 volts are exposed, then shock protection PPE shall be
worn; the PPE rating shall be equal to or greater than the exposed voltages.
Step 7:
Determine the arc flash PPE category of the work task
being performed. Refer to the NFPA 70E (2015 Edition)
Table 130.7(C)(15)(A)(a) for arc-flash hazard categories for alternating
current systems and NFPA 70E (2015 Edition) table
130.7(C)(15)(A)(b) for arc-flash hazard categories for direct current systems.
Step 8:
Refer to the NFPA 70E (2015 Edition) Table
130.7(C)(16) for a list and rating of the PPE to be worn
for each arc flash PPE category.
Step 9:
Inspect and don the appropriate PPE.
a.
Meltable fibers such as acetate, nylon, polyester, polypropylene, and
spandex shall not be permitted in fabric underlayers (underwear) next to the
skin.
NOTE: PPE is the last line of defense in
protecting an employee from an electrical hazard before an incident happens.
The potential electrical hazards are electrical shock, arc flash, arc blast,
and burns from hot electrical equipment. Electrical PPE does not protect
against arc blast and thermal burn hazards. |
5.5 NFPA 70E (2015 Edition) Standards
for Electrical Safety in the Workplace
5.6 NFPA 70 (2020
Edition) National Electric Code
5.7
OSHA
Regulation 29 CFR 1910 and 29 CFR 1926
5.8
DOE Electrical Safety Handbook
6.0
Revision Summary
Revision 1.0 - 09/11/2020 - Added this to the new 6230 Appendix Revision 0.6 - 08/20/2020 - Updated Purpose statement. Updated numbering. Removed NOTE in
3.0. On 3.2.b and 4.0 step 3.b, corrected spelling on meltable.
On 4.0, Step 3, added the reference to where the table was located. Added
most current year to references. Streamlined revisions and reformatted. Revision 0.5 - 01/31/20 Updated
Responsibilities and Process Steps 3 and 6 to include establishing shock
boundaries at the correct distance per CATS#NE-2019-05-04-01and
CATS#NE-2019-05-08-01 Revision 0.4 - 11/14/18 Developed
process for laundering arc rated PPE per CATS#STR-2017-12-04-02; deleted
reference to NFPA-70E (2004 edition) per CATS# STR-2017-12-06-01; updated 3.0
Responsibilities; updated 4.0 Process Steps; updated 5.0 References Periodic Review - 10/05/16 No
changes per TPOC Revision 0.3 - 11/03/14 Edits
per T.Kujawa with no substantive changes Revision
0.2 - 11/14/13 Changed review required date from
07/31/16 to coincide with review date of main chapter. Revision 0.1 - 07/31/13
Periodic Review; clarified purpose, scope,
responsibilities, and process steps; added new responsibility for Facilities
Management Electrical Engineer; updated references; added note and revision
summary. Revision 0.0 - 10/01/09 New
content written to reflect current laboratory operations |
APPENDIX C
ELECTRICAL EQUIVALENCY
Appendix C
- Electrical Code Equivalency Form
When compliance with electrical codes or standards will create additional hazards, increased risk, or be infeasible, Jefferson Lab allows alternative mitigation to be considered. This mitigation can waive specific requirements or permit alternative methods in NFPA 70 (2017 Edition) and NFPA 70E (2015 Edition) where it is assured that equivalent objectives can be achieved by establishing and maintaining effective safety. This procedure provides the process steps for initiating a request, and its review and approval, to ensure the same or greater level of safety.
The Electrical Authority Having Jurisdiction (EAHJ) uses this procedure to waive specific requirements or permit alternative methods where it is assured that equivalent objectives can be achieved by establishing and maintaining effective safety.
This procedure is used for granting special permissions (equivalencies) regarding implementation of rules and practices of the National Fire Protection Association (NFPA).
The EAHJs authority does not extend to regulation, standards or codes that fall under the regulatory authority of Occupational Safety and Health Authority (OSHA) unless incorporated by reference and includes an EAHJ, or similar, provision. All equivalencies have to be approved by the TJSO.
Perform the process steps for this procedure in coordination with Chapter 6200, Electrical Safety Manual and Chapter 6220, Non-NRTL Equipment Design and Construction.
NOTE: Management authority may be delegated at the discretion of the responsible manager. EAHJ responsibilities cannot be delegated without TJSO acceptance.
3.1 Anyone at Jefferson Lab
Initiate an electrical code equivalency request using the Electrical Code Equivalency Request Form.
3.2.1 Provide a determination for Electrical Code Equivalency Requests.
3.2.2 Distribute the completed form as appropriate.
3.3.1 Review and provide comments, as warranted, to requests.
3.3.2 Discuss and record equivalency determinations as part of ESC Minutes.
Review and approve Electrical Code Equivalency
4.1 Identify the equipment, installation, or process
Be as specific as possible. Include diagrams,
pictures, etc. if appropriate, to identify the issue.
4.2
Location of the work
Be as specific as possible. Include the building
number, room number, or distance from the nearest landmark.
4.3 Description
of the work
Provide details as to the work
assignment and its objective.
4.4 State the specific problem or question;
list the specific code and section(s) requiring equivalency.
Describe why the work will create additional hazards,
increased risk, or be infeasible.
4.5 Describe the proposed mitigation to satisfy the electrical safety
equivalency.
Provide a description of what could be done to
mitigate the hazard to a level at or below that provided by the Code.
4.6 Sign
and submit
The Requestor then signs the form
and submits it to the EAHJ for determination.
Review the request. Provide copies to members of the Electrical Safety Committee for review and comment if appropriate. Peer benchmarking of prospective equivalencies will be performed for consideration in the final determination; discuss the results in section 2.0 DETERMINATION on the equivalency form.
Grant or deny the request for the identified equipment, installation, or process. If the request is applicable to other issues, describe.
Provide a justification for the determination whether Recommended or Denied.
IF
the Request is: |
THEN |
Recommended |
First Include an explanation of the electrical safety aspects. Second Develop draft actions and associated completion dates to be entered into the Jefferson Lab Corrective Action Tracking
System (CATS) upon equivalency approval. |
Denied |
Provide
reasoning and, if applicable, alternative(s). |
5.2
Approval
5.2.1 The EAHJ signs and date the Determination to denote an adequate review.
5.2.2 If denied, return to the submitter with justification
5.2.3 If recommended:
5.2.3.1 Submit the determination package, including the draft corrective action and all supporting information, to the TJSO.
5.2.3.2 The TJSO will then review, comment, and/or approve recommended equivalency.
5.2.4 Following receipt of TJSO approval, the ES&H Director signs and dates the Equivalency.
5.2.5 The requestor or EAHJ makes the appropriate entries into the JSA Corrective Action Tracking System.
5.3 Distribution
5.3.1 The EAHJ retains the final requests. (These records are available at https://jlabdoc.jlab.org/docushare/dsweb/View/Collection-19892).
5.3.2 Distribute copies of the completed form to individuals listed under the Distribution section on the Electrical Code Equivalency Request Form.
5.4 Chapter 6230, Appendix A: Electrical Safety Inspection Form and Instructions
Note: This form is for non-NRTL Equipment.
5.4.1 Once the Request has been approved, go over the Inspection Checklist for non-NRTL equipment and fill out the sheet in the appropriate blocks. Provide proper documentation (THA, OSP, and diagrams).
5.4.2 When the proper documentation and completed form has been sent to ES&H Electrical Safety Manager or Electrical Safety Coordinators, then ES&H will review documentation and diagrams. Once these have been reviewed and all changes (if needed) are made, ES&H will make an appointment for a physical inspection using the form and documentation previously provided.
5.4.3 Once a physical inspection has been done and reviewed in conjunction with provided documentation, the inspector may APPROVE or DENY the form. If APPROVED, the equipment has been deemed safe to use and must maintain all precautions listed on the Electrical Safety Inspection Form. If DENIED, then the items denied by ES&H must be fixed for APPROVAL. If denied, the form must be resubmitted with the changes.
Revision 1.2 10/18/2022 - Clarified
process for including TJSO in equivalency determinations; fixed general
formatting issues (ES&HM Editor); fixed hyperlinks Revision 1.1 07/12/21 - Updated hyperlinks and references. Revision 1.0 08/20/20 - Added current
reference dates. Adjusted formatting. Revision 0.1 11/14/18 Deleted reference to NFPA-70E (2004 edition) per CATS# STR-2017-12-06-01; updated Purpose, Scope, 4.3, 4.4 Periodic Review 10/05/16 No changes per TPOC Revision
0.0 10/31/13
New content to reflect current laboratory operations |
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Electrical
Code Equivalency Request Form |
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////////////////////////////////////To be completed by the Electrical
Authority Having Jurisdiction///////////////////////////////////// |
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DETERMINATION: (Electrical
Safety Committee vote) |
Approved
Denied
CATS No. |
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////////////////////////////////////To be completed by the Electrical
Authority Having Jurisdiction///////////////////////////////////// |
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Signatures |
Print |
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Signature |
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Date |
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Associate Director, ESH&Q |
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1.0
INITIATE
REQUEST (To be completed by Requestor) |
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1.1
Identify Equipment, Installation, or Process |
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1.2
Location of the Work |
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1.3
Description of the Work |
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1.4
State the Specific Question or Problem. List the
specific code and section(s) that requires equivalency. (How does
the code create an additional hazard, increase risk, or is infeasible) |
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1.5
Describe the Proposed Mitigation to satisfy the
electrical safety equivalency. |
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1.6
Signature |
Print |
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Signature |
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Date |
Requestor |
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2.0
DETERMINATION
(To be completed by Electrical
Authority Having Jurisdiction) |
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2.1
Scope Statement (i.e. only for the specific
equipment identified in the request; for broader application to similar
equipment; or for general application at Jefferson Lab.) Include here the
results of any benchmarking performed. |
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2.2
Specific Code and Section(s) Used - to justify the
Determination. |
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2.3
Explain Determination: ·
If the request is approved, include an explanation
of the electrical safety aspects. · If the
request is denied provide reasoning and, if applicable, alternative(s). |
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Distribution: |
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IF Code Equivalency is: |
THEN |
Approved |
Associate Director-ESH&Q;
Associate Director/Division Manager (of group requesting the equivalency);
Thomas Jefferson Site Office Representative; Supervisor; Requestor; Electrical Authority Having Jurisdiction; Electrical Safety Committee Chair |
Denied |
Requestor; Electrical Authority Having Jurisdiction; Electrical Safety Committee Chair |
Form
Revision Summary Revision 1.1
10/26/2022 Changed TPOC from TFitzgerald to RAdrover Revision 1.0
01/29/21- Removed the
reference and moved to ES&H Manual 6230. Revision 0. 1
11/14/18 Added Associate
Director, ESH&Q signature for electrical safety committee vote
determination; deleted supervisor signature to initiate request Periodic Review 10/05/16 No changes per TPOC Revision
0.0 10/31/13 - New content to reflect current laboratory operations
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APPENDIX D
ENERGIZED ELECTRICAL WORK
PERMIT (EEWP)
Appendix D Energized
Electrical Work Permit (EEWP)
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Energized
Electrical Work Permit Form |
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PART 1 Description of Work (To Be Completed by the
Requestor) (Include attachments as necessary) |
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Description of Circuit/Equipment and Location |
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Description of work to be performed |
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Justification to Perform Work while
Equipment is Energized: (Attach
Documentation)
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SIGNATURES |
PRINT SIGNATURE |
DATE |
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Requestor |
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Preliminary Approval (Laboratory Director) |
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PART 2 Development (To Be Developed by
Subject Matter Expert and Electrically Qualified Workers) |
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REQUIRED
ATTACHMENTS |
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Description
of Circuit, Equipment and Location |
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Means
to Restrict Unqualified Workers from the Area |
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Results of Shock Hazard Analysis |
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Determination of Shock Hazard Boundaries |
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Results of Flash Hazard Analysis |
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Determination of Flash Hazard Boundary |
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Job Briefing and Hazard Analysis |
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List PPE to Perform Work Safely |
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Description of Safe Work Practices to be Employed |
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APPROVALS |
PRINT SIGNATURE |
DATE |
Qualified Worker(s) |
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Associate
Director/Division Manager (of group requesting the EEWP) |
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Laboratory Director |
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Director, ES&H&Q Division |
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Distribution:
Laboratory Director; Associate
Director/Division Manager (of group requesting the EEWP); Electrical Safety Engineer
Form
Revision Summary Revision 2.0 08/20/20- Removed the reference to ES&S Manual 6220
T1.Created a new Appendices
section. Periodic Review 12/10/18 No changes per TPOC Revision 1.2 06/29/18 Periodic
Review; updated to include AD,
ESH&Q approval per CATS#MOA-
2018-02-01-01 Periodic Review 01/20/12 Updated format Revision 1.1 10/19/10 Updated to clarify content per P.Powers and T.Kujawa Revision 0.0 02/23/09 Initial Form
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Revision
Summary
Revision
0.2, 10/26/2022 Updated Appendix C
Revision
0.101/29/2021 Initial chapter that has all
forms in one location. Director and
ES&H Director approved.