Equipment Energization Risk Assessment - GES

• Site conducted

  Select
• Location
  Address

• Conducted on

  Date

• Prepared by

Risk Assessment

• Click + to add hazard identified

Hazard

• Describe the task

• Description of hazard

  Select Arc flash Arc blast

  • Arc flash
  • Arc blast

• Enter description of other hazard identified

• People at Risk

• Controls

  Select Proper PPE Approach boundaries Back up person Long stick Engineered Controls Dielectric Blankets Remote Actuator

  • Proper PPE
  • Approach boundaries
  • Back up person
  • Long stick
  • Engineered Controls
  • Dielectric Blankets
  • Remote Actuator

• 5 x 5 RISK MATRIX GUIDELINES

  

• REFERENCE

  

• Risk Rating

• Qualified person's actions to further reduce risk

  Select visual inspection. wires laded properly All tools jumpers, shorts, grounds have been removed so equipment can be safely energized. effective means of communication (two way radios) to warn all employees to stay clear of all circuits and equipment before energization. Continuity test perform in case of mislabeled wires Installing engineering controls on energized parts Insulating energized parts with dielectric blankets

  • visual inspection.
  • wires laded properly
  • All tools jumpers, shorts, grounds have been removed so equipment can be safely energized.
  • effective means of communication (two way radios) to warn all employees to stay clear of all circuits and equipment before energization.
  • Continuity test perform in case of mislabeled wires
  • Installing engineering controls on energized parts
  • Insulating energized parts with dielectric blankets

• Select the appropriate distance to stand while energizing the equipment for the first time

  

• What is the arc flash PPE category and Arc flash boundary you will be utilizing?

  Select Category 1 - 19 in. category 2 - 3ft. category 2 - 5 ft. Category 4 - 14 ft. Category 4 - 20 ft. Category 2 - 5 ft. Category 4 - 40 ft. Category 4 - 40 ft. N/A (doors closed) - NA Category 4 (doors open) - 40 ft. Category 4 - 40 ft.

  • Category 1 - 19 in.
  • category 2 - 3ft.
  • category 2 - 5 ft.
  • Category 4 - 14 ft.
  • Category 4 - 20 ft.
  • Category 2 - 5 ft.
  • Category 4 - 40 ft.
  • Category 4 - 40 ft.
  • N/A (doors closed) - NA
  • Category 4 (doors open) - 40 ft.
  • Category 4 - 40 ft.

• What method will be used to avoid arc flash and arc blast

• Add pictures of findings or inspected equipment.

  Media

Completion

• Click + to list people involved in energization process

Assessor

• Full Name and Signature of qualified person

  Sign

• Full Name and Signature of General superintendent

  Sign

• Full name and Signature of Safety Department

  Sign

1.1 Tasks to be accomplished today

• What state of mind are you in right now?

  Select Focused on the task at hand No distractions or problems that can take my attention away I am able to follow the JSA and perform the task safely

  • Focused on the task at hand
  • No distractions or problems that can take my attention away
  • I am able to follow the JSA and perform the task safely

• Project/Job/Task

  Select Energizing Equipment for the First Time Working on systems while building is energized Working on energized equipment Testing for voltage Verifying Voltage

  • Energizing Equipment for the First Time
  • Working on systems while building is energized
  • Working on energized equipment
  • Testing for voltage
  • Verifying Voltage

• Justify why the equipment CAN NOT be de-energized

• Are there other tasks not listed

  Yes

  No

• List task

Hazards

• List of Identified Hazards

• Electrocutions / shock / Arc blast / arc flash

  Safe

  At Risk

  N/A

• What measure will you take to eliminate or reduce the hazards

  Select visual inspection. wires laded properly All tools jumpers, shorts, grounds have been removed so equipment can be safely energized. effective means of communication (two way radios) to warn all employees to stay clear of all circuits and equipment before energization. Continuity test perform in case of mislabeled wires Installing engineering controls on energized parts Insulating energized parts with dielectric blankets

  • visual inspection.
  • wires laded properly
  • All tools jumpers, shorts, grounds have been removed so equipment can be safely energized.
  • effective means of communication (two way radios) to warn all employees to stay clear of all circuits and equipment before energization.
  • Continuity test perform in case of mislabeled wires
  • Installing engineering controls on energized parts
  • Insulating energized parts with dielectric blankets

• Struck by incidents / caught in between hazards

  Safe

  At Risk

  N/A

• Falls from ladders, missing last step, repetitive motion

  Safe

  At Risk

  N/A

• undefined

  Select Ladder inspections / position ladder in a manner that will decrease undue stress Three points of contact at all times Do not rush while decending Use ladders for its intended purpose DO NOT WORK OF EXTENSION LADDERS Follow manufacturer and company rules

  • Ladder inspections / position ladder in a manner that will decrease undue stress
  • Three points of contact at all times
  • Do not rush while decending
  • Use ladders for its intended purpose
  • DO NOT WORK OF EXTENSION LADDERS
  • Follow manufacturer and company rules

• soft tissue injuries to back shoulder, legs etc

  Safe

  At Risk

  N/A

• undefined

  Select Stretch and flex exercises DO NOT LIFT MORE THAN 50 LBS, Use mechanical aids or ask for help Avoid awkward postures and undue stress to your body

  • Stretch and flex exercises
  • DO NOT LIFT MORE THAN 50 LBS, Use mechanical aids or ask for help
  • Avoid awkward postures and undue stress to your body

• cuts / lacerations / crushed fingers

  Safe

  At Risk

  N/A

• undefined

  Select Cut resistant gloves Long sleeves situational awareness

  • Cut resistant gloves
  • Long sleeves
  • situational awareness

• Shock / electrocution / arc flash

  Safe

  At Risk

  N/A

• undefined

  Select Qualified personnel / trained in safety procedures Test / visual inspection prior to energizing equipment/system Communicate effectively using two way radios Re-energize / test before working on circuit

  • Qualified personnel / trained in safety procedures
  • Test / visual inspection prior to energizing equipment/system
  • Communicate effectively using two way radios
  • Re-energize / test before working on circuit

• Other hazards associated with the work to be done

  Yes

  No

• Describe the hazard and elimination method

• Qualified person

  Sign

Emergency Response Plan

• In case of an Emergency, call 911 immediately and follow the site-specific plan instructions.

• Project Adress
  Address

• Emergency Response Team (ERT) in place?

  Yes

  No

• Describe ERT member names and roles

• Qualified Person

  Sign