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Contractor Name: Jones & Smith Constructors. Project Plant Location: Lake Charles, LA Revised 06/26/2007
Sub-Tier Contractor Name: Acme Constructors
Prepared By: Ron Jones
Project: South Bake Furnace Rebuild Project No.: XXXX-0000 Contract/PO No.: XXXX-2
Location (e.g., building, area, etc.): South Bake Furnace East and West Crane
Work Scope/Description: Electrical Check-out and Testing in live panels
Specific Work Location(s): South Bake Furnace East and West Crane
Name Primary/Phone # Secondary/Phone #
Contractor Contact Person(s): Ron Jones 555-555-2222 555-555-3333
Alcoa SPA: Tom Smith 555-555-4444 555-555-5454
Plant Emergency No.: 333 555-555-4545
Prejob Walkthrough Conducted: Yes No
KNOWN OR POTENTIAL HAZARDS
Yes No Reference Yes No Reference
1. Hazardous Waste
29 CFR 1910.120 17. Noise Exposure ASP.653.3002
Operations
ASP.653.3000
2. Confined Space ASP.653.3010 18. Temperature Extremes
/.3003
3. Hot Work ASP.653.2308 19. Hoisting & Rigging ASP.653.2202
20. Ergonomics:
Repetitive Motion /
4. Roof Work ASP.653.2321 ASP.653.3011
Awkward Positions /
Same Position (s)
5. Fall Hazards (> 6 ft) ASP.653.2001 21. Biological ASP.653.2102
22. Insects / Varmints /
6. Excavation/Trenching ASP.653.2311 ASP.653.2102
Vermin
7. Scaffolds / Ladders ASP.653.2302/2303 23. Signs and Barricades ASP.653.2300
24. Location Specific
8. Aerial Lifts ASP.653.2205 Emergency ASP.653.1007
Response Plan
9. Heavy Equipment ASP.653.2200 Series 25. Air Effluent Discharges ASP.653.4003
26. Water/Liquid Effluent
10. Lock and Tag ASP.653.2315
Discharges ASP.653.4004
11. Site/Vehicle Traffic ASP.653.1005/.2300 27. Fatality Prevention ASP.653.1400
12. Electrical Hazards ASP.653.2309/.2310 28. Associated w/Significant ASP.653.4000
13. Asbestos Work ASP.653.3001 Environmental Aspects? Series
14. Lead Work ASP.653.3005 = Requires formal/special training
15. Hazardous
ASP.653.2100/.3007 = Requires a permit/form/report
Materials/MSDS
16. Respiratory Hazards ASP.653.3008 = Requires certification or Competent/Qualified Person
SPECIFIC HAZARD ANALYSIS AND SAFE WORK REQUIREMENTS
Known and/or potential hazards are further evaluated, and specific measures are identified on subsequent pages. This discussion must include
identification of the work activity, the specific hazards present, and the safe work requirements/controls (including a hazards assessment for PPE)
to be used to alleviate/control the hazard(s).
MINIMUM DRESS/PPE REQUIREMENTS: hard hats, safety glasses, electrical hazard-rated metatarsal boots with hard toes, and long pants
and shirt with sleeves made of 100% cotton or wool (or cotton/blend).
REVIEW
KNOWN AND/OR POTENTIAL HAZARDS ARE FURTHER EVALUATED, AND SPECIFIC CONTROL MEASURES
ARE IDENTIFIED ON SUBSEQUENT PAGES
S-AF-059 19 Aug 04
JOB SAFETY ANALYSIS Project: XXXX-0000
(Continuation Page) Contract/P.O./Release No.: XXXX-2
Work Activity Hazards Present Required Safety Measures/PPE
Electrical Inspection Electric Shock Hazard if contacted Maintain safe working distance (per NFPA
Bridge Arc Hazard from exposed electric equipment 70E, stated as "AVOID CONTACT" for 120
Trolley volts and one (1) foot for 480 volts for qualified
Anode Hoist workers) and wear level 1 (Category 1) PPE
Suction Pipe Equipment. This equipment consist of:
Filling Pipe Hardhat, Safety Glasses, Cotton
Blower Long Sleve Shirt and Pants, Safety
Shoes
Electrical Testing and verification of 120 volt Electric Shock Hazard if contacted. Arc Maintain safe working distance (per NFPA
Control system in the MCC Room. Hazard from exposed electric equipment 70E, stated as "AVOID CONTACT" for 120
Bridge Panel 120 VAC and 480 VAC components are in volts and one (1) foot for 480 volts for qualified
Trolley Panel close proximity workers) and wear level 1 (Category 1) PPE
Anode Hoist Panel Equipment. This equipment consist of:
Suction Pipe Panel Hardhat, Safety Glasses, Cotton
Filling Pipe Panel Long Sleve Shirt and Pants, Safety
Blower Panel Shoes
All 480 volt components must be guarded to
shield from accidental contact.
Electrical Testing and verification of 120 volt Electric Shock Hazard if contacted Maintain safe working distance (per NFPA
Control system in Panels 3K & 8K: Minimal Arc Hazard from exposed electric 70E, stated as "AVOID CONTACT" for 120
Suction Pipe Controls equipment volts and one (1) foot for 480 volts for qualified
Filling Pipe Controls 120 VAC and 480 Volt AC components are in workers) and wear level 1 (Category 1) PPE
Motorized valve Controls close proximity Equipment. This equipment consist of:
Lighting Systems Hardhat, Safety Glasses, Cotton
Controls General Long Sleve Shirt and Pants, Safety
Shoes
All 480 volt components must be guarded to
shield from accidental contact.
Electrical Testing and verification of 120 volt Electric Shock Hazard if contacted Maintain safe working distance (per NFPA
Control system in New Crane Cab: Minimal Arc Hazard from exposed electric 70E, stated as "AVOID CONTACT" for 120
General Controls equipment volts and one (1) foot for 480 volts for qualified
workers) and wear level 1 (Category 1) PPE
Equipment. This equipment consist of:
Hardhat, Safety Glasses, Cotton
Long Sleve Shirt and Pants, Safety
Shoes
Complete form S-AF-061 Energized Electrical
Work Permit.
Electrical verification of 480 Power feeders in Electric Shock Hazard if contacted Maintain safe working distance (per NFPA
the MCC Room to the following: Arc Hazard from exposed electric equipment 70E, stated as "AVOID CONTACT" for 120
Main Crane Power 120 VAC and 480 VAC components are in volts and one (1) foot for 480 volts for qualified
Bridge Motor close proximity workers) and or wear level 2 (Category 2) PPE
Trolley Motor Equipment. This equipment consist of:
Anode Hoist Motor Hardhat, Safety Glasses, Cotton
Suction Pipe Motor Long Sleve Shirt and Pants, Safety
Filling Pipe Motor Shoes, FR Smock Cal Rating of 8,
1000 volt rated gloves, arc face shield
Complete form S-AF-061 Energized Electrical
Work Permit.
S-AF-059 19 Aug 04
JOB SAFETY ANALYSIS Project: XXXX-0000
(Continuation Page) Contract/P.O./Release No.: XXXX-2
Work Activity Hazards Present Required Safety Measures/PPE
Electrical verification of 480 Power feeders in Electric Shock Hazard if contacted Maintain safe working distance (per NFPA
Panels 3K & 8K: Arc Hazard from exposed electric equipment 70E, stated as "AVOID CONTACT" for 120
Motorized valves 120 VAC and 480 VAC components are in volts and one (1) foot for 480 volts for qualified
Lighting Transformer close proximity workers) and/or wear level 2 (Category 2) PPE
Compressor Motor Equipment. This equipment consist of:
Hardhat, Safety Glasses, Cotton
Long Sleve Shirt and Pants, Safety
Shoes, FR Smock Cal Rating of 8,
1000 volt rated gloves, arc face shield
Complete form S-AF-061 Energized Electrical
Work Permit.
Lock out disconnects at column S-1 and S-3 for Arc hazard during verification. Maintain safe working distance (per NFPA
west crane and column S-17 and S-20 for the 70E, stated as "AVOID CONTACT" for 120
east crane per MES procedure. volts and one (1) foot for 480 volts for qualified
Verify zero energy at the crane buss or at workers) and wear level 1 (Category 1) PPE
power terminal blocks in panel 1K. Equipment. This equipment consist of:
Hardhat, Safety Glasses, Cotton
Long Sleve Shirt and Pants, Safety
Shoes
Voltage test both sides of the disconnect to
verify the power is off and no voltage is
present
Ergonomics awkward position - working on Back strain Stretching before start of work. Take frequent
hands and knees. Cumulative knee trauma breaks to stretch back.Use some type of
padding under knees, take frequent breaks
Emergency events Exposure plant emergencies such as imclement Site specific training - Alcoa Lake Charles.
weather Site-specifc Emergency Plan is attached
including map of evacuation and staging areas
Fixed ladder use Slips, trips, and falls Use caution in and around ladder wells. Do not
carry tools while climbing ladders. Use a tool
belt or rope to pass up tools. Maintain three
point contact.
Congestion and trip hazards Trips and falls Area in crane is congested. Be aware of trip
hazards in area.
Working in high-noise areas Exposures to occupational noise All areas of the furnace are designated as
hearing protection area. Wear foam/rubber ear
plugs with NRR of at least 26
Barricade and sign area Unauthorized personnel entering into electrical Barricade work area with RED barrier tape and
work area that could be exposes to electrical post signs to prevent unauthorized entry
energy
JOB SAFETY ANALYSIS Project: XXXX-0000
(Continuation Page) Contract/P.O./Release No.: XXXX-2
Work Activity Hazards Present Required Safety Measures/PPE
PREJOB SAFETY PLANNING SIGNOFF
S-AF-073 20 July 06