Power City Electric Safety Management System. Job Name: Job #

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1 Method of Procedure Electrical Work Issue Date: June 2008 Policy Ref: PJP MOPEW Preparation: Safety Mgr. Authority: President Issuing Dept: Safety Form 309 Page 1 of 2 Job Name: Job # Address: Supervisor: PM: Pre-Outage Safety 1. Temporary lighting, flashlights, and/or headgear lamps as required will be staged and utilized to provide adequate lighting for work areas around and inside switchgear. 2. Access will be controlled by installing barricades at a distance identified on the main breaker incident energy arc flash label. If no label exists refer to the NFPA 70E Stage battery drills/chargers, hand tools, insulating blankets, insulated tools, shorts & grounds, arc flash PPE, and other related hardware in close proximity to the work. 4. Conduct a safety job briefing with crew identifying the scope of work, associated hazards working near other energy sources or adjacent to energized parts. 5. When the justification permits, complete an energized work permit with a description and identification of affected areas (only when incident energy is <40cal/cm2). 6. Any backfeed energy source from a generator back-up system or distribution system loop tie-breaker shall be effectively isolated and be an integral component of the LOTO. 7. When a backup generator is in the one-line, effectively lock out the transfer switch and disconnect the +battery lead, and install a cord cap lock on +battery cable terminal end. If the generator is required to operate during an outage, verify transfer switch is effectively locked out and verify zero energy after generator starts. 8. Complete a Job Hazard Analysis (JHA) and review with affected crew. All questions shall be answered prior to any work commencing. 9. Shorts & grounds shall be installed on all de-energized & LOTO circuits >500VAC. 10. Conduct an inventory of tools & material being issued to perform assigned work task to assure all tools and material are accounted for at the end of the outage. \\SCAR\Safety_Manuals\Safety_Form_Library\MOP_Electrical_Work.docx

2 Method of Procedure Electrical Work Issue Date: June 2008 Policy Ref: PJP MOPEW Preparation: Safety Mgr. Authority: President Issuing Dept: Safety Form 309 Page 2 of 2 Outage Safety 11. Confirm Utility personnel have opened the affected service feeder to building with shorts & grounds installed. 12. Identify the person on jobsite who is responsible for coordinating the utility clearance. Assure communication with that person on status of work & when PCE work has been completed. 13. PCE electricians will verify zero energy with appropriate PPE and place their personal locks on the lockbox which contains the keys for PCE Master Control Locks on all OCPD affected, and apply information tag. 14. Confirm/verify the correct sections of electrical switchgear are being accessed when opening or removing covers from the back side. 15. Electricians shall don required PPE and be positioned on the hinged side of access doors when opening to expose internal energized parts. Screw covers shall be carefully removed not allowing any corner or edge of cover to cross the plane into the internal section where energized conductor locations or conditions are unknown. 16. Verify voltage meter operation on a known voltage source, and then verify with same meter all conductor termination points are effectively de-energized with same meter, and then re-verify meter operation again on a known voltage source. 17. When work is completed in each switchgear section verify that all tools, materials, supplies, and shorts and grounds (if applicable) have been removed from work area and accounted for. Enclosure/cabinet is cleared and ready for door/cover closure. 18. Close & secure covers, access panels, and doors. 19. When all work is completed and personnel cleared from work areas remove LOTO devices, close main circuit breaker prior to energizing when the incident energy is greater than 40cal/cm2, and inform outage coordinator and utility clearance coordinator that work scope has been completed and all personnel are cleared from work area. 20. Upon re-energization, verify that all circuits have returned to normal operating conditions (phase rotation/phase sequencing/voltage) prior to leaving project site. Contact PCE Safety Department for assistance if any changes to the planned MOP effect or create additional hazards based on the revised work scope. \\SCAR\Safety_Manuals\Safety_Form_Library\MOP_Electrical_Work.docx

3 Electrical Energized Work Permit Issue Date: February 2011 Revision Date August 2013 Revision No: 1 Policy Doc: Form / Permit: ESLOTO Preparation: Safety Mgr. Authority: President Issuing Dept: Safety Page 1 of 1 EEWP PART I: TO BE COMPLETED BY THE REQUESTER: Job/Work Order Number: 1) Description of circuit/equipment/job location: 2) Description of work to be done: 3) Justification for why the work must be performed in an energized condition: Requester/Title Date PART II: TO BE COMPLETED BY THE QUALIFIED ELECTRICAL WORKER(S) PERFORMING THE WORK: Check when complete 1) Detailed job procedure to be used in performing the above work: 2) Description of the Safe Work Practices to be employed: 3) (a) Limited Approach Boundary feet inches (b) Restricted Approach Boundary feet inches (c) Prohibited Approach Boundary feet inches (d) Results of the Shock Hazard Analysis: Incident Energy Level: cal/cm 2 at inches Arc Flash Boundary (>1.2cal/cm 2 ): feet inches Available incident energy or hazard/risk category (HRC 0, 1, 2, 3, or 4) (e) Required PPE to safely perform the task: Cotton long-sleeve shirt Cotton pants Arc-rated coveralls Arc-rated flash suit jacket Arc-rated flash suit pants Class 0 Gloves w/ leather covers Class 2 Gloves w/ leather covers Arc-rated face shield Arc-rated switching hood Hard hat Safety glasses Hearing protection Leather work boots Insulated Tools / Shotgun / Hot Stick 4) Arc flash boundary tape barricade: Minimum distance: feet inches Means employed to restrict the access of unqualified persons from the work area: Standby qualified person name: Standby person briefed on Job Task & Emergency Response Plan? YES NO 5) Completion of a Job Briefing including discussion of any job-specific hazards? YES (Attach Briefing) NO (Explain) 6) Do you agree the above described work can be done safely? YES NO (If no, do not proceed - return to requester) PART III: APPROVALS TO PERFORM THE WORK WHILE ELECTRICALLY ENERGIZED Electrically Qualified Person(s) Date Energy Control Coordinator Date Electrically Qualified Person(s) Date Safety Manager Date Note: Once the work is complete, foreword this form to the PCE Safety Department for review and retention. \\SCAR\Safety_Manuals\Safety_Form_Library\Electrical_Energized_Work_Permit.docx

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5 LOTO Jobsite Issue Record Power City Electric Issue Date: May 2010 Policy Doc: ESLOTO LOTOJIR Preparation: Safety Mgr. Authority: President Issuing Dept: Safety Page 1 of 1 Job Name: Job #: Supervisor: PM: Authorized Lock Issue Lock Return Lock # Date Date Signature \\SCAR\Safety_Manuals\Safety_Form_Library\LOTO_Jobsite_Issue_Record.docx

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