Facilities Management – Opening Electrical Panels

Job Safety Analysis Form

501 Westwood Plaza, 4th Floor • Los Angeles, CA 90095
Phone: 310-825-5689 • Fax: 310-825-7076 • www.ehs.ucla.edu
Opening Electrical Panels – Exposed Electrical Circuitry (for
Picture of task/equipment: Task:
testing voltages and current)
Name of
FM Electrical Shop
Shop or Dept:
Job Title(s): Electricians

Analyzed by:

Date:
Required PPE:

Cat 1-2-3
FRC/ FS/SG/GLV/HP/H/MI/HP/I

Required/Recommended Trainings:
Arc Flash, PPE, LOTO, First Aid- AED, Approach Boundary’s -- Limited /Restricted /Prohibited
TASK HAZARDS CONTROLS
Removing -Branch panel Energized electrical circuits Only Qualified Personnel to perform task
Cover 208V- 10/22kaic Electrical Shock PPE- Cat 1
Electrical Burn Barricades/ Boundary’s
Arc Flash Safety Person
Bodily injury Cat IV Meter
Pedestrian Traffic Be sure that Safety person Knows where to de-energize panel in
the event of emergency
Removing -Branch panel Energized electrical circuits Only Qualified Personnel to perform task
Cover 480 V- Electrical Shock PPE –Cat 2
10/22kaic Electrical Burn Barricades/ Boundary’s
Arc Flash Safety Person
Bodily injury Cat IV Meter
Pedestrian Traffic Be sure that Safety person Knows where to de-energize panel in
the event of emergency
Removing –Distribution Energized electrical circuits Only Qualified Personnel to perform task
Board Cover 208-42Kaic Electrical Shock PPE- Cat1
Electrical Burn Barricades/ Boundary’s
Arc Flash Safety Person
Bodily injury Cat IV Meter
Unauthorized Personnel Be sure that Safety person Knows where to de-energize panel in
the event of emergency
Removing –Distribution Energized electrical circuits Only Qualified Personnel to perform task
Board Cover 480V 42Kaic Electrical Shock PPE Cat2
Electrical Burn Barricades/ Boundary’s
Arc Flash Safety Person
Bodily injury Cat IV Meter
Unauthorized Personnel Be sure that Safety person Knows where to de-energize panel in
the event of emergency
Removing- Rear Panels of Energized electrical circuits Only Qualified Personnel to perform task
Secondary Breakers Electrical Shock PPE Cat 3
208V- 65KAic Electrical Burn Barricades/ Boundary’s
Arc Flash Safety Person
Bodily injury Cat IV Meter
Unauthorized Personnel Be sure that Safety person Knows where to de-energize panel in
the event of emergency

Removing- Rear Panels of Energized electrical circuits Only Qualified Personnel to perform task
Secondary Breakers Electrical Shock PPE Cat 3
480V- 65KAic Electrical Burn Barricades/ Boundary’s
Arc Flash Safety Person
Bodily injury Cat IV Meter
Unauthorized Personnel Be sure that Safety person Knows where to de-energize panel in
the event of emergency