INFORMATIVE ANNEX I
Informative Annex I Job Briefing and Job Safety Planning Checklist
This informative annex is not a part of the requirements of this NFPA
document but is included for informational purposes only.
Δ I.1 Job Briefing Checklist. Figure I.1 illustrates considerations
for a job briefing checklist.
Identify
❏ Hazards
❏ Voltage levels involved
❏ Skills required
❏ Any “foreign” (secondary
source) voltage source
❏ Any unusual work conditions
❏ Number of people needed to
do the job
Ask
❏ Can the equipment be
de-energized?
❏ Are backfeeds of the circuits
to be worked on possible?
❏ Is an energized electrical
work permit required?
Check
❏ Job plans
❏ Single-line diagrams and
vendor prints
❏ Status board
❏ Information on plant and
vendor resources is up to date
Know
❏ What the job is
❏ Who else needs to know —
Communicate!
Think
❏ About the unexpected
event . . . What if?
❏ Lock — Tag — Test — Try
❏ Test for voltage — FIRST
❏ Use the right tools and
equipment, including PPE
Prepare for an emergency
❏ Is the standby person
CPR/AED trained?
❏ Is the required emergency
equipment available?
Where is it?
❏ Where is the nearest
telephone?
❏ Where is the fire alarm?
❏ Is confined space rescue
available?
Δ FIGURE I.1 Sample Job Briefing Checklist.
70E–78
Copyright National Fire Protection Association
Provided by IHS Markit under license with NFPA
N I.2 Job Safety Planning Checklist. Figure I.2 illustrates consid‐
erations for a job safety planning checklist.
❏ Shock protection
boundaries
❏ Available incident energy
❏ Potential for arc flash
(Conduct an arc flash risk
assessment.)
❏ Arc flash boundary
❏ Any evidence of impending
failure?
❏ Is a standby person
required?
❏ Is the equipment properly
installed and maintained?
❏ Safety procedures
❏ Vendor information
❏ Individuals are familiar with
the facility
❏ Who is in charge
❏ Install and remove temporary
protective grounding
equipment
❏ Install barriers and barricades
❏ What else . . . ?
❏ What is the exact work
location?
❏ How is the equipment shut off
in an emergency?
❏ Are the emergency telephone
numbers known?
❏ Where is the fire extinguisher?
❏ Are radio communications
available?
❏ Is an AED available?
Shaded text = Revisions. Δ = Text deletions and figure/table revisions. • = Section deletions. N = New material.
 INFORMATIVE ANNEX I

Job Safety Planning Checklist

Equipment:
Task:
Location:
Qualified submitter: Date:
Section A, General
Mark “Y” or “N” as appropriate
No. Item Yes No Instructions
Is there justification for the energized work? If No, the equipment must be placed in an electrically
a. Equipment operating at less than 50 volts safe working condition.
1. b. Additional hazard or increased risk If Yes, complete 1a, 1b, and 1c, and shock and arc
c. Infeasible to de-energize flash risk assessments are required to determine the
d. Normal operating condition appropriate hazard controls.
Proceed to Line 2.
Will the worker be exposed to energized If No, a shock risk assessment is discretionary and
2. parts? completing Sections B and C is optional.
Proceed to Line 3.
Is there an arc flash hazard? If No, arc flash risk assessment is discretionary and
3. completing Sections D or E and F is optional.
Proceed to Line 4.
Were any of the answers to Questions 3 or 4 If No, further risk assessment is discretionary.
4. yes? If Yes, proceed to Line 5.
Did the arc flash risk assessment determine If No, completing Parts D or E and F is discretionary.
5. that additional protective measures are If Yes, Part D or E is required to be completed.
required? Proceed to Line 6.
Is the required working distance available? If Yes, proceed to Line 7.
6. If No, additional risk assessment is required before
completing Section D or E or performing any work.
Proceed to Line 7.
Section B, Shock Hazard Information
Use Table 130.4(D)(a) for ac system boundaries or Table 130.4(D)(b) for dc system boundaries
Voltage between phases: Establish the shock boundaries.
7. Limited approach boundary: Proceed to Line 8.
Restricted approach boundary:
Section C, Shock Control Information
Mark “Y” or “N” as appropriate
Will the task require the worker to cross the If No, shock protection controls are discretionary.
restricted approach boundary? Proceed to Section D or E as appropriate.
8. If Yes, shock protection controls are required.
Proceed to Line 9.
Will rubber insulating gloves and leather If Yes, proceed to Line 10.
9. protectors be used for the task? If No, proceed to Line 11.
Minimum glove class required for Establish minimum glove class.
10. insulating gloves Proceed to Line 11.
Will insulating blankets be used for the task? If Yes, proceed to Line 12.
11. If No, proceed to Line 13.
Minimum voltage rating for Establish minimum voltage rating.
12. insulating blankets Proceed to Line 13.
© 2020 National Fire Protection Association NFPA 70E (p. 1 of 2)

N FIGURE I.2 Sample Job Safety Planning Checklist.

Shaded text = Revisions. Δ = Text deletions and figure/table revisions. • = Section deletions. N = New material. 70E–79
Copyright National Fire Protection Association
Provided by IHS Markit under license with NFPA
 INFORMATIVE ANNEX I

Mark “Y” or “N” as appropriate

Are insulated or insulating hand tools required If Yes, proceed to Line 14.
13. for the task? If No, proceed to Section D or E as applicable.
Identify the hand tools, including the
14. minimum voltage rating required.
Proceed to Section D or E as applicable.
Section D, Arc Flash Control Information ― Incident Energy Analysis Method
Use information from incident energy study
Incident energy: Working distance: Include: the arc flash boundary and at least one of
Level of PPE: the following: the incident energy and the working
15. distance or the level of PPE or the minimum arc rating
Minimum arc rating of clothing: of clothing.
Arc flash boundary: Proceed to Section F.
Section E, Arc Flash Hazard Control Information ― Arc Flash PPE Category Method
Use Table 130.5(C)(15)(a) for ac systems or Table 130.7(C)(15)(b) for dc systems
Determine the estimated available fault current and clearing times for the task.
16.
Available fault current: Overcurrent device clearing time:
Mark “Y” or “N” as appropriate
Do the estimated available fault current and If Yes, an incident energy analysis is required.
clearing times for the task exceed the
17. maximum allowed by Table 130.7(C)(15)(a) or If No, proceed to Line 18.
Table 130.7(C)(15)(b)?
18. Arc flash boundary: Proceed to Line 19.
19. Arc flash PPE category: Working distance: Proceed to Line 20 and 21, Section F.
Section F, Arc‐Rated Clothing and Other Arc Flash Protection Equipment Information
Minimum arc rating in cal/cm2 for protective clothing Establish the required arc‐rated clothing and
20.
and other PPE other PPE.
List the required arc‐rated clothing and other
arc flash PPE.
21. PPE Category Method: Use 130.7(C)(15)(c) and
Table 130.7(C)(15)(c).
Incident Energy Analysis Method: Use
130.5(G) and Table 130.5(G).
Section G, Energy Source Controls
List all sources of electrical supply to the
specific equipment.
Include location and method to lock or tag.
22.
Include method to verify and test for absence
of voltage.
List temporary protective grounding equipment.
Section H, Work Procedures and Special Precautions
List specific work procedures required to complete
23. the task.
List any special precautions needed to safely complete
the task (i.e., discharge time for capacitors).
© 2020 National Fire Protection Association NFPA 70E (p. 2 of 2)

N FIGURE I.2 Continued

70E–80 Shaded text = Revisions. Δ = Text deletions and figure/table revisions. • = Section deletions. N = New material.

Copyright National Fire Protection Association

Provided by IHS Markit under license with NFPA