GRACE

Group Risk Assessment Conversation & Experience transfer

Identify hazards within your own working areas!!
Work on Electrical equipment: 1 of 3
Isolation of fan
Identify Potential Hazards!
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Work on Electrical equipment: 2 of 3
Activity
Isolation of fan
Preparations
Work Permit, Personnel Protective Equipment (PPE)
Personnel
Two experience electricians
Circumstances
Faulty cubical breaker
Similar problem had been solved earlier by changing the handle.
Action
The electricians received information on how to change the handle.
The handle was replaced but still did not work
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Work on Electrical equipment: 3 of 3
Actual / potential consequence
1 and 2 degree burn (on hand)/(DAFWC) serious injury
What happened
One of the technicians opened the door and used the old handle directly to the breaker operation axel and
turned the locking arm
The locking arm came too close to the live part of the fuse and created an electrical short circuit
Direct causes
1-10 Short circuit
3-1 Lack of knowledge of hazards present
System causes
13-1 Inadequate assessment of needs and risks (tools & equipment)
15-10 Inadequate communication of safety and health data, regulations or guidelines
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GRACE
Group Risk Assessment Conversation & Experience transfer
Identify hazards within your own working areas!!
Work on Electrical System: 1 of 3
Working on an 4160 V overhead
Identify Potential Hazards!
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Work on Electrical System: 2 of 3
Activity
Working on an 4160 V overhead
Preparations
Work Permit
Personnel
Two electrical crews
Circumstances
Failed meggar test were found on 2 of the 3 phases
Repairs were made to the 2 phases
Following repairs, one phase still failed the meggar testing
Action
It was determined that the linemen would be required to assist in investigating the failure
Since it was break time and it appeared as if it might rain, the transformer cover was put back with two screws.
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Work on Electrical System: 3 of 3
Actual / potential consequence
Electrocute / Fire
What happened
The wireman crew foreman thought that the work was completed, so he told them to install the cutouts and
energize the transformer.
Immediately after being energized, one of the splice connections failed and the 4160 volt feeder tripped out on
ground fault.
Direct causes
3-1 Lack of knowledge of hazards present
7-3 Work expose to energized electrical system
System causes
13-1 Inadequate assessment of needs and risks (tools & equipment)
14-4 Inadequate enforcement of Policies, Standards, Procedures
15-10 Inadequate communication of safety and health data, regulations or guidelines
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