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Water Checklist #4 <br /> A. <br /> Date 45(Li(tbo . Location Wk.,‘ btJ CAko Crew Lead <br /> B. <br /> Flaggers Names Briefed? Briefed by <br /> i A (YES or NO) <br /> Flagger Briefing: <br /> Job Tasks: Flagger Responsibilities, Emergency Signals, Flagger Radios, Specific work zone hazards, <br /> PPE, Night Lighting, Planned Equipment Movement, Emergency Escape Plans. <br /> C. Vehicle Inspection Checklist: <br /> Driver's Name Equipment # Location Inspection Comments <br /> Complete <br /> R VOO( 1 A A <br /> 01,11/4 oW*`'( sal\ A ' ___- <br /> p ,ULvJ JolWo tk "7 q <br /> D. Checklist #4 a Routine Part 1 <br /> YES NO YES NI <br /> 1. Make site visit before starting work 5. In water work ,// <br /> 2. Define activity, scope, and limits v • Stopwork ../ <br /> / <br /> 3. Review Part 1 BMPs 1 <br /> I • Contact environmental staff for <br /> ■ Permit needed review <br /> ■ Equipment maintenance I <br /> ■ Evaluate using detailed checklist1, 2, and/or 3 and routine <br /> a Disturbed soil J/ checklist <br /> ■ Waste material removed J <br /> ■ Spill kit J 6. Location <br /> ■ Part 2 BMPs needed ,/ 1 <br /> ■ Use checklist#3 and routine 2 <br /> checklist 3 <br /> 4. Is environmental staff required? 4 <br /> NO - continue maintenance 5 <br /> YES - contact environmental staff for <br /> review <br /> C:\Users\thusby\Desktop\Checklist4_Water.doc <br />