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Water Checklist #4 <br /> A. <br /> Date [Ai/Alt/0 Location e `1 ftex,eillti, Crew Lead 1-6 <br /> B. <br /> Flaggers Names Briefed? Briefed by <br /> (YES or NO) <br /> 0 ill <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 /> Com d? <br /> POO 4oc '1 tn Sr?. <br /> Citzo :RAIZ I, -,, e.c, <br /> D. Checklist #4 - Routine Part 1 <br /> Y NO YES NO <br /> 1. Make site visit before starting work 5. In water work <br /> 2. Define activity, scope, and limits J ■ Stop work J <br /> 3. Review Part 1 BMPs I ■ Contact environmental staff for // <br /> review <br /> • Permit needed i <br /> • <br /> Equipment maintenance J • Evaluate using detailed checklist <br /> 1, 2, and/or 3 and routine <br /> ■ Disturbed soil J/ checklist <br /> • Waste material removed . <br /> • Spill kit J 6. Location <br /> • Part 2 BMPs needed li 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\Ihusby\Desktop\Checklist4_Water.doc <br />