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Water Checklist #4 <br /> J A. <br /> + Oate `j'-3.�i Z Locatton ��-p �,.,. 4s��o Crew Lead � (r. <br /> B. <br /> Brlefed7 Briefed b <br /> Flaggers Names YES or NO Y <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 CheckUst: "" <br /> Inspection Comments <br /> Driver's Name Equipment /t cation Com l ted? <br /> �l-f b �6 <br /> C� �� <br /> • D. Checklist #4 - Routine Part 1 <br /> YES NO YES NO <br /> t. Make site vfsitbefore starting work / 5. In water work <br /> 2. Deffne activity, scope, and limits • Stop work <br /> 3. Review Part 1 BMPs • Contact environmental staff for <br /> - review <br /> • Permit aeeded <br /> • Evaluate using deWfled checkUst / <br /> • Equipment main[enance 1, 2, and/or 3 and routine <br /> • D�sturbed soil checklist <br /> • Waste material removed <br /> Spill Mt 6. LocaHon <br /> • Part 2 BMPs needed � <br /> 2 <br /> • Use checklist #3 and routine <br /> checklist � 3 <br /> 4. Is environmental staff required7 4 <br /> NO - contlnue malntenance 5 � <br /> YES - contact environmental staff for <br /> revie�� <br /> 5:\�fummon\der1a1�5ITEE73�aoof-soa]\a�M_W��u�°� <br />