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A. <br />Date I � 1 Z - ,�q <br />s_ <br />Water Checklist #4 <br />Location I �n� �' <br />� <br />Crew Lead <br />Flagger BrieNng: <br />Job Tasks: Flagger Responsibilities, Emergency Signals, Flagger Radios, Specific work zone haza�ds, <br />PPE, Night Lighting, Planned Equipment Movement, Emergency Escape Plans. <br />C. yehicle lnspection CheckUst: <br />Driver's Name Equipment # Location �nspection Comments <br />Com leted? <br />S �Q9 <br />�'o 0 <br />Mn,.�' c'l rh o o � <br />D. Checklist #4 - Routine Part 1 <br />YES NO <br />1. Make site visit before starting work <br />2. Define activity, scope, and limits � <br />3. Review Part 1 BMPs f <br />• Permit needed <br />• Equipment maintenance <br />• Disturbed soil / <br />• Waste material removed „/ <br />• Spill kit � <br />• Part 2 BMPs needed <br />• Use checklist k3 and routine <br />chxklist <br />4. Is environmental staff required? <br />NO - continue maintenance <br />YES - contact environmental staff for <br />revtew <br />S:\eCmmao\dvid\sIRFEtblxomaoos\Oied1I+4 watv.doc <br />YES NO <br />5. In water work <br />• Stop work <br />� Contact environmenWl staff for <br />review <br />• Evaluate using deWiled checkUst <br />1, 2, and/or 3 and routine <br />cF►ecklist <br />6. Location <br />t <br />2 <br />3 <br />� <br />5 � <br />�. 'J <br />