Laserfiche WebLink
� Water Checklist #4 <br /> A. <br /> Date ������� Locatio�i `j5t7� �/�/ L�� Crew Lead �. <br /> /� SM.�fc, <br /> B. <br /> � Briefed? � <br /> Flaggers Names Briefed by <br /> (YES or NO) <br /> Flagger Briefing: <br /> Job Tasks: Flaggar Responsibilities, Emergency Signals, Flagger Radios, Specific work zone hazards, <br /> PPE, Night Lighting, Planned Equipment Movement, Emergency Fscape Plans. <br /> C. Yehicle Inspection Checklist: <br /> Driver's Name Equipment H Location Inspection Comments <br /> _ �,�5 � - s� r - <br /> Completed? <br /> . �z _a Q� <br /> . S ,� � [� - <br /> — -- --- ---- - ---- - —I <br /> D. Checkfist #4 - R�utine Part 1 <br /> -- --- <br /> - _— <br /> YES NO YES NO <br /> i. Make site visi[before startin� work 5. In water work L,- <br /> 2. Define activity, scope, and limi[s • Stop work <br /> 3. Review Part 1 BMPs __ , / • ConWct environmentat siaff for <br /> V review <br /> • Permit needed � _ <br /> • Equipment maintenance • Evaluate using detailed checklist <br /> — , 1, 2, and/or 3 and rou[ine <br /> � Disturbed soil checklist <br /> • Waste +naterial remeved <br /> • Spill kit 6. Location <br /> • Part 2 BMPs needed � � <br /> • Use checklist p3 and routine Z <br /> checklist 3 <br /> 4. Is environmental sta(f required? 4 <br /> NO - continue maintenance g <br /> YES - contact envirunmental staff for - <br /> review <br /> sn.a���������n<�„�i:sncer.Tsl�,00,._ �a���.-u�sia_���ne.a.,: <br />