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Water Checklist 1�4 <br /> A. <br /> �ate -7' � 5_�5 Location . ����� - Crew Lead � n `,Ue,��� <br /> ---� <br /> B. <br /> Briefea? <br /> Flaggers Names I (YES or Np Briefed by <br /> -- � �- <br /> �— — � <br /> Flagger Briefing: <br /> Job Tasks: Flag;er Responsibilities, Emergzncy Signats, Flag;er Radios, Specific work zone h�zards, <br /> PPE, Ni,ht Lighting, Planned Equip�nent �',ovement, Emergency Escape Plans. <br /> C. Vehicle Inspection Checklist: - <br /> Driver's IJame Equipment ,'t Location �nspection Commen[s <br /> Completed? <br /> , G� E,�� r��C�f l I � <br /> ��1 ������� ao 5 � <br /> /1'c�e vllS <br /> L. Lv�ti .- ? l3 I <br /> I I <br /> 1 I I <br /> — --- — — � --- — <br /> D. Checklis[ ;4 - Routine Part 1 <br /> ---------- ---- - YES NO -- ----- — — -- 1'ES NO <br /> 1. A1al.e si[e visit before s[ar[ing work f 5. In wa[er work _L _ <br /> Z. Define activity, scope, and limits • Stop work <br /> 3. Review Part 1 llMPs � • Contaet environmental staff for <br /> • Permit nceded revicw <br /> • Equipment maintenance ' Evaluate using de[ailed checklist <br /> 1, 2, and/or 3 and routine <br /> • Distwbed soil checklist <br /> • \Vaste material removed � . <br /> • Spill kit 6. Loca[ion <br /> • Part 2 �RiPs needed � 2 r y e�f � <br /> • Use checF:lis[ �3 and rou[ine Z _ _ <br /> checklist '- <br /> •L Is envirenmental staff required? a <br /> NO - continue main[enance 5 <br /> YES - contact em�ronmental slafi for <br /> review <br /> S1�C:_-�rn\c•Li:yl\-Ri'.��5\:om�:o�3\Ch:1Sr: wr.c.Ca <br />