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� Water Checklist #4 <br /> A. <br /> Date �����p Location U`zo �(/�,r,.id;�,� Crew Lead . sn„c''� <br /> B. <br /> Flaggers Names Briefed? Briefed by <br /> (YES or NO) <br /> Flagger B�fefing: <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 t� Location �nspection 7 Comments <br /> Com leted. <br /> � Jc�a S <br /> ti <br /> w > y ' I !/ <br /> � � <br /> D. Checklist #4 - Routine Part 1 <br /> YES NO YES NO <br /> 1. Make site visit before starting work (/ 5. In water work <br /> 2. Define activity, scope, and limits • Stop work <br /> 3. Review Part 1 BMPs V • Contact environmental staff for <br /> • Permit needed review <br /> • Equipment maintenance V • Evaluate using detailed checklist <br /> 7, 2, and/or 3 and routine <br /> • Disturbed soil �/ checklist <br /> • Waste material removed ✓ <br /> • Spill kit (/ 6. Location <br /> • Part 2 BMPs needed V � <br /> • Use checklist/t3 and rou[ine 2 <br /> checklist � 3 <br /> 4. Is environmental staff required? 4 <br /> NO - continue maintenance ✓ s <br /> YES - contact environmental steff for <br /> review <br /> . , <br /> S:\��m�n\derinl\�S\xoox-aoo3\aKk��ri�Waler.dae 1 <br /> � �� <br />