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Water Checklist 94 <br />A. <br />Date 7 /� /3 Location <br />a <br />Flaggers Names <br />L•, <br />or <br />Crew Lead <br />_ r� ylier< <br />Briefed by <br />Flagger Briefing: Emergency <br />Job PPETa ks: Lighting, RPlannedili Lies, <br />Equipment Movement aEmergency Escape Plans. <br />ific work zone hazards <br />C. Vehicle Inspection Checklist: <br />Driver's Name Equipment # Location <br />f/t✓ti rc� I/OG�/6jE <br />D. Checklist #4 - Routine Part 1 <br />YES <br />NO <br />1. Make site visitbefore starting work k <br />2. Define activity, scope, and limits k <br />3. Review Part 1 BMPs <br />• Permit needed <br />• Equipment maintenance <br />• Disturbed soil <br />• Waste material removed <br />• Spill kit <br />Part 2 BMPs needed <br />• Use checklist #3 and routine <br />checklist <br />4. Is environmental staff required? <br />X <br />NO - continue maintenance <br />YES - contact environmental staff for <br />review <br />Comments <br />YESI� <br />5. In water work qj <br />Stop work <br />Contact environmental staff forreviewEvaluate using detailed checklist <br />1, 2, and/or 3 and routine <br />checklist <br />