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Water Checklist #4 <br /> ; A. <br /> � Oate �_11_�� Location ,�,,,�� R,���,�M.f. D� Crew Lead ��.s— <br /> B. <br /> Briefed? Briefed by <br /> Flaggers Names (YES or NO) <br /> Flagger Briefing: <br /> Job Tasks: Flagger Responsibilities, Emergency Signals, Flagger Radios, Specific work zone hazards, <br /> PPE, Night Lighting, Planned Equipment �Aovement, Emergency Escape Plans. <br /> C. Vehicle Inspection Checklist: "' <br /> Inspection <br /> Driver's Name Equipment ft Location Completed? Comments <br /> � Wtsl Sou:;� S�. Y�' o.� <br /> Snai�� x,n9l <br /> 'la/a�r .k�v�G w�hy3 . <br /> - I <br /> D. Checklist #4 - Routine Part 1 <br /> YES NO YES NO <br /> 1. Make site visit before starting work f S. In water work ,/ <br /> Z. Define activity, scope, and limi[s J • Stop work ,� <br /> 3. Review Part i �MPs �/ • Contact environmental staff for / <br /> review ✓ <br /> • Permit needed �/ <br /> • Evaluate using detailed checklis[ / <br /> • Ec,uipment maintenance f 1, 2, and/or 3 and routine � <br /> • Disturbed soil � checktist � <br /> • Waste matefial removed f <br /> • Spilt kit r/ 6. Location <br /> • Part 2 DA1Ps needed � � <br /> • Use check;ist �3 and routine 2 <br /> checklist 3 <br /> 4. Is ernironmental staff required? a _ <br /> NO - continue maintenance / 5 <br /> YES - contact environmenlal staff for J <br /> review <br /> S:�rConmon�dvinl\STREETS\xooa-:na�\fh<cilstq N'alecdoc <br />