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Water Checklist #4 <br /> A. <br /> I Date �- �,- I� Location �t> ���� Crew Lead <br /> B. <br /> Briefed7 Briefed by <br /> Flaggers Names (YES or NO) <br /> Flagger Briefing: <br /> Job Tasks: Flagger Responsibitities, Emergency Signats, Flagger Radios, Specific work zone hazards, <br /> PPE, Night Lighting, Planned Equipment lhovement, Emer�ency Escape Plans. <br /> C. Vehicle Inspection Checklist: <br /> Inspection Comments <br /> Driver's Name Equipment # Location Completed? <br /> . vl/�t7 v�°l� ��T � (c� ��� . <br /> J. .�19vav� o� <br /> D. Checkfist N4 - Routine Part 1 <br /> YES NO YES NO <br /> 1. Make site visit before starting work ✓ � <br /> 5. In water work '� <br /> Z. Define activity, scope, and limits • Stop�vork <br /> 3. Review Part 1 BMPs • Contact environmental staff for <br /> � review <br /> • Permit needed <br /> � • Evaluate using detailed checklist <br /> • Equipment maintenance 1, 2, and/or 3 and routine <br /> • Disturbed soil checklist <br /> • Waste material removed <br /> • Spill kit 6. Location <br /> • Part 2 BMPs needed � ���g 0 '�'c� P P <br /> z <br /> • Use checklist �3 and routine <br /> checklist 3 <br /> 4. Is environmental staff required? <br /> � <br /> NO - con[inue maintenance 5 <br /> YES • con[act environmentai staff for <br /> review <br /> S�.A�Cr.:.:��-nAd_rioI:�11E7S',=c::cc3VClir.4lsta_t':+'•. ' - <br />