Laserfiche WebLink
Water Checklist #4 <br />Location yz(le S. 3-4 <br />Date hual-t% <br />B BrielE <br />Fte.;gers Names (1'ES or <br />Crew Lead j p.v— <br />Briefed by <br />er Briefing: Signal,,, Flagger Radios, Specific work zone hazards, <br />Flagg onsibilitie., Emergency g Radios, <br />Escape plans. <br />Job Tasks: Flagger Resp <br />PPE, Night Lighting, Planned Equipment f,',ovement, Emergency <br />C. Vehicle Inspection Checklist: — <br />t Location <br />Driver's Name Equipmen . <br />D. Checklist #4 - Routine Part t <br />YES I No <br />i. I: ake site visitbefore starting <br />work <br />and limits <br />2. Define , scope <br />3. Review Part i Bffs _�� — <br />• Permit needed <br />Equipinent maims_ <br />Disturbed soil <br />Waste material remcved <br />• Spill kit <br />Part 2 BN,Ps needed <br />r4js <br />Use checklist k3 and routine <br />checklistenvironmental staf required? <br />- continue maintenanceS - contact environmer�tal stafffor <br />view �-- <br />ted? <br />7 <br />Comments <br />5. in water work <br />Stop work —_— <br />• Contact environmental staff for <br />review - <br />--Evaluate using detailed checklist <br />i, 2, and/or 3 and routine <br />checklist <br />6. Lo_ation <br />i <br />3 <br />YES NG <br />i ✓ <br />J <br />