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Water Checklist #4 <br /> ; A. _ <br /> Location ay Crew Lead <br /> � �ate �iz-28-�I S v'�r, p Jfr �;- h1Cs <br /> B. <br /> � Briefed? griefed h <br /> Flaggers Names (YES or NO) y <br /> � — — <br /> Flaoger Briefing: <br /> Job Tasl�s: Flagger Responsibilities, [mergency Signals, Flagger Radios, Specific work zone hazards, <br /> PPE, Night Lighting, Planned Equipment Movement, Emergency Escape Plars. <br /> C. Vehicle Inspectian Checklist: <br /> Inspection Comments <br /> Driver's Name Equipment # Location Completed? <br /> ��,A.� �vas 5 5l.� Y�5 S�Nq1I c; It �c P��/ ;.�:r� ri�Z <br /> (vira��r x�7b �nnw3 l- �- OIC <br /> —��—� <br /> D. Ghecklist J14 - Routine Part 1 <br /> YES NO YES NO <br /> 1. A1ake si[e visi[before starting work 5. In water work ✓ <br /> 2. Define activiry, scope, and limi!s • Stop work ✓ <br /> 3. Review Part 1 aMP> f • ConWct environmen[al staff for ✓ <br /> — review <br /> • Permit needed <br /> • Evaluate using deiaited checklist <br /> • Equipment n�ainterance 1, 2, and/or 3 and ro�tine <br /> - Disturbed sail checklist <br /> • 1Naste material removed <br /> � Spill kit 6_ Loca[ion _ <br /> • Part 2 BMPs needed � 5�`� V��'"'� �`� � <br /> • Use checklist �3 and routine Z 5 �� �'� ('�� <br /> checklist 3 Z��� P�'�-�_ tl�?�' <br /> 4. Is environmentat s[aff required? a — -- <br /> NO - continue maintenance � I � s <br /> YES - contad environmental staff (or <br /> review � <br /> .,.:;::�.-.�.-„�d...:�i�.-`..e=i�� �-�-r,oz.H.r.. ,v,�,.:.��.:: <br /> 2�C:-_� . <br />