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Water Checklist i�4 <br /> A. - — --- -- — -- — -- ---i---- -- <br /> rDale I � LocaCion —_ — -- -- ---I Crew Lead _ _ ---- -- -- � <br /> l —I— 1 <br /> B. -- - - - -------- — <br /> --- ----— Briefed? 13riefed by <br /> Flaggers Names _ (YES or NO) <br /> --- -- ----- ---- — 1---- —_ - - <br /> Flagger Briefing: <br /> Job Tasks: flagger Responsibilities, Emergency Signals, Flagger Radios, Specific work zone hazards, <br /> PPE, Night Ligh[ing, Planned [quipment Movement, Emergency [scape Plans. <br /> C. Vehicle Inspection Checklist: <br /> - -- — Inspection Comments <br /> Driver's Name [quipment tl Locaeion Compleced? __ _ <br /> D. Checklist N4 - Routine Part 1 <br /> -- -- - -- ---- <br /> - - -- -- - -- - YES NO - YES NO <br /> 1. hl.ike sile visit before starting work 5. In waler work __ <br /> 2. De(ine activity, scope, and limits -- — • Stop work _ --- <br /> 3. Review Part 1 UMPs ' Coniact environmental staff for <br /> ----- ------- — review <br /> • Pennit needed -- - ------- <br /> —. -- -- — • Evaluate using detailed checklis[ <br /> • Equipment maintenance 1, 2, and/or 3 and routine <br /> — --- <br /> -- • Distuibed soil ---- _ checklist <br /> • Wastc malcrial removed ___ <br /> - � Spill kit - - - 6. Location <br /> • Part 2 i3MPs needed -----— — - — � <br /> -- --------- — t <br /> • Use diecklist Y3 and routine <br /> checklist 3 <br /> - ____ -_ _- --._ 4 <br /> 4. Is environmental sta(( reyuired? _.—_- ------ <br /> NO continue maintenance 5 __ __ _ ___ __— <br /> YES contau environmerual sta(f for I <br /> review <br /> 1v��.�numnn�..;i._d�;lr.urc:,:u�v :n,�,�ne.�hJ, r:il„n..- <br /> •� ' <br /> Y <br />