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3809 WETMORE AVE 2016-01-01 MF Import
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3809 WETMORE AVE 2016-01-01 MF Import
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Last modified
4/26/2017 3:46:02 PM
Creation date
3/9/2017 2:14:46 PM
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Address Document
Street Name
WETMORE AVE
Street Number
3809
Imported From Microfiche
Yes
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; A. <br />Date �_ys_�� <br />� <br />Location <br />Water Checklist /t4 <br />3s�� w�{r,�,� ICrewLead I �\�s <br />Flaggers Names Briefed? Briefed by <br />(YES or NO) <br />Flagger Briefing: <br />Job Tasks: Flagger Responsibili[ies, Emergency Signals, Flagger Radios, Specific work zone hazards, <br />PPE, Night Lighting, Planned Equipment Movement, Emergency Escape Plans. <br />C. Vehicle Inspection Checklist: -- <br />D. Checklist 1!4 - Routine Part 1 <br />YE; NO <br />1. Make site visit before starling work <br />2. Define activiry, scope, and limits J <br />3. Review Part 1 6MPs <br />• Permit needed <br />• Equipmen[ maintenance J <br />• Disturbed soil <br />• Waste ma[erial removed <br />• Spill kit ✓ <br />• Par[ 2 4MPs needed <br />• Use checklist N3 and routine / <br />checklist � <br />4. Is environmen[al staff reqcired? <br />NO - continue maintenance / <br />YES - contact environmental staff for \� <br />review <br />S:�rCommon\derinl\SIitGEiS\voox-�oa3\�+edlisl� W�leedoe <br />YES NO <br />5. In water work <br />• Stop work <br />• Contact environmental staff for <br />review <br />• Evaluate using detailed checklist � <br />1, 2, and/or 3 and routin= <br />checklist <br />
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