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A. <br />Date ��_�`;_� <br />f- �_ --- <br />B. <br />Location S_Z <br />Flaggers Names <br />Water Checklist �i4 <br />Crew Lead <br />�G,IC_ S <br />or NO <br />Briefed by <br />Flagger B�iefing: <br />Job Tasks: Flagger Responsibili[ies, Emergency Si�nals, Flagger Radios, Specific work zone hazards, <br />PPE, Night Lighting, Planned EquiprTient Movement, [mergency Escape Plans. <br />C. Vehicle Inspcction Checklist: <br />Driver's Name � Equipment !I <br /><rs` <br />D. Checklist 1�4 - Routine Part 1 <br />L Ak�ke site visit before starting work <br />2. Define activily, scope, and limits <br />3. Revicw Part 1 6MPs <br />• Permit needed <br />• Equipment maintenance <br />Disturbed soil <br />• Waste material removed <br />• Spi(t kit <br />• Part 2 UMPs needed <br />• Use checklist #3 and routine <br />checklist <br />4. Is environmental staf( required? <br />NO - continue maintenance <br />YES - contaR environmental staff (or <br />review <br />..,�.��.,���� �ri..�,.-.,n.ti,n�i,�,,,,�,�_.:,.�,n�ro,.���„„ �.���.�a.. <br />Location <br />� <br />Sl <br />YES NO <br />✓ <br />/ -- <br />� <br />✓ <br />✓ <br />� <br />_ � <br />— ✓ <br />✓ <br />✓ <br />Inspection <br />Comaletec <br />Comments <br />5. In water wcrk <br />• Stop work <br />• Contact environmental sta(f for <br />review <br />• Evaluate using de[ailed checklist <br />1, 2, and/or ] and routine <br />checklisl <br />6. Location <br />' 1. S �o L� -� ?' <br />z <br />l <br />a <br />5 <br />YES I NO <br />� <br />