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A. <br />�ate <br />B <br />, � Z � �, I Location <br />Flaggers Names <br />Water Checklist #4 <br />or <br />Crew Lead <br />0 <br />Briefed by <br />Flagger Briefing: <br />Job Tasks: Flagger Responsibilities, Emergency Signals, Flagger Radios, Specific work zone hazards, <br />PPE, Night LiQhting, Planned Equipment Movement, Emergency Escape Plans. <br />C. Vehicle Inspection Checklist: <br />I�spection <br />Driver's Name Equipment JI Location Commen[s <br />Completed? <br />.Ta.c.uhS rr"b �o � S— I <br />D. Checklist #4 - Ro�tine Part 1 <br />--- ----- ----1 YES I NO <br />1. Make site �isit before starting work <br />2. Define activity, scope, and limits <br />3. Review Par[ 1 BMPs <br />• Permil needed <br />• Eqaipment main[enance <br />• Disturbed soil <br />• Waste material mmoved <br />• Spill kit <br />• Part 2 DMPs needed <br />• Use checklist #3 and rou[ine <br />checklist <br />4. Is environmental staff requireA? <br />NO - continue maintenance <br />YES - contact environmental sta(f (or <br />review <br />9. V ['mm�nnqd.ii��14Y1HlJ]Slvna��� nonll<ln�-hlisll_Wncr dn- <br />/ <br />YES I NO <br />5. In water work <br />• Stop work <br />• Contact environmental staff for <br />review <br />• Evaluate using detailed checklist <br />t, 2, and/or 3 and rou[ine <br />checklist <br />