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Water Checklist �#4 <br /> A. <br /> _ - -- - - - --- — — — <br /> Date g� - � �„-� Location ���s ��fz.. f y Crew Lead ��� � ^ <br /> _ - <br /> - --- -- -1 <br /> . _._ " ___ __'_— ". _ ___ SJ <br /> B. <br /> Fla�gers Names Briefed? griefed by <br /> (YES or NO) <br /> Flagger Brieting: I <br /> Job Tasks: f lagger Responsibilities, Emergency Signals, Flagger R.�dios, Specific work zone hazards, <br /> PPE, Night Lighting, Planned Equipment Movement, Emer�ency Escape Plans. <br /> C. Vehicle Inspection Checklist: <br /> __ . _ <br /> Di iver's Name Equipment 1l Location Inspection Comments <br /> _--- - _- _ --Completed?----- <br /> �e S� ���Sz" <br /> - - -- _-- — - <br /> ---- — ---- <br /> --- ----- ------ --- <br /> �c�✓e�L __ c� zG-- <br /> _..Y_ ?' U�_`L,��__ �7,o v �f — - --- <br /> D. Checklist #4 - Routine Part 1 <br /> - - _.__. __ - _ _ _ - -- ---- ---- ---- --- - - <br /> YES NO YES NO <br /> --- _—_— . — --- — - — — -- — <br /> 1. Make site visit before starting work 5. In water work <br /> 2. Define activity, scope, and limi[s Stop work <br /> 3. Review Part 1 f3MPs • Contact environmentai ;[aff for <br /> • Permit needed review <br /> i ---- <br /> • Equipment maintenance • Evaluate using detailed checklist <br /> _-__ 1, 2, and/or 3 and routine <br /> • Disturbed soil __ __ checklist __ <br /> • Waste material removed <br /> • Spill ki[ 6. Location <br /> • Part 2 6MPs needed � <br /> • Use checklist q3 and routine Z <br /> checklist 3 <br /> 4. Is environmental sta(f required? � <br /> NO - continue maintenance s <br /> YES - contac[ environmental staf( for <br /> review i. , <br /> - . ', <br /> -- — — -- -- - � , <br /> s�,,nt�., n\� �„r:tri����.� -.� ni. :� ar�i�,L�r.i.i K.�� b. � ; �i, . <br />