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A. <br />Date of Z y- f C' <br />1-1 <br />Water Chacklist #4 <br />Location 0133 ']y"- 0 SE Crew Lead <br />Flagger Briefing: <br />Job Tasks: Flagger Responsibilities, Emergency Signals, Flagger Radios, Specific work zone hazards, <br />PPE, Night Lighting, Planned Equipment Movement, Emergency Escape Plans. <br />C. Vehicle Inspection Checklist: <br />Driver's Name <br />— <br />Equipment # <br />Locati'. <br />Inspection <br />Completed? <br />Comments I <br />G,,-t nC—"--- <br />BGwKea-S <br />005-0 <br />�• <br />�' <br />_ <br />L <br />-—_�_ <br />a s_— <br />I <br />—� <br />D. Checklist #4 - Routine Part t <br />YES <br />NO <br />1. Make site visit before starting work <br />2. Define activity, scope, and limits <br />)c . <br />3. Review Part 1 BMPs <br />X <br />• Permit needed <br />X <br />• Equipment maintenance <br />X <br />• Disturbed soil <br />JC <br />• Waste material removed <br />X <br />• Spit( kit <br />• Part 2 BMPs needed <br />e <br />• Use checklist #3 and routine <br />checklist <br />X <br />4. Is environmental staff required? <br />NO - continue maintenance <br />YES - contact environmental staff for <br />review <br />)c <br />YES <br />NO <br />5. In water work <br />X <br />• Stop work <br />�C <br />• Contact environmental staff for <br />review <br />X <br />• Evaluate using detailed checklist <br />1, 2, and/or 3 and routine <br />checklist <br />6. Location ' <br />133sk 5 F _ <br />2 <br />3 <br />4 <br />5 <br />pW,en\Uudy\Deeklep\Ueddut4-N`en,.dx <br />