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rVater Checklist �/4 <br /> A. <br /> I Date IC�-z�, f0 I Location I��IZ7 /(i�5�5i*�.�"II�S Crew Lead 1�. SM ;f,� <br /> - - - - <br /> - - - - - ---_I---- ---- <br /> 8. <br /> _ - - - -- --- ---- - <br /> Fla ers Names Briefed? <br /> 4� Briefed by <br /> -- _--. - -_(YES or N01- <br /> Flagger Briefing: <br /> Job Tasks: Flagger Responsibilities, Emergency Signals, Flagger Radios, Speci(ic work zonc hazards, <br /> PP[, Nighl Lighting, Plannrd Equipment Movemenl, [mergcncy Escape Plans. <br /> C. Vehicle Inspection Checklist: <br /> Oriver's Name Equipment ll I_ocalion Inspection Commenls <br /> Completed? <br /> • P�r�� ao `i1 sh�V' ✓ _ <br /> 5� Pacz T��FsF � � l� - --- <br /> • Sf-c�ll:.vfs �G`/ �( � � _ 1/ - - <br /> � C�O`�3 � � _— !/ - <br /> -- - - I - -- <br /> D. Checklist Jt4 - Routine Part 1 <br /> YFS NO I YES NO <br /> I Mak�• sitc visrt b��fuiu st�uting woik � 5. In water work <br /> l. f�r�inr ac tivily, s<up�r. and limits V� • Stop wo�k -- - - - <br /> 3. Rovicw Pait ', l4M!'s V • Contact encironmental sta(( (or -- <br /> • Pennil nred��d �eview <br /> • f quipment �n�iint��n,�nro �/ • Cvaluale using detail�rl checklist <br /> t, 7, and/or l and routine <br /> • (�ietwbrA soil V rhecklist <br /> __ _ -_-- --- -- <br /> • Watti matriial r��mnve•d ✓ <br /> • Spill kit 6. Location ---- ---- --1 <br /> - - - - - - <br /> • Part 7 f1MPs nordcd V - �--- ----- - --_ <br /> • USr � hc� {.litit !t3 r�nd �outine � i 1 - <br /> i hrc kliit � � �� �--. . <br /> 4. Is enviionmental stal( icyuiied? � <br /> NO continue maintenance - g - — --- <br /> YES <nnlacl i•nvuonmental slaff (oi - -_ - __-- - ----- - - ----_----- <br /> i i�vicw <br /> . . _ . .. .__._ � <br /> 5\�C.vnnnmvini.J�a"IYlI�I;',:n.�� n��tUh�ihay 1cnnA,r <br />