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Water Checklist #4 <br />� Oate -,�.H.,� Location �oo� r� gcn�� <br />L•Z <br />Flaggers Names <br />;11 <br />Crew Lead I NL� <br />Briefed by <br />Flagger Briefing: <br />Job Tasks: Flagger Responsihili[ies, 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 Equipment � <br />(u`,51 ><,..•�� <br />D. Checklist 1/4 - Routine Part 1 <br />1. Make site visi[ before starting work <br />2. Define activity, scope, and Umi[s <br />3. Revtew Part 1 fiMPs <br />• Permi[ needed <br />• Equipmentr�aintenance <br />• DisturbeJ soil <br />• Waste mateiial removed <br />• Spill kit <br />• Part 2 DMPs needed <br />• Use checklist #3 and rou[ine <br />checkli:t <br />4. Is environmental sta(f req�ired? <br />NO - continue main[enance <br />YES - contact environmental sta(f for <br />review <br />&\/�ommon\dWnl\�T�ETS\�aorooe7\�eakLn� N'atecda <br />5 <br />Location <br />YES I NO <br />� <br />t I Comments <br />Y� <br />5. In water work _ <br />• Stop work <br />• Contact environmentalstaF(for <br />review <br />• Evaluate using detailed checkllst <br />1, 2, and/or 3 and routine <br />checklist <br />YES NO <br />-9'G <br />� <br />