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Water Checklist #4 <br /> A. <br /> Date -Zb-Zei k Location &50 GV�� r +� Crew Lead <br /> B. <br /> Flaggers Names Briefed? Briefed by <br /> (YES.o <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 Equipment # Location Inspection Comments <br /> Completed? <br /> Games Shp t� <br /> D. Checklist #4 - Routine Part 1 <br /> YES NO YES NO <br /> 1. Make site visit before starting work 5. In water work f/- <br /> 2. <br /> /2. Define activity, scope, and limits ■ Stop work ,/- <br /> 3. Review Part 1 BMPs ✓ ■ Contact environmental staff for <br /> review <br /> ■ Permit needed <br /> Equipment maintenance " Evaluate using detailed checklist <br /> 1. 1, 2, and/or 3 and routine t/ <br /> ■ Disturbed soil 4/' checklist <br /> ■ Waste material removed <br /> ■ Spill kit i„.„, 6. Location �--- <br /> ■ Part 2 BMPs needed / 1 <br /> ■ Use checklist#3 and routine 2 <br /> checklist 3 <br /> 4. Is environmental staff required? 4 <br /> NO- continue maintenance 5 <br /> YES- contact environmental staff for <br /> review <br /> S:\#Common\CLERICAL\ESA\esa o1d\Checklist4 Water.doc <br />