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3814 HOYT AVE 2019-03-22
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3814 HOYT AVE 2019-03-22
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Last modified
3/22/2019 1:45:03 PM
Creation date
3/22/2019 1:45:03 PM
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Address Document
Street Name
HOYT AVE
Street Number
3814
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• <br /> • <br /> Water Checklist ,#4 <br /> Date i b _2 3 Location , 34 t•-6 Crew Lead <br /> B. <br /> I=[angers Names Briefed? Briefed by • <br /> (YES or NO) <br /> • <br /> • <br /> Flagger Briefing: <br /> Job Tasks: Bagger Responsibilities, Emergency Signals, Flagger Radios, Specific work zone hazards, <br /> PPE, Night Lighting, Planned Equipment Movement, Emergency Escape Plans. <br /> • <br /> C. Vehicle Inspection Checklist: <br /> Driver's Name Equipment# Location Inspection Comments <br /> _ Completed? <br /> l h U d soaq I ye-S <br /> 4-4--- N•Co • <br /> 1-1.0“o 3-S(1,3 t.,.c( <br /> • <br /> D. Checklist #'l - Routine Part 1 <br /> YES NO YES NO <br /> 1_ Make site visit before starting work ✓ 5_ In water work 7 <br /> • 2.. Define activity, scope, and limits ✓ = Stop work <br /> 3_ Review Part 1 BMPs ✓ = Contact environmental staff for <br /> = Permit needed review <br /> = Equipment maintenance = Evaluate using detailed checklist • <br /> 1, 2, and/or 3 and routine t� <br /> = Disturbed soil checklist <br /> = Waste material removed 1/ <br /> = Spill kit 7 6.. Location • <br /> = Part 2 BMPs needed 1 3 <br /> = Use checklist#3 and routine 2. <br /> checklist ✓ <br /> 3 <br /> 4_ Is environmental staff required? a <br /> NO-continue maintenance (/ 5 <br /> YES- contact environmental staff for <br /> review <br /> • <br /> • <br /> Ws=Verasby\Desktop\Caecklistgjfatezdoc <br />
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