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Attachment B <br /> 'o�c-v �g��ld'St <br /> Task Order 10-365101-01 <br /> Checklist must be completed by the Contractor, subcontmetor(s)and the Contract Manager <br /> during the prework site visit. <br /> 01 Contact Identified <br /> Owner Name Phone Number <br /> Operator Name Phone Number <br /> Backup Name Phone Number <br /> s <br /> 02 Emergency Information <br /> Fire Dept.Phone Fire&Rescue Phone <br /> Nearest Hospital Route Known <br /> 03 Site Location/Boundary <br /> Entry Access/Hours of <br /> Access/Parking Understood <br /> 04 Underground Utilities Marked By Who <br /> Understood When Inquiry ID <br /> 05 Drill Sites Marked/Understood <br /> 06 Cuttings Storage OK <br /> 07 ]Equipment Clearance OK <br /> 08 Water/Power Supply OK <br /> 09 Equipment Cleaning Site OK <br /> 10 Discuss Site Impacts- <br /> on QA/QC Effort <br /> 11 Additions to this checkoff list- <br /> By Contractor: <br /> By Subcontractor(s) <br /> By Contract Manager <br /> By Owner/Operator <br /> 12 Items to be Resolved at the <br /> Prework Conference <br /> 13 Worker/Public Safety Addressed <br /> This prework site visit was conducted on.�J�J <br /> Signature of Contractor or Designee <br /> Signature of Contact Manager or Designee <br />