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HEALTH AND SAFETY PLAN <br />DRAFT <br />STOCKTON, CA <br />1.6 SSC Project Planning Checklist <br />Table 4: SSC Project Planning Checklist <br />Subsurface Clearance (SSC) Pre-Project Planning Checklist <br />Document the steps that must be followed and justify any exceptions. <br />This checklist MUST be completed in its entirety. <br />SSC Requirements Yes No NA Comments <br />1. Prequalification of Contractor <br />for capability of ground <br />disturbance work performed <br />(See Section 4) <br />• • • <br />2. "Designated Person" for SSC <br />work assigned (must be on- <br />site) <br />• II II <br />3. Historical Site Information <br />Review M • M <br />4. Development of site-specific <br />plot plan • • M <br />5. Ground penetrating location <br />marked prior to locate(s) and <br />alternate locations chosen <br />• • M <br />6. Service notifications provided <br />to clear/locate public utilities • • • <br />7. Private locate contracted for <br />on-site utilities • • • <br />8. Designated Person present <br />during private locating • • • <br />9. Underground utilities identified <br />prior to commencement of <br />intrusive activities as <br />reasonably feasible <br />• • IN <br />10. Site walkover conducted to <br />assess utility locations, visual <br />indicators and complete SSC <br />Field Checklist <br />• • M <br />11. Ground penetration <br />locations(s)/area(s) and <br />Critical Zones (i.e., the 5ft or <br />1.5m distance surrounding <br />intrusive activities in every <br />direction) cleared <br />M MI • <br />Introduction Ramboll Environ