Flagging & Lane Closure Sheet

Jobsite Information

Crew Members

Note: List only Traffic Plan employees, do not list flaggers in this section

Flagging

Note: Total hours is the total # of hours for all flaggers. (e.g. 2 flaggers for 3 hours = 6 total hours)

Equipment

Note: Don't list equipment IDs in this section, only the total count of equipment used.

List of Signs

Additional Information

Signatures

In signing this form, the contractor acknowledges that any work performed or canceled after being placed on the road - or called off within one hour of scheduled time - remains billable to Traffic Plan for services rendered.

Draw Signature