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319A1 - Indian River Brown Center Building Y

Please address the following observations ONLY, and change the status to "READY TO REVIEW".
If you have any questions, please contact me by email at rq@legocc.com.
Thank you.

General Information

Subcontractor:
D.H. Pace Company Inc
Subcontractor Project Manager:
Dustin Piatkowski
Phone #:
772-5326361
CODE:

7942419

SECTION #1: Job-Site Specific Accident Prevention Plan

Please download the documents you wish to review.

Accident Prevention Plan

Safety Plan

Key personnel

Key Personnel

Emergency List

Emergency List

OSHA 300

OSHA 300 (1)
OSHA 300 (2)
OSHA 300 (3)

Appointment Letter

Appointment Letter

Basic Safety AHA:

Basic Safety AHA
7.-

Do you plan to perform work at heights greater than 6 feet at any time using ladders, scaffolds, or any aerial work platform (AWP)?

Fall Protection
Fall Protection Plan
8.-

Do you plan to perform any excavation work at any point during your project?

Excavation
Excavation Plan
9.-
10.-

Do you anticipate performing any electrical or demolition work at any stage of your project?

LO/TO
LO/TO Plan

Attach a copy of your Certificate of Insurance (COI):?

COI
11.-

SDS

SDS

SECTION #2: Required Training

OSHA 30

OSHA 30

OSHA 10

First Aid CPR

OSHA 10
First Aid/CPR

Fall Protection

Fall Protection Certificate

SECTION #3: Equipment Certification (If Applicable)

Do you plan to use any of the following equipment during your activities on the project?

Scissor Lift
Boomlift
Forklift
Welder
Heavy Equipment (Excavator, etc)

If you answered “Yes” to any of the previous questions, please attach the certificate(s) of the operator(s) below.

Operator Certificate
Operator Certificate
Operator Certificate

Person Responsible for Submitting the Information:

LEGO_LOGO WHITE

MBE, C.G.C., Roofing Contractor
UEI#: W5E4GGV7EWN5

DUNS: 825708287  |  CAGE: 54Y11

Miami

1011 Sunnybrook Rd, Suite #905
Miami, FL 33136
Office: 305.381.8421

FAX: 305.857.9916

Orlando

1801 Lee Road, Suite #205

Winter Park, FL 32789
Office: 407.545.8498

Palm Beach

1615 S. Congress, Suite #127

Delray Beach, FL 33445

Office: 305.381.8421

Tampa 

100 Ashley Dr S Suite #600

Tampa, FL 33602

Office: 305.381.8421

Miami  |  Tampa  |  Orlando  |  Pensacola  |  Palm Beach  |  Jacksonville

Copyright © 2024 LEGO Construction Co. All Rights Reserved

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