STATUS:
APPROVED
708 B HARB
General Information
Subcontractor:
P.M. Electrical Contractors, Inc.
Subcontractor Project Manager:
Pedro B. Garcia
Phone #:
3057964940
Email:
SECTION #1: Job-Site Specific Accident Prevention Plan
Please download the documents you wish to review.
Key personnel
Emergency List
OSHA 300
Appointment Letter
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)?
NO
8.-
Do you plan to perform any excavation work at any point during your project?
NO
9.-
10.-
Do you anticipate performing any electrical or demolition work at any stage of your project?
NO
Attach a copy of your Certificate of Insurance (COI):?
SECTION #3: Equipment Certification (If Applicable)
Do you plan to use any of the following equipment during your activities on the project?
Scissor Lift Use? | Boomlift? | Forklift? | Welder? | Heavy Equipment? |
|---|---|---|---|---|
NO | NO | NO | NO | NO |
If you answered “Yes” to any of the previous questions, please attach the certificate(s) of the operator(s) below.
Person Responsible for Submitting the Information:
Name:
Pedro B. Garcia
Position:
President
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
1.- The Safety Plan you submitted is being temporarily approved. The plan must be improved and may require modifications either before or after your mobilization.
2.- Please attach and submit the OSHA 300A forms for 2024, 2023, and 2022. The document you provided is an Excel file, not the proper form.
3.- It is recommended to update Mr. Pedro Garcia’s OSHA 30. The card identification number is not legible; however, this observation does not need to be corrected at this time.
08/20/2025 6:06 PM
MOBILIZATION APPROVED
08/22/2025 11:06 AM