STATUS:
REJECTED
708B - HARB
General Information
Subcontractor:
ARI
Subcontractor Project Manager:
Julian Olarte
Phone #:
305-456-2544,1102
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)?
YES
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:
Robert Forte
Position:
Safety Manager
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
OBSERVATIONS:
1.- The EM 385-1-1 standards and LEGO CO policies do not recognize the “Safety Monitor” as an acceptable fall protection system. Please make the necessary corrections to ensure your Safety Plan complies with the current regulations.
2.- The OSHA 300A for 2024 must be signed.
3.- Please review your Fall Protection Plan to ensure it complies with EM 385-1-1 standards.
4.- Complete the SDS properly, including all materials (chemicals) that will be used. Do not omit any, including fuels and adhesives.
5.- Complete the OSHA 10 certification for your workers. You only submitted the certificate for one worker. As I understand it, more than one worker will be required to complete this work, so please submit the corresponding certificates.
9/2/2025 2:47 PM
OBSERVATIONS:
1.- CORRECTED
2.- CORRECTED
3.- CORRECTED
4.- CORRECTED (only one chemical submitted) If other Chimicals found in the project all subcontractor activity will be stoped.
5.- Complete the OSHA 10 certification for your workers. You only submitted the certificate for one worker. As I understand it, more than one worker will be required to complete this work, so please submit the corresponding certificates. NOT CORRECTED
6/- The COI certificate is not adequate; the holder is listed as PUBLIX, and both the address and the description are incorrect.
9/3/2025 6:31 PM
OBSERVATIONS:
1.- CORRECTED
2.- CORRECTED
3.- CORRECTED
4.- CORRECTED (only one chemical submitted) If other Chimicals found in the project all subcontractor activity will be stoped.
5.- Complete the OSHA 10 certification for your workers. You only submitted the certificate for one worker. As I understand it, more than one worker will be required to complete this work, so please submit the corresponding certificates. NOT CORRECTED
6/- The COI certificate is not adequate; the holder is listed as PUBLIX, and both the address and the description are incorrect. NOT CORRECTED
09/05/2025 11:39 AM
OBSERVATIONS:
1.- CORRECTED
2.- CORRECTED
3.- CORRECTED
4.- CORRECTED (only one chemical submitted) If other Chimicals found in the project all subcontractor activity will be stoped.
5.- Complete the OSHA 10 certification for your workers. You only submitted the certificate for one worker. As I understand it, more than one worker will be required to complete this work, so please submit the corresponding certificates. NOT CORRECTED
6/- CORRECTED
09/08/2025 01:09 PM