STATUS:
APPROVED
207E1 - USCG STA Islamorada
General Information
Subcontractor:
A Steel Fabricators
Subcontractor Project Manager:
Nathan Mikus
Phone #:
240-812-2599
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?
YES
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 | YES | YES | YES | YES |
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:
Nathan mikus
Position:
President
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
1.- The Safety Plan submitted is not adequate. Please review the list of criteria for submitting your Safety Plan.
I have noticed that your Fall Protection Plan and Excavation Plan are adequate and well structured. I believe the wrong documentation was attached in the APP section by mistake. Kindly review the documentation and resubmit your complete Safety Plan in this section.
09/22/2025 3:51 PM
1.- The Safety Plan submitted is not adequate. Please review the list of criteria for submitting your Safety Plan.
I have noticed that your Fall Protection Plan and Excavation Plan are adequate and well structured. I believe the wrong documentation was attached in the APP section by mistake. Kindly review the documentation and resubmit your complete Safety Plan in this section. NOT CORRECTED
09/24/2025 1:48 PM
TEMPORARY
The mobilization will be temporarily approved. If the subcontractor does not correct the observation, their work will be stopped again.
APPROVED
09/30/2025 2:50 PM