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STATUS:
REJECTED
207G1 - COG-RE25-CM-Charleston SC Construct Select Site Facilities
General Information
Subcontractor:
Gulf Stream Construction Co., Inc.
Subcontractor Project Manager:
Patrick Williamson
Phone #:
8435680515
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?
YES
9.-
10.-
Do you anticipate performing any electrical or demolition work at any stage of your project?
YES
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 | 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:
Rob Herman
Position:
Director of EHS & Training
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
Observations:
- Please use the Basic Safety AHA template provided in the form.
- Please attach the GL and WOC certificates.
- The OSHA 30 card you submitted is not legible; it is recommended to renew the training every 5 years.
- Please attach the OSHA 10 cards for your workers.
- The CPR certificate you submitted has already expired.
03/23/2026 11:27 AM
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