STATUS:
APPROVED
267H1 - Ft. Lauderdale Esp renovations
General Information
Subcontractor:
First Plumbing Corp.
Subcontractor Project Manager:
Juan Lobo
Phone #:
786-571-9344
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:
Juan Lobo
Position:
OWNER
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
1.- Please include the emergency list as a simple list with the names of the individuals and their contact information, which must include email and phone number. In this section, you uploaded the key personnel, most likely by mistake.
2.- Please send the CPR certifications or provide the date when you plan to conduct the training.
09/03/2025 6:26 PM
1.-CORRECTED
2.- CORRECTED
09/08/2025 1:00 PM
MOBILIZATION APPROVED