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STATUS:
APPROVED
267H1 - Ft. Lauderdale Esp renovations
General Information
Subcontractor:
Thousand and One Painting
Subcontractor Project Manager:
Stephanie Quesada
Phone #:
954-526-4411
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? |
|---|---|---|---|---|
YES | YES | 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:
Stephanie Quesada
Position:
Project Manager
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
- The safety plan you submitted is actually forms with agreements. These forms are very good, but you must attach a safety plan that outlines your company’s policies, incident investigation and reporting forms, requirements, regulatory compliance, Hazard Communication, etc.
- The FIRST AID/CPR cards you submitted are expired.
08/20/2025 12:22 PM
- CORRECTED
- The FIRST AID/CPR cards you submitted are expired. NOT CORRECTED
08/26/2025 15:00 PM
- CORRECTED
- CORRECTED
09/08/2025 1:00 PM
MOBILizATION APPROVED
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