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STATUS:
APPROVED
267H1 - Ft. Lauderdale Esp renovations
General Information
Subcontractor:
Real Masters Construction
Subcontractor Project Manager:
Ernest Lanning
Phone #:
786-295-8423
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:
Devin Garcia
Position:
Manager
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
- Please submit the OSHA 300A forms for 2024 properly, as the OSHA 300A you provided for 2024 does not contain any information.
- Please sign and include the name of the competent person on page 14 of the AHA.
09/05/2025 10:19 AM
- CORRECTED
- CORRECTED
09/12/2025 10:58 AM
MOBILIZATION APPROVED
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