STATUS:
APPROVED
267H1 - Ft. Lauderdale Esp renovations
General Information
Subcontractor:
Professional Flooring Contractors
Subcontractor Project Manager:
Frank Ciriago
Phone #:
9544445578
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:
Kearra Millonig
Position:
Admin Assistant
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
Please use the Basic Safety AHA. More specific AHAs will be requested later. You can find the Basic Safety AHA in the form — please download it, review it, complete the required information, and sign it. That is the AHA that must be submitted through the form.
/////MEW NOTES////////
The correction was made by the subcontractor, and the mobilization is approved.Ask ChatGPT
08/14/2025 1:32 PM