STATUS:
APPROVED
267H1 - Ft. Lauderdale Esp renovations
General Information
Subcontractor:
Advanced Roofing
Subcontractor Project Manager:
Christopher Torres
Phone #:
7543610454
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? |
|---|---|---|---|---|
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:
CHRISTOPHER TORRES
Position:
PM
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
1.- Please attach the list of your Key Personnel as indicated in the instructions. Attaching the Safety Plan again in this field is not appropriate.
2.- Please attach the list of your Emergency Contacts as indicated in the instructions. Attaching the Safety Plan again in this field is not appropriate.
3.- The OSHA 300A for 2022 that you submitted is not properly completed. Please provide a complete document.
4.- Please attach the Appointment Letter as indicated in the instructions. Attaching the Safety Plan again in this field is not appropriate.
5.- Please include the certifications of the Competent Person in Fall Protection and the End User Fall Protection training certificates for your workers.
08/22/2025 11:34 AM
1.- CORRECTED
2.- CORRECTED
3.- CORRECTED
4.- CORRECTED
5.- CORRECTED
09/12/2025 10:39 AM
MOBILIZATION APPROVED