STATUS:
APPROVED
267H1 - Ft. Lauderdale Esp renovations
General Information
Subcontractor:
Pena Alum Glass and Mirror Inc
Subcontractor Project Manager:
Robert Pena
Phone #:
3056401178
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:
Lisa Pena-Alvarez
Position:
VP
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
1.- Please attach the OSHA 300A for 2022. In the documents submitted, you only included the forms for 2023 and 2024.
2.- Please attach the correct COI. The one you submitted lists project B69 as the location and project name; as I understand, this form was submitted for 267H1.
3.- Please attach the corresponding SDS. The Safety Plan and the SDS are two different documents.
NEW NOTES/////
1.- CORRECTED
2.- CORRECTED
3.- Please attach the corresponding SDS. The Safety Plan and the SDS are two different documents. NOT CORRECTED
09/05/2025 1:54 PM
NEW NOTES/////
1.- CORRECTED
2.- CORRECTED
3.- CORRECTED
09/12/2025 10:55 AM
MOBILIZATION APPROVED