STATUS:
REJECTED
267Q - Marathon Regional Service Center Design and Replace Chiller
General Information
Subcontractor:
FXP
Subcontractor Project Manager:
Jorge Jorge
Phone #:
7867743153
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 | YES | 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:
FXP
Position:
VP
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
Observations:
1.- Please attach the proper Safety Plan; instead, you attached the AHA.
2.- Please attach the appropriate SDS or a PDF document specifically indicating why the SDS was not submitted. If it is confirmed that an SDS is not required, please note that if during your activities your workers are found using chemical materials — even as common as gasoline or a solvent — all your project activities will be stopped until the corresponding SDS is properly submitted.
3.- Attach your supervisor’s OSHA 30.
4.- Attach your workers’ OSHA 10.
04/07/2025 2:14 PM