STATUS:
APPROVED
273C1 - Park Vista Community HS
General Information
Subcontractor:
FASTSIGNS of Hollywood
Subcontractor Project Manager:
Vanessa Gonzalez
Phone #:
9544163434
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:
Vanessa Gonzalez
Position:
Project & Compliance Manager
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
OBSERVATION:
1.- Please attach an appropriate construction safety plan.
2.- Please provide a copy of your Workers’ Compensation insurance.
3.- Please provide the appropriate SDS. Double-check if no chemicals will be used—sometimes items we consider harmless, such as gasoline, cleaners, etc., still require SDS.
4.- Please attach the OSHA 30 certificate for your supervisor.
5.- Please attach the OSHA 10 certificates for your workers.
6.- Please attach the First Aid/CPR training certificate.
03/25/2026 10:35 AM
OBSERVATION:
1.- CORRECTED.
2.- CORRECTED
3.- NOTED
4.- Please attach the OSHA 30 certificate for your supervisor.
5.- Please attach the OSHA 10 certificates for your workers.
6.- Please attach the First Aid/CPR training certificate.
03/26/2026 12:30 PM
OBSERVATION:
1.- CORRECTED.
2.- CORRECTED
3.- NOTED
4.- NOTED
5.- NOTED
6.- NOTED
03/27/2026 2:24 PM