STATUS:
APPROVED
294B1 - Lakeview ES- Reroofing
General Information
Subcontractor:
Apex Roofing USA LLC
Subcontractor Project Manager:
Apex Roofing USA LLC
Phone #:
5615654537
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 | 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:
David Davis
Position:
Project Manager
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
Observations:
1. - As discussed during our phone conversation today, I kindly request that you submit the documents in the proper manner. Thank you for your attention.
09/08/2025 12:51 PM
NEW NOTES/////
- Please submit the correct OSHA 300A. You attached the Safety Plan instead of the OSHA 300A.
- Please submit the Basic Safety AHA. Any other AHA will be rejected.
- Attach the OSHA 10 certificates of your workers.
09/09/2025 9:19 AM
NEW NOTES/////
- CORRECTED
- CORRECTED
- CORRECTED
09/09/2025 2:38 PM
MOBILizATION APPROVED