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STATUS:
REJECTED
297B1 - Pedestrian Bridge Restoration
General Information
Subcontractor:
Sprague Operating LLC DBA Beach ENvironmental
Subcontractor Project Manager:
Jorge Avila
Phone #:
954-458-1104
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:
Jorge Avila
Position:
General Manager
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
- The document you submitted appears to be a proposal letter or a description of the work; it is not a Safety Plan.
- The Key Personnel list must include senior or supervisory personnel with proper contact information.
- The Emergency List must include the name and phone number of the person to be contacted in case of an emergency. Simply indicating “call 911” is not appropriate. The purpose of this list is not to seek first aid, but to coordinate and report in case something occurs.
- Attach the appropriate OSHA 300A forms.
- Attach the Basic Safety AHA provided and complete it properly.
- Provide the SDS.
- Provide the OSHA 30 certificates.
- Provide the OSHA 10 certificates.
- Provide the CPR certificates.
- Provide the Fall Protection certificates.
Since this work will be performed at height, if equipment such as boom lifts is used, operator certification will also be required.
03/17/2026 11:11 AM
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