STATUS:
APPROVED
299A1 - Lawton Chiles ES
General Information
Subcontractor:
CCC Site Development
Subcontractor Project Manager:
Sunny Amin
Phone #:
4079460979
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?
YES
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 | YES |
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:
Nouman Ahmed
Position:
Project Engineer
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
1.- Please use the Appointment Letter template as a reference and attach the corresponding document in this field.
2.- Please use the BASIC SAFETY AHA. The template is included in the form you previously completed. You will also find it in the email sent to you notifying the REJECT of your mobilization.
3.- Please send an email to rq@legocc.com and provide the certificate of the Competent Person in Excavations.
4.- In your COI, please add the required information in the Description of Operations section. Information such as location, project name, etc. is necessary.
5.- I understand that you submitted the OSHA 30 certificate; however, in the OSHA 10 section you repeated the OSHA 30 certificate. You must attach the OSHA 10 certificates of your workers.
6.- Please attach the certificates of your heavy equipment operators. I remind you that no worker who is not properly trained may operate heavy equipment.
08/22/2025 11:45 AM
NEW NOTES /////////////////
1.- Corrected
2.- Please use the BASIC SAFETY AHA. The template is included in the form you previously completed, and you will also find it in the email sent to you notifying the rejection of your mobilization. Do not make any modifications to the content of the AHA. If you make any changes to the content, then you must submit your own AHAs for review and approval.
3.- Please send an email to rq@legocc.com providing the certificate of the Competent Person in Excavations.
4.- Corrected
5.- Corrected. Subcontractors indicated that their workers only have OSHA 30.
6.- Please attach the certificates of your heavy equipment operators. I remind you that no worker who is not properly trained and certified may operate heavy equipment.
09/02/2025 10:27 AM
NEW NOTES /////////////////
1.- Corrected
2.- Please use the BASIC SAFETY AHA. In the Basic Safety AHA, please complete the information on page 1 properly, sign it, and include the name of the competent person on page 14.
3.- Please send an email to rq@legocc.com providing the certificate of the Competent Person in Excavations.
4.- Corrected
5.- Corrected. Subcontractors indicated that their workers only have OSHA 30.
6.- Please attach the certificates of your heavy equipment operators. I remind you that no worker who is not properly trained and certified may operate heavy equipment.
09/17/2025 1:20 PM
NEW NOTES /////////////////
1.- Corrected
2.- CORRECTED
3.- Please send an email to rq@legocc.com providing the certificate of the Competent Person in Excavations. NOT CORRECTED
4.- Corrected
5.- Corrected. Subcontractors indicated that their workers only have OSHA 30.
6.- Please attach the certificates of your heavy equipment operators. I remind you that no worker who is not properly trained and certified may operate heavy equipment. NOT CORRECTED
09/19/2025 10:16 AM
NEW NOTES /////////////////
1.- Corrected
2.- CORRECTED
3.- CORRECTED
4.- Corrected
5.- Corrected. Subcontractors indicated that their workers only have OSHA 30.
6.- CORRECTED
09/24/2025 1:57 PM
MOBILIZATION APPROVED