STATUS:
REJECTED
299A1 - Lawton Chiles ES
General Information
Subcontractor:
All-Rite Fence Services, LLC
Subcontractor Project Manager:
Bryce Lasseigne
Phone #:
4072957093
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 | 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:
Chandra Layne
Position:
Contract Admin/ Accounts Receivable
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
Observations
1.- The document you sent cannot be considered a Safety Plan. Please send your company’s Safety Plan, which must include your company’s policies, incident reporting procedures, corrective action policies, and programs such as “Heat Stress,” Fall Protection, PPE, etc.
2.- Please use the Basic Safety AHA template provided in the form.
3.- Please compile all the SDS for the chemicals you have into a single PDF and submit it that way.
4.- Please include the OSHA 30 cards.
5.- Please include the OSHA 10 cards.
6.- Please include the First Aid/CPR certificate.
7.- Please include the certificate of the competent person in fall protection.
8.- Please include the certificate of the heavy equipment operator.
11/06/2025 4:01 PM