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STATUS:
APPROVED
299A1 - Lawton Chiles ES
General Information
Subcontractor:
Architectural Building Specialties Inc
Subcontractor Project Manager:
Robert Boote
Phone #:
3864511011
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 | 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:
Burt May
Position:
Operations Manager
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
Observations
- The safety plan you submitted is not adequate. Please refer to the list provided in the email regarding the safety plan requirements. In addition, it must be signed and dated.
- Make the appropriate modifications to the Appointment Letter template or create your own version, but ensure that, for example, the instructions from the template are removed.
- Properly complete the first page of the Basic Safety AHA.
- Add the OSHA 10 certificates once the training is completed. Mobilization cannot be approved without this documentation.
- Add the CPR/First Aid training certificates once the training is completed. Mobilization cannot be approved without this documentation.
09/30/2025 2:48 PM
- The safety plan you submitted is not adequate. Please refer to the list provided in the email regarding the safety plan requirements. In addition, it must be signed and dated. (UNDER REVIEW TEMPORARY APPROVED)
- CORRECTED
- Properly complete the first page of the Basic Safety AHA. NOT CORRECTED
- CORRECTED
- Add the CPR/First Aid training certificates once the training is completed. Mobilization cannot be approved without this documentation. NOT CORRECTED
01/23/26 11:09 AM
- The safety plan you submitted is not adequate. Please refer to the list provided in the email regarding the safety plan requirements. In addition, it must be signed and dated. (UNDER REVIEW TEMPORARY APPROVED)
- CORRECTED
- Properly complete the first page of the Basic Safety AHA. CORRECTED
- CORRECTED
- Add the CPR/First Aid training certificates once the training is completed. Mobilization cannot be approved without this documentation. CORRECTED
01/27/2026 2:57 PM
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