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STATUS:
READY TO REVIEW
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
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