STATUS:
READY TO REVIEW
299A1 - Lawton Chiles ES
General Information
Subcontractor:
Morton Electric Inc.
Subcontractor Project Manager:
Ray Blades
Phone #:
407-509-7985
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?
YES
9.-
10.-
Do you anticipate performing any electrical or demolition work at any stage of your project?
YES
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? |
|---|---|---|---|---|
YES | YES | YES | 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:
nathan r ahrens
Position:
HR and Safety
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
Observations:
1.- In the Key Personnel list, please include contact methods such as email and both office and direct phone numbers.
2.- Properly complete and sign page #14 of the Basic Safety AHA.
3.- Attach the COI.
4.- Attach the certifications of the Scissor Lift, Boom Lift, and Heavy Equipment operators.
5.- Attach the OSHA 10 certifications of the workers who will be present on the project.
08/28/2025 10:42 AM
NEW NOTES///////
1.- Corrected.
2.- Corrected.
3.- Corrected.
4.- The OSHA 500 authorizes the holder as a certified instructor for OSHA 10 and OSHA 30; however, it does not authorize the holder as a certified instructor in heavy equipment operation or AWP. Please provide the certificate of a “Certified Trainer” for the equipment that will be used on the project.
5.- Corrected.
6.- The Safety Plan you submitted is inadequate. The plan was modified. Please resubmit the original Safety Plan that was initially submitted and previously approved.
09/02/2025 10:50 AM
NEW NOTES///////
1.- Corrected.
2.- Corrected.
3.- Corrected.
4.- Corrected. Mr. Nathan Ahrens is identified and, therefore, is responsible for submitting the proper information regarding the operators of the equipment that will be used on the project.
It is important to emphasize that each worker must be provided with an Operator Certificate, which must be submitted to LEGO before operating any machinery.
If a worker is found operating machinery of any kind without the proper certification, they will be immediately and permanently removed from the project.
5.- Corrected.
6.- The Safety Plan you submitted is inadequate. The plan was modified. Please resubmit the original Safety Plan that was initially submitted and previously approved.
09/02/2025 1:24 PM
NEW NOTES///////
1.- Corrected.
2.- Corrected.
3.- Corrected.
4.- Corrected. Mr. Nathan Ahrens is identified and, therefore, is responsible for submitting the proper information regarding the operators of the equipment that will be used on the project.
It is important to emphasize that each worker must be provided with an Operator Certificate, which must be submitted to LEGO before operating any machinery.
If a worker is found operating machinery of any kind without the proper certification, they will be immediately and permanently removed from the project.
5.- Corrected.
6.- Corrected
NOTE: No worker shall operate any type of machinery, as the corresponding certifications have not been provided.
09/05/2025 9:46AM