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STATUS:
APPROVED
299A1 - Lawton Chiles ES
General Information
Subcontractor:
Drywall Elements
Subcontractor Project Manager:
Andy Briones
Phone #:
3212002249
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?
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:
Andy Briones
Position:
Project Manager
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
Observations:
- Please submit an adequate Safety Plan.
- Attach the OSHA 300A for the years 2022, 2023, and 2024.
- Use the Basic Safety AHA.
- Include an adequate Fall Protection Plan.
- Provide the appropriate description in the COI and include the Workers’ Compensation in the COI.
09/17/2025 1:38 PM
- Please submit an adequate Safety Plan. NOT CORRECTED
- Attach the OSHA 300A for the years 2022, 2023, and 2024. NOT CORRECTED
- Use the Basic Safety AHA. NOT CORRECTED
- Include an adequate Fall Protection Plan. NOT CORRECTED
- Provide the appropriate description in the COI and include the Workers’ Compensation in the COI. NOTCORRECTED
09/22/2025 3:22 PM
- CORRECTED
- CORRECTED
- CORRECTED
- CORRECTED
- Provide the appropriate description in the COI and include the Workers’ Compensation in the COI. NOTCORRECTED
09/24/2025 2:02 PM
- CORRECTED
- CORRECTED
- CORRECTED
- CORRECTED
- CORRECTED
09/25/2025 9:56 AM
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