STATUS:
APPROVED
299A1 - Lawton Chiles ES
General Information
Subcontractor:
Florida Chalkboard Co.
Subcontractor Project Manager:
Ashley Parker
Phone #:
407-889-0087
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:
Ashley Parker
Position:
Vice Presdient
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
1.- The Safety Plan you submitted is not adequate. Please review and resubmit it including, at a minimum, the following:
- Scope, objectives, and responsibilities (company, GC, subcontractors; roles: Qualified Person, Competent Person, supervisors).
- Task-based hazard identification and risk assessment (AHA/JHA) with controls and mitigation measures.
- Training program and required certifications (e.g., OSHA 10/30, First Aid/CPR, equipment- and trade-specific).
- Operational procedures and standards: use of PPE, fall protection (anchorages, systems, rescue plan), LOTO, electrical, tools and equipment.
- Emergency response plan: evacuation routes, muster point, communication, incident reporting, emergency contacts, location of extinguishers and first-aid kits.
- Inspections, monitoring, and reporting: checklists, corrective actions, internal audits, and signed records.
2.- Please attach the OSHA 300A forms for the last three years. You attached a document that appears to be an OSHA 30 certification, but what is required are the OSHA 300A forms of the company for the past three years.
3.- Please use the appointment letter template as a reference to submit the corresponding appointment letter. Submitting the same list of key personnel as an “appointment letter” is not acceptable.
4.- Regarding the SDS, you indicated that you do not use any materials that require or have an SDS. Please note that even cleaning products require an SDS. Verify carefully that you are not using any type of chemical; a chemical does not necessarily have to be hazardous to require an SDS.
5.- Please submit the OSHA 10 certifications of the employees who will be assigned to the project.
08/19/2025 9:03 PM
1.- CORRECTED
2.- CORRECTED
3.- CORRECTED
4.- CONFIRMED
5.- CORRECTED
09/19/2025 10:21 AM