top of page
STATUS:
APPROVED
304B1 - MDC NC Bldg 8 Semiconductors
General Information
Subcontractor:
Superior Electrical Contractors
Subcontractor Project Manager:
Daniel Puente
Phone #:
3054776328
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?
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? |
|---|---|---|---|---|
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:
Daniel Puente
Position:
Project Manager
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
- The document submitted as the Safety Plan appears to be an Excel checklist. It is likely that the wrong file was attached. Please submit the correct and complete Safety Plan.
- Please use the Appointment Letter template as a reference. The list of personnel or emergency contacts is not an Appointment Letter.
- Please use and submit the Basic Safety AHA. Project-specific AHAs will be requested later in the project.
- The Lockout/Tagout (LO/TO) Program is incomplete. Beyond the general information provided, the program must clearly identify the procedures, responsible persons, competent personnel, and any other relevant personnel. Please submit the complete and adequate LO/TO Plan.
- The Certificate of Insurance (COI) must be submitted in order to approve mobilization. Do not forget to include Workers’ Compensation.
- The Safety Data Sheets (SDS) are outdated, with several documents dating back to 2005, 2007, and similar. The SDS must be updated; it is recommended to visit the manufacturer’s website to obtain the most current information.
08/14/2025 8:27 PM
- The document submitted as the Safety Plan appears to be an Excel checklist. It is likely that the wrong file was attached. Please submit the correct and complete Safety Plan.
- Please use the Appointment Letter template as a reference. The list of personnel or emergency contacts is not an Appointment Letter.
- CORRECTED
- CORRECTED
- CORRECTED
- CORRECTED
8/25/2025 11:34 AM
MOBILIZATION APPROVED
08/25/2025 3:43 PM
bottom of page