STATUS:
APPROVED
304B1 - MDC NC Bldg 8 Semiconductors
General Information
Subcontractor:
Florida Latin Plumbing Corp.
Subcontractor Project Manager:
William Mendoza
Phone #:
786-515-3177
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?
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:
William Mendoza
Position:
Foreman
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
1. Please use the BASIC SAFETY AHA, which you must review, modify if necessary, sign, and submit.
We would like to remind you that the content of the AHA is the full responsibility of the subcontractor.
Thank you.
2.- The AHA has been updated as instructed. The mobilization permit has been approved. The subcontractor is reminded that it is their responsibility to maintain order and ensure the safety of their workers and work areas. Furthermore, if during their activities they identify any situation considered to be a hazard—regardless of whether it involves their own company or a third party—it is the obligation of all to report it to the General Contractor.
08/08/2025