STATUS:
APPROVED
304B1 - MDC NC Bldg 8 Semiconductors
General Information
Subcontractor:
DEMCON GROUP, LLC
Subcontractor Project Manager:
Thomas McConnell
Phone #:
954-288-9339
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?
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? |
|---|---|---|---|---|
YES | 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:
Thomas McConnell
Position:
Project Manager
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
NOTES:
- You submitted the OSHA 300A for the years 2023 and 2024, but not for 2022. Please complete this information.
- Please use the Appointment Letter Template. The list you submitted is suitable for key personnel or other types of lists, but it is not appropriate as an appointment letter.
- Regarding the Basic Safety AHA, the template can be found in the electronic form.
- In your Fall Protection Plan, you mention 4' as the height from which your personnel must be adequately protected against falls. I would like to confirm whether you intend to maintain that policy or adhere to OSHA’s construction standard. Either option is acceptable; I only need confirmation. Please provide your response by email.
- Please submit the SDS (Safety Data Sheet). In the document you attached under this section, you probably included the Heat Stress Prevention Plan by mistake.
- Please attach the certification of the Competent Person in Fall Protection.
- Please attach the certification(s) of the Scissor Lift Operator(s).
08/18/2025 14:27 PM
NEW NOTES/////////////////////////////
- Submit the OSHA 300A forms for 2022, 2023, and 2024.
- Submit the Basic Safety AHA according to the previously provided instructions.
- Use the Appointment Letter format that was previously indicated.
- Review and update your Fall Protection Plan.
- CORRECTED
- Attach the certificate of the Competent Person in Fall Protection.
- Please attach the certification of the Scissor Lift Operator.
08/25/2025 1:28 PM
NEW NOTES///////
- Submit the OSHA 300A forms for 2022, 2023, and 2024. NOT CORRECTED
- Submit the Basic Safety AHA according to the previously provided instructions. NEED TO SIGN PAGE 14
- Use the Appointment Letter format that was previously indicated. CORRECTED
- Review and update your Fall Protection Plan. NOT CORRECTED
- CORRECTED
- Attach the certificate of the Competent Person in Fall Protection. CORRECTED
- Please attach the certification of the Scissor Lift Operator. NOT CORRECTED
08/25/25 3:51 PM
NEW NOTES///////
- Submit the OSHA 300A forms for 2022, 2023, and 2024. (Missing 2022)
- Submit the Basic Safety AHA according to the previously provided instructions. CORRECTED
- Use the Appointment Letter format that was previously indicated. CORRECTED
- Review and update your Fall Protection Plan. NOT CORRECTED
- CORRECTED
- Attach the certificate of the Competent Person in Fall Protection. CORRECTED
- Please attach the certification of the Scissor Lift Operator. NOT CORRECTED
08/26/25 2:42 PM
NEW NOTES///////
- Submit the OSHA 300A forms for 2022, 2023, and 2024. CORRECTED
- Submit the Basic Safety AHA according to the previously provided instructions. CORRECTED
- Use the Appointment Letter format that was previously indicated. CORRECTED
- Review and update your Fall Protection Plan. CORRECTED
- CORRECTED
- Attach the certificate of the Competent Person in Fall Protection. CORRECTED
- Please attach the certification of the Scissor Lift Operator. CORRECTED
08/27/25 9:20 AM
MOBILIZATION APPROVED
NOTE: The Fall Protection Plan must be reviewed according to the activities that the subcontractor will perform in the project.