STATUS:
APPROVED
304B1 - MDC NC Bldg 8 Semiconductors
General Information
Subcontractor:
Coltec Engineering, Inc.
Subcontractor Project Manager:
Joe Cruz
Phone #:
305-216-9895
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:
Lorenzo Arturo Fernandez
Position:
President
Email:
Signature:
⚠️ For LEGO CO Safety Department Use ONLY
A) The Safety Plan you submitted is incomplete. The following modifications are recommended:
Accident Prevention Program
- Risk Assessment
– Include procedures to identify, evaluate, and control site-specific hazards.
– Document regular inspections and corrective actions. - Hazard Communication Plan (HazCom)
– List all chemicals used and their corresponding Safety Data Sheets (SDS).
– Establish labeling protocols and training on chemical hazards. - Ongoing Training
– Keep records of all training sessions (dates, topics, attendees).
– Include specific safety trainings: fall protection, confined spaces, respiratory protection, etc. - Safe Work Procedures
– Provide written protocols for high-risk tasks (working at heights, excavations, electrical work).
– Include permitting requirements for hazardous work. - Personal Protective Equipment (PPE) Program
– Assess PPE needs based on the type of task.
– Include procedures for inspection, maintenance, and replacement of PPE. - Energy Control (Lockout/Tagout)
– Include policies for de-energizing equipment prior to maintenance.
– Provide specific training for authorized employees. - Incident Reporting and Documentation
– Use standardized forms to report accidents, near-misses, and unsafe conditions.
– Establish procedures for root cause investigations and corrective actions. - Worker Rights
– Include information about the right to refuse unsafe work.
– Define procedures for reporting concerns without retaliation. - Supervision and Responsibilities
– Clearly define safety responsibilities for supervisors, workers, and contractors.
– Establish consequences for violations of safety rules. - Program Review and Updates
– Set a schedule (e.g., annually) for reviewing and updating the program.
– Encourage employee participation in continuous improvement efforts.
B) Please download, print, and properly sign the OSHA 300 logs. Once completed, you may scan and resubmit them. OSHA 300 logs are legal documents and must be filled out and signed correctly.
C) Use the Appointment Letter template provided in the initial Mobilization Checklist form, which will also be sent to you by email as a reference.
D) Use the Basic Safety AHA, which can be found in the checklist form and will also be sent to you by email for reference.
E) The COI you submitted must indicate that Workers Compensation insurance is included.
08/07/2025 5:38 PM
NEW NOTES//////
A) The Safety Plan you submitted is incomplete. The following modifications are recommended:
Accident Prevention Program NOT CORRECTED
B) Please download, print, and properly sign the OSHA 300 logs. Once completed, you may scan and resubmit them. OSHA 300 logs are legal documents and must be filled out and signed correctly. NOT CORRECTED
C) Use the Appointment Letter template provided in the initial Mobilization Checklist form, which will also be sent to you by email as a reference. CORRECTED
D) Use the Basic Safety AHA, which can be found in the checklist form and will also be sent to you by email for reference. NEED TO SIGN PAGE 14
E) The COI you submitted must indicate that Workers Compensation insurance is included. CORRECTED
08/25/2025 3:57PM
A) The Safety Plan you submitted is incomplete. The following modifications are recommended:
Accident Prevention Program NOT CORRECTED The exact same documents were submitted again!
B) Please download, print, and properly sign the OSHA 300 logs. Once completed, you may scan and resubmit them. OSHA 300 logs are legal documents and must be filled out and signed correctly. NOT CORRECTED The exact same documents were submitted again!
C) . CORRECTED
D) Use the Basic Safety AHA, which can be found in the checklist form and will also be sent to you by email for reference. NOT CORRECTED , AHA was not attached.!
E) CORRECTED
08/27/2025 2:17 PM
A) CORRECTED
B) CORRECTED
C) . CORRECTED
D) CORRECTED
E) CORRECTED
09/08/2025 1:21 PM
MOBILIZATION APPROVED
