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COMPETENT PERSON ACKNOWLEDGEMENT FORM

Fireproofing Safety Submittels

COMPETENT PERSON ACKNOWLEDGEMENT FORM

Competent Person Acknowledgement Form โ€“ Fireproofing Operations

๐Ÿ‘ท COMPETENT PERSON ACKNOWLEDGEMENT FORM

Fireproofing Operations โ€” OSHA 29 CFR 1926.32(f)

๐Ÿ“– Definition (OSHA 29 CFR 1926.32(f)):
A competent person is defined as: "One who is capable of identifying existing and predictable hazards in the surroundings or working conditions which are unsanitary, hazardous, or dangerous to employees, and who has authorization to take prompt corrective measures to eliminate them."
โš ๏ธ Responsibility:
The subcontractor Project Manager and the subcontractor Competent Person(s) assigned to the project will complete this form and submit it to the Project Manager or Superintendent along with the competent person's qualifications prior to accessing the jobsite.

If multiple competent persons are designated, submit individual forms for each. If a competent person changes, update and resubmit this form. The competent person must be present 100% of the time the activity requiring them is taking place.

Section 1: Competent Person Designation(s)

Check all fireproofing-related competencies that apply to this person:

๐Ÿชœ Fall Protection & Access
๐Ÿ”ฅ Fireproofing Specific
๐Ÿงช Health & Environmental
๐Ÿ›ก๏ธ General Safety

Section 2: Credential - Reviewed and Verified for Designation

Formal Training (describe each, with year completed):

Training TopicProviderYear Completed

Years of Experience (give number of years):

AreaYears
Fireproofing (general)
Cementitious (SFRM)
Intumescent (IFRM)
Board systems
Working from height (lifts/scaffold)

On-the-Job Performance Verification (OJT / OJE):

Section 3: Contractor (Management) Acknowledgement

Section 4: Competent Person Acknowledgement

Section 5: For GC / PM Use Only

๐Ÿ“Ž Attachments Checklist (submit with this form)

๐Ÿ“Œ Note to subcontractor: This form replaces generic CPAPs. It is tailored specifically for fireproofing trades. Keep a signed copy on site for each competent person daily.
โœ”๏ธ Fillable form โ€” Complete all sections, then use Print โ†’ "Save as PDF" to generate a permanent fillable record. All checkboxes and text fields are editable.