Lockheed Martin Aeronautics Company – Marietta

CONTRACTOR

COMPETENT PERSON DESIGNATION

OSHA Standard Requirements / Applicable to Subcontractor
(yes / no) / Designated Competent Person (Name)
Subpart C – General Provisions
1926.20 General Safety
Subpart D – Health and Environmental Controls
1926.53Ionizing Radiation
1926.54Non-ionizing Radiation
1926.55Gases, Vapors, Fumes, Dusts, Mists
1926.57Ventilation
1926.59Hazard Communication
1926.62Lead
Subpart E – Personal Protective Equipment
1926.101Hearing
1926.103Respirator Protection
Subpart H –Materials Handling, Storage
1926.251Rigging Equipment for Material Handling
Subpart J – Welding and Cutting
1926.354Welding, Cutting and Heating
Subpart K – Electrical
1926.404Wiring Design and Protection
Subpart L – Scaffolding
1926.451Scaffolding
Subpart M – Fall Protection
1926.502Fall Protection Criteria and Practices
1926.503Training
Subpart N –Cranes, Derricks
1926.550Cranes and Derricks
1926.552Hoists and Elevators
Subpart O –Motor Vehicles and Equipment
1926.601Motor Vehicles
Subpart P – Excavations
1926.651Specific Excavation Requirements
1926.652Requirements for Protective Systems
Subpart Q – Concrete and Masonry Construction
1926.701General Requirements
1926.703Cast-in-Place Concrete
1926.705Lift-Slab Operations
Subpart R – Steel Erection
1926.752Bolting, Riveting, Fitting-up, Etc.
Subpart S – Tunnels, Shafts, Caissons
1926.800Tunnels and Shafts
1926.802Compressed Air
Subpart T – Demolition
1926.850Preparatory Operations
1926.852Chutes
1926.859Mechanical Demolition
Subpart U – Blasting and Use of Explosives
1926.900General Provisions
1926.901Blaster Qualifications
1926.911Misfires
Subpart V – Power Transmission and Distribution
1926.955Overhead Lines
1926.957Construction in Energized Substations
Subpart X – Stairways and Ladders
1926.1053Ladders
1926.1060Training Requirements
Subpart Z – Toxic and Hazardous Substances
1926.1101Asbestos
1926.1101 through 1926.1148 Toxic and Hazardous Substances

I certify that the listed employees arecompetent persons,as defined and required by specific OSHA standards. They are individual(s) 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.

Name (print) / Company Name
Contractor Signature / Date

Please complete form and return to your LM Aero – Point of Contact (POC).If you need additional information, please contact ESH at (770) 494-4121.

Important Notice: A hard copy of this blank form may not be the version currently in effect.

Page 1 of 2 The current version of this form is the version in the LM Intranet. 11171-06302004