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HOLT M 'xll�i of California 5 1 0 fl t Employee Cal/OSHA, Cal/EPA Training Record t EMPLOYEE AME: Last First, ML (Print) Employee # Job Title (--r�-' 'T KK DIVISION f DEPARTMENT LOCATION Required Training References FrLquency Training Date Em loyee S" nature Instructor IIPP (Injuryfulness Prevention) CCR Title 8, GISO 3203 Initial Emergency Action Plan CCR Idle B, GISO 3220 Initial Fire Prevention Plan Hazardous Communication CCR Title B. GISO 3221 CCR Title 8, GISO 5194 Initial 'Initial CI Ci Right to Know CCR Title 8, GISO 5194 Initial Lockout-Tagout Personal Protective Equipment CCR Title 8, GISO 3314 CCR Title 8, GISO 3380 'Initial 'Initial Hazardous Material M rot HSC Section 25500 Initial // ' r 6 J / Spill Prevention/Control Plan CRT Title 40, Part 112 Initial U� { W11 Hearing Conservation CCR Title 8, GISO 5097 "'Initial Respirator Protection CCR Title 8, GISO 5144 "'Initial Fire Extinguisher CCR Title 8, GISO 5161 'In tial Ergonomics Hazardous Waste Management CCR Title 8, GISO 5110 CCR Title 22, 66265 "'Initial U _ i Q Lift Truck 29 CFR 1910.178 —Initial HoisilCranes CCR Tale 8, GlSO 4884 Initial Machine Guarding CCR T-dle 8, GISO 4243 "'Initial Back Injury Prevention CCR Title 8, GISO 3203 Initial Fall Protection CCR Title 8, GISO Initial Blood Borne Patho ens CCR Title 8, GISO 5193 —Initial Code of Safe Practices CCR Title 8, GISO 3203 Initial U Slips, Tri , &Falls Blocking & Cribbing CCR Title B, GISO 3203 CCR Title 8, GISO 3203 Initial 'Initial i/ Driver NOTE: Retain this twining form for duration employee is employed by Holt of California. Submit' Indicates additional training if new materiaUprocedure is introduced to work area. " Indicates initial training if department employee reports a repetitive motion injury. Indicates annual or refresher twining required. NOTE: By signing this form, employee states helshe has received training in subject matter. FORM SP 001