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HOLT® il I <br />Rental <br />of California $ I 0 R <br />Employee Cal/OSHA, Cal/EPA <br />Training Record <br />EMPLOYEE NAME: ast, First, MI. (Print) Employee # �� Job Title <br />DIVI ION I DEPARTMENf LOCATION <br />Required Training <br />References <br />Frequency <br />Training Date Employee Signature Instructor <br />IIPP (Injury/Illness Prevention) <br />CCR Title 8, GISO 3203 <br />Initial+,-, 1K' <br />Emergency Action Plan <br />CCR Title 8, GISO 3220 <br />1 n i a , <br />Fire Prevention Plan <br />CCR Ttle 8, GISO 3221 <br />Initial.i%, 1 i <br />Hazardous Communication <br />CCR Title 8, GISO 5194 <br />InitiaL,'�::ti <br />Right to Know <br />CCR Title 8, GISO 5194 <br />Initia <br />lockout-Tagout <br />CCR Title 8, GISO 3314 <br />Ini6alKi, I <br />Personal Protective Equipment <br />CCR Title 8, GISO 3380 <br />Initiafl;� j <br />Hazardous Material M mt. <br />HSC Section 25500 <br />Initial= ; ti S <br />t <br />Spill Prevention/Control Plan <br />CRT Title 40, Part 112 <br />InitialiL A..' <br />Hearing Conservation <br />CCR Title 8, GISO 5097 <br />Respirator Protection <br />CCR Title 8, GISO 5144 <br />—Initi <br />Fire Extinguisher <br />CCR Idle 8, GISO 5161 <br />"'Initial;' l <br />Ergonomics <br />CCR Tide 8, GISO 5110,-` <br />t <br />Hazardous Waste Management <br />CCR Title 22, 66265 <br />—lnitiaii <br />Lift Truck <br />29 CFR 1910.178 <br />—Initial <br />Hcist/Cranes <br />CCR Title 8, GISO 4884 <br />r ilial: <br />Machine Guarding <br />CCR Title 8, GISO 4243 <br />Back Injury Prevention <br />CCR Title 8, GISO 3203 <br />Initial :F <br />Fall Protection <br />CCR Title 8, GISO <br />Initials `; <br />Blood Bonne Pathogens <br />CCR Title B, GISO 5193 <br />r <br />^"lniti 4 <br />Code of Safe Practices <br />CCR Title 8, GISO 3203 <br />Initial <br />Slips, Trips, & Fails <br />CCR Title 8, GISO 3203 <br />Initial4 S i <br />Blocking & Cribbing <br />CCR Title 8, GISO 3203 <br />Initialsk '•j <br />Other Re uireri Trni-i <br />Smith System <br />CHP Driver Training <br />Locxour f l --so olnr <br />NOTE: Retain this training form for duration employee is employed by Holt of Califomia. {,,, <br />Indicates additional training if new material procedure is introduced to work area. Submit <br />Indicates initial training if department employee reports a repetitive motion injury. <br />`"' Indicates annual or refresher training required. <br />NOTE: By signing this form, employee states helshe has received training in subject matter. <br />FOR14 SA000I <br />