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CST <br />Employee Cal/OSHA, Cal/EPA <br />Training Record <br />EMPLOYEE NAME: Last, First, ML (Print) Empl. # Job Title <br />DIVISION/DEPARTMENT LOCATION <br />� ie? DkI. rl��, <br />TTeb <br />Required Training <br />References <br />Frequency Date Trng. Employee Sign. Instructor <br />IIPP (injury/Illness Prev. <br />CCR Title 8, GISO 3203 <br />Initial <br />Emergency Action Plan <br />GISO 3220 Initial <br />Fire Prevention Plan <br />GISO 3221 <br />Initial <br />Hazardous Comm. <br />GISO 5194 <br />*Initial <br />Lockout Tagout <br />GISO 3314 <br />*Initial <br />Personal Protective Eq. <br />GISO 3380 <br />*Initial <br />OSHA Right to Know <br />Cal/OSHA <br />Initial <br />Haz. Material Mnmgt <br />HSC section 255DO <br />Initial - -,; _1?�:.-� <br />Spill PrevJControl Plan <br />CFR Title 40, Part 112 <br />Initial <br />Hearing Conservation <br />CCR Title 8, GISO 5097 <br />Initial/annual <br />Respirator Protection <br />GISO 5144 Initiallannual <br />Fire Extinguisher <br />GISO 5161 <br />Initial/annual <br />Ergonornics <br />GISO 5110 <br />** <br />Haz. Waste Mnmgt <br />CCR Title 22, 66265 <br />Initial/annual - A <br />Lift Truck <br />29 CFR 1910.178 <br />Initiallannual <br />Hoist/Cranes <br />GISO 4884 <br />Initial <br />Other req. Training: <br />Smith Systems <br />Initial <br />CHP Driver Training <br />Initial <br />NOTE: Retain this training form for duration employee is employed by HOLT of California <br />* indicates additional training if new materiallproceedur+e is introduoed to vuork area <br />** indicates initial training if depertrnent employee reports a repetative motion injury <br />FORM SA0001 <br />