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HOLT <br />or QdWorniu + ®t�n �� <br />Employee Cal/OSHA, Cal/EPA <br />Training Record <br />` S , `7 o 56xw(V &/¢tr0�� <br />EMPPL�LOOYE NAME: Last Firs , MI. (Print) Employee # Job Title <br />Wr��iWJW)p 1f -92t 5"ictK cif <br />DIVISION I DEPARTMENT LOCATION <br />Required Training <br />References <br />Frequency Training Date Employee Signature Instructor <br />IIPP (Injurytillness Prevention) <br />CCR Title 8, GISO 3203 <br />Initial <br />Emergency Action Plan <br />CCR Title 8, GISO 3220 <br />Initial <br />Fire Prevention Plan <br />CCR Title 8, GISO 6150 <br />Initial <br />Hazardous Communication <br />CCR Title 8, GISO 5194 <br />'Initial <br />Air Tool Safety <br />CCR Title 8, GISO 3301 <br />Initial <br />Lockout-Tagout <br />CCR Title 8, GISO 3314 <br />'Initial <br />Personal Protective Equipment <br />CCR Tale 8, GISO 3380 <br />'Initial <br />Hazardous Material M mt. <br />HSC Section 25500 <br />Initial <br />Spill Prevention/Control Plan <br />CRT Title 40, Part 112 <br />Initial <br />Hazardous Waste Management <br />CCR Title 22, 66265 <br />—Initial <br />Hearing Conservation <br />CCR Tate 8, GISO 5097 <br />—Initial <br />Respirator Protection <br />CCR Title 8, GISO 5144 <br />—Initial <br />Fire Extinguisher <br />CCR Title 8, GISO 5161 <br />'"Initial <br />Ergonomics <br />OCR Title 8, GISO 5094 <br />" Initial <br />Lift Truck <br />29 CFR 1910.178 <br />—Initial (O <br />Hoist/Cranes <br />CCR Title 8, GISO 4884 <br />Initial <br />Machine Guarding <br />CCR Title 8, GISO 4243 <br />—Initial <br />Back Injury Prevention <br />CCR Title 8, GISO 3203 <br />Initial <br />Fall Protection <br />CCR Title 8, GISO 3299 <br />Initial <br />Blood Borne Pathogens <br />CCR Title 8, GISO 5193 <br />—Initial <br />Slips, Trips, & Falls <br />OCR Title 8, GISO 3207 <br />Initial <br />Blocking & Cribbing <br />CCR Title 8, GISO 3203 <br />'Initial <br />Welding safety <br />CCR Title 8, GISO 4850 <br />'Initial <br />Office Safety <br />CCR Title 8, GISO 3203 <br />Initial <br />MSHATraining <br />30 CFR Parts 48 <br />—Intiial <br />,Transport Trailer <br />CFR Title 13, Chp. 6.5 <br />Initial <br />vmer <br />Driver <br />Fleet <br />Conditions <br />NOTE: Retain this training form for duration employee is employed by Holt of California. <br />Indicates additional training if new materiallprocedure/equipment is introduced to work area. <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 he/she has received training In subject natter. <br />FORM SA0001 <br />