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w <br /> k <br /> .. wr..'_ `�a ."S:IS. .5.33"$'�.c•R+ ..F i'.. .`_ xu' <br /> Employee CaVOSHA,CaUEPA <br /> Training Record <br /> EWLOYEE NAME: Last,First,NII. (Print) EmpL# Job Title /l/IIy '4 <br /> TTeb . <br /> DPVISION/DEPARTMENT LOCATION <br /> Required Training References Frequency Date Trng. Employee Sign. Instructor <br /> IIPP(Injury/Illness Prev. CCR Title 8,GISO 3203 Initial <br /> Emergency Action Plan GISO 3220 Initial <br /> Fre Prevention Plan GISO 3221 Initial <br /> Hazardous Comm. GISO 5194 *Initial <br /> Lockout-Tagout GISO 3314 *Initial <br /> Personal Protective Eq. GISO 3380 *Initial <br /> OSHA Right to Know Cal/OSHA Initial <br /> Haz. Material Mnmgt. HSC section 25500 Initial <br /> Spill PrevJControl Plan CFR Title 40, Part 112 Initial <br /> Hearing Conservation CCR Title 8, GISO 5097 Initial/annual <br /> Respirator Protection GISO 5144 Initial/annual <br /> Fire Extinguisher GISO 5161 Initial/annual <br /> Ergonomics GISO 5110 ** <br /> Haz.Waste Mnmgt CCR Title 22,66265 Initiai/annual - <br /> Lift Trude 29 CFR 1910.178 Initiallannual <br /> Hoist/Cranes GISO 4884 Initial <br /> Other req.Training: <br /> Smith Systems Initial <br /> CHP Driver Training Initial <br /> NOTE: Retain this training form for duration employee is employed by HOLT of California <br /> *indicates additional training if new material/proceedure is introduced to work area <br /> **indicates initial training if department employee reports a repetative motion injury <br /> FORM SA0001 <br />