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HOLT Rental'I <br />aC Cafiloc-uia �[S i D 9 <br />Employee Cal/OSHA, Cal/EPA <br />Training Record <br />EMPLOYEE NAME: Last, First, MI. (Print) Employee Job Title 30 <br />Lt&h-e_ jn.,&ESA� c,l�t i� <br />DIVISION / DEPARTMENT LOCATION <br />Required Training <br />References <br />Frequenc Training Date <br />Employee Signature Instructor <br />IIPP (Injury/Illness Prevention) <br />CCR Title 8, GISO 3203 <br />Initial <br />I <br />Emergency Action Plan <br />CCR Title 8, GISO 3220 <br />Initial <br />Fire Prevention Plan <br />CCR Title 8, GISO 3221 <br />Initial <br />//'� <br />iGS+ C,4.111 <br />Hazardous Communication <br />CCR Tide 8, GISO 5194 <br />'Initial <br />K <br />Right to Know <br />CCR Tide 8, GISO 5194 <br />Initial <br />�p q <br />W 1 <br />Lockout-Tagout <br />CCR Tide 8, GISO 3314 <br />'Initial <br />Personal Protective Equipment <br />CCR Tide 8, GISO 3380 <br />*Initial <br />Hazardous Material Mgmt. <br />HSC Section 25500 <br />Initial <br />eftk- <br />Spill Prevention/Control Plan <br />CRT Tide 40, Part 112 <br />Initial <br />AZ.� <br />Heanng Conservation <br />CCR Tide 8, GISO 5097 <br />"'Initial <br />R, <br />Respirator Protection <br />CCR Tide 8, GISO 5144 <br />"'Initia <br />,r <br />Fire Extinguisher <br />CCR Tide 8, GISO 5161 <br />^'Initial1& <br />H^ <br />Ergonomics <br />CCR Tide 8, GISO 5110 <br />'fh 7r <br />Hazardous Waste Management <br />CCR Title 22, 66265 <br />" lnifial <br />(� <br />Lift Truck <br />29 CFR 1910.178 <br />"'initial <br />_ <br />Hoist/Cranes <br />CCR Tide 8, GISO 4884 <br />Initial <br />Machine Guarding <br />CCR Tide 8, GISO 4243 <br />"Initial <br />�Z� <br />, <br />Back Injury Prevention <br />CCR Tide 8, GISO 3203 <br />Initial <br />Zi� <br />Fall Protection <br />CCR Tide 8, GISO <br />Initial <br />// <br />V �ZZ <br />�(� <br />Blood Bome Pathogens <br />CCR Title 8, GISO 5193 <br />"'Initial - yS2 'J�'1 <br />e. <br />Cade of Safe Practices v <br />CCR Tide 8, GISO 3203 <br />Initial <br />-ti <br />Slips, Trips, & Falls <br />CCR Tide 8, GISO 3203 <br />Initial <br />ay <br />jql <br />Blocking & Cribbing <br />CCR Tide 8, GISO 3203 <br />'initial <br />nth., Pn i z d T—inin <br />Smith System <br />CHP Driver Training ro <br />f/z 'C�a <br />NOTE: Retain this training form for duration employee is employed by Holt of California. <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 he/she has received training in subject matter. <br />FORM SA00D1 <br />