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HOLT a3oRental <br />of California S 1 � 9 ( <br />Employee Cal/OSHA, Cal/EPA <br />Training Record <br />EMPLOYEE NAME: Last, First, MI. (Printf Employee # Job Title <br />DIVISION / DEPARTMENT LOCATION <br />j 7l C,c) lt% -Lail C <br />Required Training <br />References <br />Frequency <br />Trainingy Date <br />Emplo ee Signature , I Instructor <br />IIPP (Injury/Illness 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 3221 <br />Initial <br />Hazardous Communication <br />CCR Title 8, GISO 5194 <br />'Initial <br />Right to Know <br />CCR Tide 8, GISO 5194 <br />Initial <br />qt>S <br />Lockout-Tagcut <br />CCR Title 8, GISO 3314 <br />'Initial <br />Personal Prolective Equipment <br />CCR Title 8, GISO 3380 <br />'Initial <br />q — <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 />Hearing Conservation <br />CCR Title 8, GISO 5097 <br />"Initial <br />Respirator Protection <br />CCR Title 8, GISO 5144 <br />"'Initial <br />Fire Extinguisher <br />CCR Idle 8, GISO 5161 <br />"'Initial <br />Ergonomics <br />CCR Title 8, GISO 5110 <br />Hazardous Waste Management <br />CCR Title 22, 66265 <br />'—Initial <br />?-24''47 <br />Lift Truck <br />29 CFR 1910.178 <br />—Initial <br />' <br />Hoist/Cranes <br />CCR Title 8, GISO 4884 <br />Initial <br />r v <br />Machine Guarding <br />CCR Title 8, GISO 4243 <br />"Initial <br />�? / "�S - <br />Back Injury Prevention <br />CCR Title 8, GISO 3203 <br />Initial <br />Fall Protection <br />CCR Title 8, GISO <br />Initial <br />Blood Borne Pathogens <br />CCR The 8, GISO 5193 <br />"'Inifial- <br />i <br />Code of Safe Practices <br />CCR Title 8, GISO 3203 <br />Initial <br />Slips. Trips, & Falls <br />CCR Title 8, GISO 3203 <br />Initial <br />Blocking & Cribbing <br />CCR Title 8. GISO 3203 <br />Initial <br />-7%'U5 <br />i <br />vtner mequlreu i ra111114y. <br />Smith System <br />CHP Driver Training <br />>Q7 i <br />i a� 11 •�-os <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. <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 SA0001 <br />Submit <br />