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NO <br />HOLT a3j <br />Rental <br />of CaliforniaS I 9 B I <br />Employee Cal/OSHA, Cal/EPA <br />Training Record ` <br />EMPLOYEE NAME: Last, First, MI. (Print) Employee # Job Title <br />Stec <br />DIVISION / DEPARTMENT LOCATION <br />Required Training <br />References <br />Frequency <br />Training Date <br />Em ployeq­Siq nature 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 />y <br />Fire Prevention Plan <br />CCR Tide 8, GISO 3221 <br />Initial <br />Hazardous Communication <br />CCR Title 8, GISO 5194 <br />'Initial <br />v <br />Right to Know <br />CCR Title 8, GISO 5194 <br />Initial <br />L <br />Lockout-Tagout <br />CCR Title 8, GISO 3314 <br />'Initial <br />i <br />Personal Protective Equipment <br />CCR Title 8, GISO 3380 <br />Initlal <br />C ' S <br />L <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 />Paspira <br />Fire Extinguisher <br />CCR Title 8, GISO 5161 <br />"'Initial <br />r <br />Ergonomics <br />CCR Title 8, GISO 5110 <br />Hazardous Waste Management <br />CCR Title 22, 66265 <br />"Initial <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 Tille 8, GISO 3203 <br />Initial <br />i <br />Fall Protection <br />CCR Title 8, GISO <br />Initial <br />Blood Borne Pathogens <br />CCR Title 8, GISO 5193 <br />"'Initial <br />�. <br />Slips, Trips, & Falls <br />CCR Title 8, GISO 3203 <br />Initial <br />Blocking & Cribbing <br />CCR Tide 8, GISO 3203 <br />'Initial <br />,1 <br />F�6 I'C`J C= f f ' !•- (,� ��/' •ti,2 1 <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 />