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HOLT M Renta! <br />of California S 1 0 R [ <br />Employee Cal/OSHA, Cal/EPA <br />Training Record <br />i <br />C;" <br />EMPLOYEE NAME: Last, First, MI. (Print) Employee # rr 11 Job Title <br />✓_ .. /��, ,-sit ��• %ic.-, \ `n r _C.� � l- y',1�� �' <br />DIVISION 1 DEPARTMENT ✓ LOCATION <br />Required Training <br />References <br />Frequency <br />Training Date <br />Employee Signature <br />Instructor <br />IIPP (Injury/Illness Prevention) <br />CCR Title 8, GISO 3203 <br />Initial <br />/ U <br />✓/rte <br />-, - L•1 �� —�` <br />3220 <br />Initial <br />�' s ' <br />42"G'� <br />r <br />Emergency Action Plan <br />CCR Title 8, GISO <br />�• 7 <br />Fire Prevention Plan <br />CCR Title 8, GISO 3221 <br />Initial <br />'Initial <br />ch S/ 6r <br />Hazardous Communication <br />CCR Title 8, GISO 5194 <br />Right to Know <br />CCR Title 8, GISO 5194 <br />Initial <br />/6� <br />%j1� .'06i <br />lockout-Tagout <br />CCR Title 8, GISO 3314 <br />'Initial <br />I Gr i Z J6 <br />n <br />C >' 1 -✓ <br />l ' <br />Personal Prolective Equipment <br />CCR Title 8, GISO 3380 <br />'Initial <br />c� `Z D C <br />__.tom/ <br />Hazardous Material M mt. <br />HSC Section 25500 <br />Initial <br />.i <br />Spill Prevention/Control Plan <br />CRT Title 40, Part 112 <br />Initial <br />- <br />Hearing Conservation <br />CCR Title 8, GISO 5097 <br />—Initial <br />i ���(� r, <br />7 <br />7l2' <br />Respirator Protection <br />CCR Title 8, GISO 5144 <br />—Initial <br />—Initial <br />/� �I �> <br />`«r Z <br />"� <br />Fire Extinguisher <br />CCR Title 8, GISO 5161 <br />Ergonomics <br />CCR Title 8, GISO 5110 <br />—Initial <br />I <br />Hazardous Waste Management <br />CCR Title 22, 66265 <br />—Initial <br />Lift Truck <br />29 CFR 1910.178 <br />1 <br />j <br />Hoist/Cranes <br />CCR Title 8, GISO 4884 <br />Initial <br />O N, <br />ry/ <br />Machine Guarding <br />CCR Title 8, GISO 4243 <br />—initial <br />� iti <br />� <br />C <br />Back Injury Prevention <br />CCR Title 8, GISO 3203 <br />Initial <br />r <br />/ <br />ut�v✓ <br />r <br />r/ <br />Fail Protection <br />CCR Title 8, GISO <br />initial <br />rl % fj I �J <br />✓I61 7'` <br />C <br />Blood Borne Patho ens <br />CCR Title 8, GISO 5193 <br />—Initial <br />3 <br />� b 1 ✓^' <br />Code of Safe Practices <br />CCR Title 8, GISO 3203 <br />Initial <br />/ t^ <br />.r " <br />Slips, Trips, & Falls <br />CCR Title 8, GISO 3203 <br />Initial <br />Blocking & Cribbing <br />CCR Title 8, GISO 3203 <br />`Initial <br />Other Required Training: <br />Smith Svstern <br />CHP Driver Training _ <br />J J <br />Ice. K L� <br />NOTE: Retain this training form for duration employee is employed by Holt of California. <br />• Indicates additional training if new materialiprocedure 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 />