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HOLT rm lnRental <br />of California C i <br />Employee Cal/OSHA, Cal/EPA / <br />Training Record DjlDilrr�p/I � /t�`1 L <br />4 <br />EMPLOYEE NAME: Last, First, MI. (Print) Employee # ob T le 'S <br />( /_ t1—) 1` - "-1 f 1 C K I <br />DIVISION / 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 />t ( i •t C3�c�'�t- <br />�� L <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 B, GISO 5194 <br />`Initial <br />Right to Know <br />CCR Title 8, GISO 5194 <br />Initial <br />Lockout -Ta out <br />CCR Title 8, GISO 3314 <br />'Initial <br />Personal Protective Equipment <br />CCR Title 8, GISO 3380 <br />`Initial <br />Hazardous Material M mt. <br />HSC Section 25500 <br />Initial <br />f =Q j <br />Spill Prevention/Control Plan <br />CRT Title 40, Part 112 <br />Initial <br />�t <br />) <br />Hearing Conservation <br />CCR Title B, GISO 5097 <br />—Initial <br />Respirator Protection <br />CCR Title 8. GISO 5144 <br />—Initial <br />Fire Extinguisher <br />CCR Title B, GISO 5161 <br />—Initial <br />Ergonomics <br />CCR Title 8, GISO 5110 <br />IFT <br />Hazardous Waste Management <br />CCR Title 22, 66265 <br />—Initial <br />_�r! <br />� i � <br />t!• <br />Lift Truck <br />29 CFR 1910.178 <br />—Initial <br />Hoist/Cranes <br />CCR Title 8, GISO 4884 <br />Initial <br />Machine Guarding <br />CCR Title B, GISO 4243 <br />—Initial <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 Title 8, GISO 5193 <br />—Initial <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 />Vl11Cr RCI�u ,i,y. <br />Smith System <br />CHP Driver Training �✓ <br />Snk <br />L To <br />1�{o <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 SA0001 <br />