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HOLT M ' ' Rental of California Employee Cal/OSHA, Cal/EPA Training Record EMPLOYEE NAME: Last, First, MI. (Print) Employee tl Job Title G I'N .D DIVISION I DEPARTMENT LOCATION DSS. Required Training References Frequency Training Date Employee Signature Instructor IIPP (injurytillness Prevention) CCR Title 8, GISO 3203 Initial y,"z , I 4-1 `r Iy Emergency Action Plan CCR Title 6, GISO 3220 Initial ` %= 1' Fire Prevention Plan CCR Tide 8, GISO 3221 Initial / /- -�— Hazardous Communication CCR Tide 8, GISO 5194 Initial �✓2� f / �' v` fG`�` Right to Know CCR Title 8, GISO 5194 Initial gg 1 Lockout-Tagout CCR Tide 8, GISO 3314 'Initial�— Personal Protective Equipment CCR Tide 8, GISO 3380 'Initial `lr� `— Hazardous Material M mt. HSC Section 25500 Initial 1✓`oY �� Spill Prevention/Control Plan CRT Tide 40, Part 112 Initial Hea ng Conservation CCR TUe 8, GISO 5097 "'Initial Respirator Protection CCR Tide 8, GISO 5144 —Initial Fire Extinguisher CCR Title 8, GISO 5161 —Initial Ergonomics CCR Title 8, GISO 5110 -- Hazardous Waste Management CCR Tide 22, 66265 —Initial Lift Truck 29 CFR 1910.178 —Initial HoistlCranes CCR Title 8, GISO 4884 FlnMachine Guardin CCR Tide 8, GISO 4243 Back Injury Prevention CCR Tide 8, GISO 3203 Initial Fall Protection CCR Tide 8, GISO Initial Blood Bome Patho ens CCR Tide 8, GISO 5193 "'Initial Cade of Safe Practices CCR Tide 8, GISO 3203 Initial Slips, Trips, & Fails CCR TUe 8, GISO 3203 Initial Blocking & Cribbing CCR Tide 8. GISO 3203 'Initial 1 / /Z / r Other Required Training: Smith System CHP Driver Training NOTE: Retain this training form for duration employee is employed by Holt of California. Indicates additional training if new materiaUprocedure is introduced to work area. " Indicates initial training if department employee reports a repetitive motion injury. Indicates annual or refresher training required. NOTE: By signing this form, employee states helshe has received training in subject matter. FORM SA0001 Submit