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HOLTIi:�i <br />of California S 16 8 L <br />Employee Cal/OSHA, Cal/EPA <br />Training Record <br />7z 1,17 <br />EMPLOYEE HAMe: Las; First ML (Print) Employee # Job Title �A, <br />DMsioN / DEPARTMENT .. LOCATION <br />Required Training <br />References <br />Frequency <br />Date <br />Employee <br />Signature Instructor <br />IIPP (injury/Illness Prevention) <br />CCR Title 8, GISO 3203 <br />-Training <br />Initial <br />Emergency Action Plan <br />OCR Title 8, GISO 3220 <br />Initial <br />Fire Prevention Plan <br />CCR Title 8, GISO 3221 <br />Initial <br />e:, <br />f,11";1' <br />Hazardous Communication <br />OCR Tale 8, GISO 194 <br />Right to Know <br />CCR Title 8, GISO 5194 <br />Initial <br />Lockout-Tagout <br />CCR Title 8, GISO 3314 <br />'Initial <br />Personal Protective Equipment <br />CCR Title 8, GISO 3380 <br />'Initial <br />G <br />G <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 />�< / <br />Hearing Conservation <br />CCR Title 8, GISO 5097 <br />—InitialZZ <br />Respirator Protection <br />CCR Title 8, GISO 5144 <br />"'Initial /�, <br />Fire Extinguisher <br />OCR Title; 8, GISO 5161 <br />"Initial <br />(✓ f� <br />7 <br />�- - / <br />Ergonomics <br />CCR Title 8, GISO 5110 <br />Hazardous Waste Management <br />CCR Title 22, 66265 <br />"Initial <br />Lift Truck <br />29 CFR 1910.178 <br />Y' "Initial <br />Hoist/Cranes <br />CCR Title 8, GISO 4884 <br />Initial <br />C <br />Machine Guarding <br />OCR TRIe 8, GISO 4243 <br />—Initial <br />s, <br />-U �. i <br />Back Injury Prevention <br />CCR Title 8, GISO 3203 <br />Initial <br />O� <br />Liu' <br />p <br />% Gr 7 <br />Fall Protection <br />CCR Title B. GISO <br />Initial <br />Blood Bome Pathogens <br />OCR Title 8, GISO 5193 <br />—Initial <br />Code of Safe Pradices <br />CCR Title 8, GISO 3203 <br />Initial <br />% <br />SHM Trips, & Falls <br />OCR Title 8, GISO 3203 <br />Initial <br />Blocking & Cribbng <br />OCR Title 8, GISO 3203 <br />'Initial <br />vmer <br />Smith <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 SM001 <br />Submit <br />