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HOLT M ®Ren>� <br />of California 3 1 U R E <br />Employee Cal/OSHA, Cal/EPA <br />Training Record <br />MCIfe <br />EMPLOYEE NAME: Last, First, MI. (Print) Employee # Job Title <br />/yILD <br />DIVISION / DEPARTMENT <br />LOCATION <br />Required Training <br />References <br />Frequency <br />Training Date <br />Emplo a Signature Instructor <br />IIPP (Injury/Illness Prevention) <br />CCR Title 8, GISO 3203 <br />Initial <br />7 �3c OG: <br />c1 r,, CJ <br />Emergency Action Plan <br />CCR TrIe 8, GISO 3220 <br />Initial <br />Fire Prevention Plan <br />CCR Title 8, GISO 6150 <br />Initial <br />Hazardous Communication <br />CCR Title 8, GISO 5194 <br />'Initial <br />Air Tool Safety <br />CCR Title 8, GISO 3301 <br />Initial <br />S� / ' <br />/� <br />' "✓�` 041 1 <br />/ <br />10 <br />Lockout-Tagout <br />CCR Title 8,GISO 3314 <br />'Initial <br />5t/ 0[ <br />Personal Protective Equipment <br />CCR Title 8, GISO 3380 <br />'Initial <br />S/ U6 <br />C4 <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 />Hazardous Waste Management <br />CCR Title 22, 66265 <br />—Initial <br />Hearing Conservation <br />CCR Title 8, GISO 5097 <br />—Initial <br />S�� r�-7-0.r' <br />Respirator Protection <br />CCR Title 8, GISO 5144 <br />*"Initial <br />Fire EAn uisher <br />CCR Title 8, GISO 5161 <br />"'Initial <br />Ergonomics <br />CCR Title 8, GISO 5094 <br />" Initial <br />Lift Truck <br />29 CFR 1910.178 <br />"'Initial <br />Hoist/Cranes <br />CCR Title 8,GISO 4884 <br />Initial <br />S 3G/0L `,W <br />Machine Guarding <br />CCR Title 8, GISO 4243 <br />""Initial <br />5__/Gk %'✓VIV— <br />`ter <br />l <br />Back Injury Prevention <br />CCR Title 8, GISO 3203 <br />Initial <br />Fall Protection <br />CCR Title 8, GISO 3299 <br />Initial <br />Blood Borne Pathogens <br />CCR Title 8, GISO 5193 <br />"Initial <br />s/ 3c�0 <br />", <br />Slips, Trips, & Falls <br />Blocking & Cribbing <br />CCR Title 8, GISO 3207 <br />CCR Title 8, GISO 3203 <br />Initial <br />'Initial <br />/ <br />s/ 3� C L <br />` /� .�^ <br />L <br />k I,/ <br />Welding safety <br />CCR Title 8, GISO 4850 <br />'Initial <br />Office Safety <br />CCR Title 8, GISO 3203 <br />Initial <br />MSHA Training <br />30 CFR Parts 48 <br />"`Intiial <br />Transport Trailer <br />CFR Title 13, Chp. 6.5 <br />'Initial <br />Smith System <br />CHP Driver Training <br />Holt Fleet Safety <br />Holt Employee Handbook (Safety) <br />Weather Conditions <br />Distracted Driving (Federated) <br />` 3� <br />NOTE: Retain this training form for duration employee is employed by Holt of California. <br />Indicates additional training if new materiallprocedure/equipment 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 />