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°HOLT Mo. a <br />of -Cal 1 <br />Employee Cal/OSHA, Cal/EPA <br />Training Record <br />1 - <br />MPLO N : Last, First, AR (Print) Empl. ## Job Title �r b 1)c5 <br />S J . <br />D"ION/D PARTMENT LOCATION <br />Required Training <br />References <br />Frequency Date Trng. Employee Sign. Instructor <br />IIPP (Injury/illness Prev. <br />CCR Title 8, GISO 3203 <br />Initial <br />Emergency Action Plan <br />GISO 3220 Initial <br />Fire Prevention Plan <br />GISO 3221 <br />Initial <br />Hazardous Comm. <br />GISO 5194 <br />*Initial <br />LockoutTagotrt <br />GISO 3314 <br />*Initial <br />Personal Protective Eq. <br />GISO 3380 <br />*Initial <br />OSHA Right to Know <br />Haz Material Mnmgt <br />Cal/OSHA <br />HSC section 25500 <br />Initial <br />Initiail:LLIE, <br />Spill PrevJControl Plan <br />CFR Title 40, Part 112 <br />Initial <br />Hearing Conservation <br />CCR Title 8, GISO 5097 <br />Initial/annual <br />Respirator Protection <br />GISO 5144 InitiaVannual <br />Fire Extinguisher <br />GISO 5161 <br />Initial/annual <br />Ergonomics <br />GISO 5110 <br />** <br />Haz Waste Mnmgt <br />CCR Title 22, 66265 <br />Initial/ann <br />Lift Truck <br />29 CFR 1910.178 <br />Initial/annual �- <br />Hoist/Cranes <br />GISO 4884 <br />Initial <br />Other req. Training: <br />Smith Systems <br />Initial <br />CHP Driver Training <br />Initial <br />NOTE: Retain this training <br />form for duration employee is employed by HOLT of California <br />* indicates additional training if new material/proceedure is introduced to work area <br />** indicates initial training if department employee reports a repetative motion injury <br />FORM SA0001 <br />