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HOLT ® ' ' <br />a Rental <br />of California S I 0 6 ( ' <br />Employee Cal/OSHA, Cal/EPA <br />Training Record <br />a 1.4i'�Son �ti7���, !J r��)J t�1f'i,M1G�Y11�_ ��/hllr�il�.��/`yt?t�tQ'i�/rl•.. <br />EMPLOYEE NAME: Last, First, MI. (Print) Employee ifJob Title <br />S <br />j <br />DIVISION / DEPARTMENT LOCATION <br />Required Training <br />References <br />Frequency <br />Training Date <br />o ee Signature Instructor <br />IIPP Injury/Illness Prevention) <br />CCR Title 8, GISO 3203 <br />Initial <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 8, GISO 5194 <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 />�) ? % � <br />f <br />/ <br />Hazardous Material M mt. <br />HSC Section 25500 <br />Initial <br />r <br />Spill Prevention/Control Plan <br />CRT Title 40, Part 112 <br />Initial <br />ZI <br />Hearing Conservation <br />CCR Title 8, GISO 5097 <br />—Initial <br />a� �.� <br />a <br />� � ✓{G <br />pirator Protection <br />CCR rife 8, GISO 5144 <br />"'Initial <br />i <br />Fire Extinguisher <br />CCR Title 8, GISO 5161 <br />—Initial <br />�r <br />Ergonomics <br />CCR Title 8, GISO 5110 <br />% <br />d <br />Hazardous Waste Management <br />CCR Title 22, 66265 <br />—Initial <br />i <br />-Pl ' -- <br />L1 Trvck <br />29 CFR 1910.178 <br />—Initial <br />Hoist/Cranes <br />CCR Title 8, GISO 4884 <br />Initial <br />Machine Guarding <br />CCR Tide 8, GISO 4243 <br />—Initial <br />Back Injury Prevention <br />CCR Title 8, GISO 3203 <br />Initial <br />, <br />Fall Protection <br />CCR Title 8, GISO <br />Initial <br />J t� <br />r <br />Blood Borne Pathogens <br />CCR Title 8, GISO 5193 <br />—Initial <br />�. ' <br />Cdrte of Safe Practices <br />CCR Title 8, GISO 3203 <br />Initial <br />L, <br />Slips, Trips, & Falls <br />CCR Title 8, GISO 3203 <br />Initial <br />JJ <br />y •j `" <br />/ <br />/J <br />Blocking & Cribbing <br />CCR Title 8, GISO 3203 <br />'Initial <br />Other Reouired Training: <br />ith System <br />Cke Driver Training r <br />r Ld r1 <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 />