Laserfiche WebLink
HALT tP <br />ofCalifornia r, <br />Employee Cal/OSHA, Cal/EPA <br />Training Record <br />P <br />EMPLOYEE NAME: Last, First, MI. (Print) EmpL # Job Title <br />DIVISION/DEPARTMENT LOCATION <br />Required Training <br />References Frequency Date Trng. Employee Sign. Instructor <br />IIPP (Injury/Illness Prev. <br />CCR Title 8, GISO 3203 Initial <br />Emergency Action Plan <br />GISO 3220 Initial <br />Fre Prevention Plan <br />GISO 3221 Initial <br />Hazardous Comm. <br />GISO 5194 *Initial <br />Lockout-Tagout <br />GISO 3314 *Initial <br />Personal Protective Eq. <br />GISO 3380 *Initial <br />OSHA Right to Know <br />Cal/OSHA Initial <br />Haz- Material Mnmgt <br />HSC section 25900 InitialiNE_u— <br />Spill PrevJControl Plan <br />CFR Title 40, Part 112 Initial <br />Hearing Conservation <br />CCR Title 81 GISO 5097 Initial/annual <br />Respirabor Protection <br />GISO 5144 Initiallannual <br />Fire Extinguisher <br />GISO 5161 Initial/annual <br />Ergonomics <br />GISO 5110 <br />Haz. Waste MnmgL <br />CCR Title 22, 66265 Initial/annual G <br />Lift Truck <br />29 CFR 1910.178 Initial/annual <br />Hoist/Cranes <br />GISO 4884 Initial <br />Other req. Training: <br />Smith Systems <br />Initial <br />CHP Driver Trainina <br />Initial <br />NOTE: Retain this training form for duration employee is employed by HOLT of California <br />* indicates additional training if new maberiai/proceedure is introduced to vwrk area <br />** indicates initial training if departrrmt employee reports a repetative motion injury <br />FORM SA0001 <br />