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Employee Safety Training Matrix

This document is a training matrix for subcontractor employees working on a construction project at Lawrence Berkeley National Laboratory (LBNL). It lists various safety training topics and requires the contractor to indicate for each employee whether they have been trained on that topic by placing an X in the corresponding box. Some training documentation must be submitted to LBNL's Environment, Health and Safety department for review and approval. The contractor certifies that all employees listed have been properly trained as indicated.

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509 views1 page

Employee Safety Training Matrix

This document is a training matrix for subcontractor employees working on a construction project at Lawrence Berkeley National Laboratory (LBNL). It lists various safety training topics and requires the contractor to indicate for each employee whether they have been trained on that topic by placing an X in the corresponding box. Some training documentation must be submitted to LBNL's Environment, Health and Safety department for review and approval. The contractor certifies that all employees listed have been properly trained as indicated.

Uploaded by

adec
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
  • Construction Subcontractor Employee Training Matrix
  • Employee Training Documentation Table
  • Signature Section

Construction Subcontractor Employee Training Matrix

Contractor Name: Date:

Project Name: LBNL Const. Mgr:

Instructions: Insert names of employees who will be working on site at LBNL in the space provided below. Place an "X" in the appropriate space to
indicate that the employee has been properly trained in the corresponding subject matter, and that supporting documentation is readily available. These
subject areas are those commonly encountered. Add or replace subject areas as needed.

Note 1: For those columns highlighted in YELLOW, submit corresponding documentation to EH&S (dllendahl@[Link]) for review & approval.

Note 2: As validation, for those columns NOT in yellow, you will be required to provide documentation to EH&S as requested (dllendahl@[Link]).

Qualitative Respirator Fit

Excavation, Scaffolding
Qualified Person- LOTO
Respirator Use Medical

Quantitative Respirator
Silica /Lead / Asbestos
Use of Fall Protection

Respiratory Program
Scissor or Boom Lift

Competent Person-
Qualified Electrical
GERT / Orientation

Crane Operations
Qualified Person-
Fire Extinguisher

Traffic / Flaggers

Confined Space
Fall Protection
Scaffold User

Awareness

Clearance

Electrical
Fit Test

Worker
Ladder

PPE

Test
Employee Name

10

11

12

13

14

15

I, certify that the above named employees have been trained and are qualified to perform the
Print Name identified tasks as indicated above.

Signature: Date:

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