WORKER SAFETY TRAINING RECORDS

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--- RECORDKEEPING & ACCESSIBILITY ---
[ ] Record Retention Policy
[ ] Last Record Review Date
[ ] Number of Workers Trained (Total)
[ ] Summary of Recordkeeping System
[ ] Record Storage Format (Paper, Electronic, Hybrid)
[ ] Copy of Recordkeeping Procedures
[ ] Accessibility Level (Publicly Available, Limited to Supervisors, Confidential â€“ Authorized Personnel Only)

--- HAZARD COMMUNICATION (HAZCOM) ---
[ ] Last HazCom Training Date
[ ] Brief Summary of HazCom Training Content
[ ] Copy of HazCom Training Materials (SDS Access Instructions, etc.)
[ ] Topics Covered in HazCom Training (Check all that apply) (SDS Access & Understanding, Container Labeling, Chemical Hazard Recognition, Personal Protective Equipment (PPE), Emergency Procedures, Spill Response)
[ ] Number of Employees Trained in HazCom
[ ] SDS Access Method (Choose One) (Paper Copies, Online Database, Both Paper and Online)
[ ] SDS Database URL (if applicable)

--- MACHINERY & EQUIPMENT OPERATION ---
[ ] Tractor Operation Training? (Completed, Scheduled, Not Required)
[ ] Last Tractor Operation Training Date
[ ] Tractor Horsepower (for training requirements)
[ ] Tractor Operation Certificate/Record
[ ] Combine Operation Training? (Completed, Scheduled, Not Required)
[ ] Last Combine Operation Training Date
[ ] Specific Machinery Trained On (e.g., planter, sprayer)
[ ] Training Provider (Internal, External (Name:))

--- PERSONAL PROTECTIVE EQUIPMENT (PPE) ---
[ ] PPE Training Topics Covered: (Eye Protection (Safety Glasses/Goggles), Hearing Protection (Earplugs/Earmuffs), Hand Protection (Gloves - Type Specified), Foot Protection (Safety Boots/Shoes), Respiratory Protection (Respirators - Type Specified), Head Protection (Hard Hats), Protective Clothing (Coveralls, etc.))
[ ] Description of Hands-on PPE Fitting/Demonstration:
[ ] Date of Last PPE Training:
[ ] Number of Employees Trained on PPE:
[ ] Attach PPE Training Sign-In Sheet/Attendance Record:
[ ] PPE Selection Criteria Discussed? (Yes, No)
[ ] Specific PPE required for task X (explain what PPE is required, not just that it's needed)

--- FARM SAFETY & HEALTH ---
[ ] Date of Farm Safety & Health Training
[ ] Topics Covered in Training (e.g., Heat Stress, Musculoskeletal Disorders, Fall Prevention)
[ ] Training Duration (in minutes)
[ ] Specific Hazards Discussed (Check all that apply) (Heat Stress, Cold Stress, Musculoskeletal Disorders (MSD), Fall Prevention, Noise Exposure, Dust Exposure, Animal Handling Safety, Electrical Hazards)
[ ] Summary of Training Content & Key Takeaways
[ ] Copy of Training Materials (e.g., Presentation Slides, Handouts)
[ ] Training Method (In-Person, Online, Hybrid)
[ ] Trainer Name
[ ] Trainer Credentials (if applicable)

--- CONFINED SPACE ENTRY (IF APPLICABLE) ---
[ ] Confined Space Entry Training Date
[ ] Training Content Outline (brief summary)
[ ] Topics Covered in Training (Hazard Identification, Atmospheric Testing, Permit System, Entry Procedures, Rescue Procedures, Equipment Use (e.g., Fans, Gas Monitors))
[ ] Duration of Training (hours)
[ ] Trainer Qualification (e.g., Certified Safety Professional) (Certified Safety Professional, Experienced Supervisor, Other (specify in LONG_TEXT))
[ ] If 'Other' for Trainer Qualification, please specify.
[ ] Copy of Training Certificate (if applicable)
[ ] Permit Required for Entry? (Yes, No)
[ ] Location(s) of Confined Spaces Covered in Training

--- LOCKOUT/TAGOUT (IF APPLICABLE) ---
[ ] Last Lockout/Tagout Training Date
[ ] Equipment Covered in Training (Select all that apply) (Tractors, Combines, Irrigation Pumps, Grain Dryers, Other (Specify in LONG_TEXT))
[ ] Specify 'Other' Equipment (if selected above)
[ ] Number of Employees Trained on Lockout/Tagout
[ ] Upload Lockout/Tagout Training Certificates/Records
[ ] Lockout/Tagout Procedures Reviewed? (Yes, No)
[ ] Summary of Lockout/Tagout procedure updates (if any)

--- FIRST AID/CPR ---
[ ] CPR Certification Expiration Date
[ ] First Aid Certification Expiration Date
[ ] CPR Certification Level (Basic CPR/AED, Advanced CPR)
[ ] First Aid Certification Type (Basic First Aid, Comprehensive First Aid, Wilderness First Aid)
[ ] Copy of CPR Certification Card (Front)
[ ] Copy of First Aid Certification Card (Front)
[ ] Hours of First Aid Training Received (if applicable)
[ ] Notes Regarding First Aid/CPR Training (e.g., refresher courses, specific scenarios)

--- PESTICIDE SAFETY (IF APPLICABLE) ---
[ ] Applicator License Number
[ ] Applicator License Expiration Date
[ ] Last Pesticide Safety Training Date
[ ] Summary of Training Topics Covered
[ ] Categories of Pesticides Handled (Check all that apply) (Insecticides, Herbicides, Fungicides, Rodenticides, Nematicides)
[ ] Copy of Certificate/License
[ ] Training Provider (State Extension Office, Certified Crop Advisor, Private Pesticide Applicator Training School, Other)
[ ] Details of Refresher Training (if applicable)

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