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Self Certification Training Matrix

This document is a training matrix for subcontractor employees working on a construction project at LBNL. It lists various subject areas for required training and has spaces to record the names of employees and indicate with an X if they have been properly trained in each area. Some subject areas require supporting documentation to be submitted to EH&S for review and approval. The person signing certifies that all employees listed have been trained as indicated.

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534 views

Self Certification Training Matrix

This document is a training matrix for subcontractor employees working on a construction project at LBNL. It lists various subject areas for required training and has spaces to record the names of employees and indicate with an X if they have been properly trained in each area. Some subject areas require supporting documentation to be submitted to EH&S for review and approval. The person signing certifies that all employees listed have been trained as indicated.

Uploaded by

desurkarb
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
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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 ([email protected]) for review & approval.

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I,

Print Name

Signature:

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

Date:

Crane Operations

Confined Space

Competent PersonExcavation, Scaffolding


Fall Protection

Qualified Person- LOTO

Qualified PersonElectrical
Qualified Electrical
Worker

Quantitative Respirator Fit


Test

Qualitative Respirator Fit


Test

Respirator Use Medical


Clearance

Respiratory Program

Silica /Lead / Asbestos


Awareness

GERT / Orientation

PPE

Scissor or Boom Lift

Traffic / Flaggers

Use of Fall Protection

Fire Extinguisher

Scaffold User

Employee Name

Ladder

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

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