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Personal Info
JOHN DOE
Job Title:
Foreman
STAC #:
J2B3C26
Company Name:
YOUR Company
Labor Provider Info: (If Applicable):
Emergency Medical Information
Contact Jane @ 555-555-5555
Current Project
Project Name
Address
City
New Start
1234 Street Name
Cincinnati
Special Project
123 Street
Cincinnati
Licenses
Name
Completed
Expiration
Lic. #
Doc
Related
Driver License
1/2/2021
1/2/2025
Safety Program
Name
Completed
Expiration
Lic. #
Doc
Related
ACI Program
3/1/2019
3/1/2022
Company Specific
3/14/2019
Toolbox Talk / Safety Meeting
Name
Completed
Expiration
Lic. #
Doc
Related
Distracted Driving
4/6/2021
Example Toolbox Talk
8/15/2020
First Aid Awareness
6/1/2020
Training
Name
Completed
Expiration
Lic. #
Doc
Related
40-Hour HAZWOPER
8/11/2016
8-Hour Hazwoper
9/1/2021
9/1/2022
First Aid CPR AED
8/12/2020
8/12/2022
Industrial Forklift
12/15/2018
12/15/2021
OSHA 30-Hour Construction
2/12/2018
2/12/2023
Steel Erection Training
6/13/2003
Other Information
Big baseball fan. Likes to fish.
Shirt Size: Medium
Sweater Size: Large