Public Profile

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Personal Info

JOHN DOE

Job Title: Foreman Employee #: ABC123 STAC #: J2B3C26 Company Name: YOUR Company Labor Provider Info: (If Applicable):

Emergency Medical Information

Contact Jane @ 555-555-5555

Equipment

Name	Completed	Expiration	Lic. #	Doc	Related
Self Rescue	1/10/2023		Abc123

Licenses

Name	Completed	Expiration	Lic. #	Doc	Related
Driver License	1/2/2024	1/2/2028

Safety Program

Name	Completed	Expiration	Lic. #	Doc	Related
ACI Program	3/1/2024	3/1/2027
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 Fall Prevention	11/9/2022
8-Hour Hazwoper	9/1/2024	9/1/2025
First Aid CPR AED	8/12/2024	8/12/2026
Industrial Forklift	12/15/2023	12/15/2026
OSHA 30-Hour Construction	2/12/2025	2/12/2028
Scissor Lift	11/9/2022	11/9/2025
Steel Erection Training	6/13/2003

Drug Test

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