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The Hazmat Employee Training Record form serves as a crucial tool for documenting the training and certification of employees who handle hazardous materials. This form captures essential information such as the employee's name, identification number, and position, ensuring that all relevant details are easily accessible. It requires employers to maintain records of current training for each hazmat employee, which must include the most recent training completion date and a description or copy of the training materials used. Additionally, the form mandates that the name and address of the training provider be recorded, along with a certification confirming that the employee has successfully completed the required training and testing. Compliance with the regulations outlined in 49 CFR §172.704(d) is vital, as employers must retain these records for the duration of the employee's tenure and for 90 days after their departure. The form also emphasizes the need for recurrent training and provides sections to document prior training experiences from previous employers. By ensuring thorough recordkeeping and adherence to training requirements, the Hazmat Employee Training Record form plays a key role in promoting safety and compliance in the transportation of hazardous materials.

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HAZMAT EMPLOYEE TRAINING RECORD AND CERTIFICATION

EMPLOYEE NAME

LAST

FIRST

MIDDLE

EMPLOYER NAME

 

 

 

 

 

 

 

 

 

 

EMPLOYEE IDENTIFICATION NUMBER

 

 

LOCATION

STREET

 

 

 

 

 

 

 

 

POSITION/JOB DESCRIPTION

 

 

 

CITY

 

STATE

ZIP CODE

 

 

 

 

 

 

 

 

REGULATIONS

HAZMAT EMPLOYEE TRAINING REQUIRED

 

¤172.704(d) Recordkeeping. A record of current training, inclusive of the preceding three years, in accordance with this section

 

 

shall be created and retained by each hazmat employer for as long as that employee is employed by that employer as a hazmat

 

General Awareness

employee and for 90 days thereafter. The record shall include: (1) The hazmat employee's name; (2) The most recent training

 

 

 

completion date of the hazmat employee's training; (3) A description, copy, or the location of the training materials used to meet

 

Function-specific

the requirements in paragraph (a) of this section; (4) The name and address of the person providing the training; and (5)

 

 

 

Certification that the hazmat employee has been trained and tested, as required by this subpart.

 

 

 

Safety Training

¤172.704(e) Limitation. A hazmat employee who repairs, modifies, reconditions, or tests packagings as qualified for use in the

 

 

 

transportation of hazardous materials, and who does not perform any other function subject to the requirements of this

 

 

 

Security Awareness Training

subchapter, is not subject to the safety training requirement of paragraph (a)(3) of this section.

 

INSTRUCTIONS

 

 

 

In-Depth Security Training

The training requirements in ¤172.704 and 177.816 cover six areas of training for hazmat employees. Based on the training

 

 

 

required for the above named hazmat employee, provide the training and testing for compliance. Satisfy the recordkeeping

 

 

 

Driver Training

requirements in 172.704(d) by completing the information on this form.

 

 

 

 

SECTION 1

 

CURRENT TRAINING

 

 

 

 

 

 

 

COMPLETION

DESCRIPTION OF TRAINING, COPY OR

TRAINER/ADDRESS

TRAINING AND TESTING

DATE

DATE

LOCATION OF TRAINING MATERIALS USED

CERTIFIED BY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION 2

 

 

RELEVANT TRAINING

 

 

 

 

Provide information from previous hazmat employment training. Attach appropriate current records from the previous employer.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION 3

 

RECURRENT TRAINING

 

 

 

 

 

 

 

 

COMPLETION

DESCRIPTION OF TRAINING, COPY OR

 

TRAINER/ADDRESS

TRAINING AND TESTING

DATE

DATE

LOCATION OF TRAINING MATERIALS USED

 

CERTIFIED BY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

© Copyright 2005 J. J. KELLER & ASSOCIATES, INC.ATTACH NECESSARY DOCUMENTATION TO256-F 10614

Neenah, WI ¥ USA ¥ (800) 327-6868 ¥ www.jjkeller.com

SUBSTANTIATE THE ABOVE TRAINING REQUIREMENTS

 

Form Specifications

Fact Name Details
Employee Information The form requires the employee's full name, identification number, and job description to ensure accurate recordkeeping.
Employer Details Employers must provide their name and address, ensuring proper identification and accountability.
Training Duration Records must be kept for the duration of employment and for 90 days after the employee leaves the company.
Training Components The record must include the training completion date, training materials used, and the trainer's information.
Certification Requirement Each employee must be certified as having completed the required training and testing.
Record Retention According to regulations, records of training must be retained for at least three years.
Specific Exemptions Employees who only perform certain tasks related to packaging may not need to complete safety training.
Relevant Regulations The governing laws for this form include 49 CFR ¤172.704 and ¤177.816, which outline the training requirements.

Hazmat Employee Training Record: Usage Guidelines

Completing the Hazmat Employee Training Record form is essential for maintaining compliance with training requirements. This record will help ensure that all necessary information regarding hazmat employee training is documented accurately. Follow the steps below to fill out the form correctly.

  1. Enter Employee Information: Fill in the employee's name, including last, first, and middle names.
  2. Input Employer Details: Write the name of the employer and the employee identification number.
  3. Provide Location Information: Complete the address section with the street, city, state, and zip code.
  4. Specify Position: Describe the employee's position or job description clearly.
  5. Document Current Training: In Section 1, record the most recent training completion date and the description of the training.
  6. Include Training Materials: Provide a copy or specify the location of the training materials used.
  7. Trainer Information: List the name and address of the person who provided the training.
  8. Certification: Ensure that the form is certified by the trainer, confirming that the employee has been trained and tested.
  9. Record Previous Training: In Section 2, provide information about any relevant training from previous hazmat employment. Attach necessary documentation from the previous employer.
  10. Recurrent Training: In Section 3, repeat the process for recurrent training by documenting the completion date, training description, materials used, and trainer certification.

Once the form is completed, it is crucial to keep it on file as required by regulations. This record should be maintained for the duration of the employee's employment and for 90 days thereafter. Ensure all necessary documentation is attached to support the training claims made in the form.

Your Questions, Answered

What is the purpose of the Hazmat Employee Training Record form?

The Hazmat Employee Training Record form is designed to document the training that hazmat employees receive. It ensures that employers maintain accurate records of their employees' training, which is required by federal regulations. This record helps verify compliance with safety and training standards for handling hazardous materials.

What information is required on the form?

The form requires several key pieces of information. You need to provide the employee's name, employer's name, identification number, job description, and location. Additionally, you must include details about the training, such as the completion date, a description of the training materials, the trainer's name and address, and a certification statement confirming that the employee has been trained and tested.

How long must training records be kept?

Employers must retain the training records for as long as the employee is employed in a hazmat position. After the employee leaves, the records must be kept for an additional 90 days. This ensures that there is a clear history of training for each employee while they are associated with the employer.

What if an employee has previous hazmat training?

If an employee has prior hazmat training from a different employer, that information should be included on the form. Attach the relevant documentation from the previous employer to substantiate the training. This helps create a comprehensive training record that reflects the employee's full training history.

Are there specific training areas covered in the requirements?

Yes, the training requirements cover six specific areas for hazmat employees. These areas include general awareness, function-specific training, safety training, security awareness training, and others as outlined in the regulations. Each area is essential for ensuring that employees are well-prepared to handle hazardous materials safely.

What should I do if my employee repairs or tests packagings?

If an employee is involved in repairing, modifying, or testing packagings for hazardous materials, they may not be subject to certain safety training requirements. However, they must still meet other training obligations as outlined in the regulations. It is crucial to assess their specific job functions to determine the applicable training requirements.

Common mistakes

  1. Incomplete Employee Information: Failing to provide the full name, employee identification number, or job description can lead to confusion and inaccuracies in training records.

  2. Missing Training Dates: Not entering the most recent training completion date is a common mistake. This date is crucial for compliance and tracking purposes.

  3. Omitting Training Material Details: Forgetting to include a description or the location of the training materials used can hinder the ability to verify the training's adequacy.

  4. Incorrect Trainer Information: Providing inaccurate or incomplete information about the trainer can lead to issues with validation of the training received.

  5. Neglecting Certification: Failing to include the certification that the hazmat employee has been trained and tested is a critical oversight that can result in non-compliance.

  6. Not Attaching Previous Records: Forgetting to attach relevant training records from previous employment can leave gaps in the employee's training history, affecting compliance.

Documents used along the form

The Hazmat Employee Training Record form is essential for documenting the training of employees who handle hazardous materials. Along with this form, several other documents are commonly used to ensure compliance with regulations and maintain safety standards. Here is a list of related forms and documents that support the training and compliance process.

  • Hazardous Materials Training Plan: This document outlines the specific training programs and objectives for hazmat employees. It details the training topics, methods, and schedules to ensure all employees receive appropriate education on handling hazardous materials.
  • Training Attendance Log: This log tracks attendance for each training session. It includes names of participants, dates, and topics covered, providing a clear record of who attended the training and when.
  • Certification of Training Completion: After training, this certificate verifies that an employee has completed the required hazmat training. It typically includes the employee's name, training date, and a signature from the trainer.
  • Safety Data Sheets (SDS): These sheets provide detailed information on hazardous materials, including handling instructions, hazards, and emergency measures. Employees should have access to SDS for all materials they may encounter.
  • Incident Report Form: This form is used to document any incidents involving hazardous materials. It includes details about the incident, response actions taken, and any injuries or damages incurred, helping to improve future safety practices.
  • Emergency Response Plan: This document outlines procedures for responding to hazardous material emergencies. It includes evacuation routes, emergency contacts, and specific actions to take in various scenarios, ensuring employee safety and compliance with regulations.

Using these documents in conjunction with the Hazmat Employee Training Record form helps ensure that hazmat employees are well-trained and that employers meet regulatory requirements. Proper documentation not only enhances safety but also protects both employees and the organization.

Similar forms

The Hazmat Employee Training Record form serves a vital role in documenting the training of employees handling hazardous materials. Several other documents share similarities with this form, primarily in their focus on training, certification, and recordkeeping. Below are eight such documents:

  • OSHA 300 Log: This document records work-related injuries and illnesses. Like the Hazmat Training Record, it requires accurate and timely documentation to ensure compliance with safety regulations.
  • Employee Safety Training Record: This form tracks safety training sessions attended by employees. Both documents emphasize the importance of maintaining a record of training for compliance and employee safety.
  • Forklift Operator Certification: This certification verifies that an employee is trained to operate a forklift safely. Similar to the Hazmat Training Record, it includes details about the training provider and the date of completion.
  • First Aid and CPR Certification: This document certifies that an employee has completed first aid and CPR training. Both forms require information about the training provider and the completion date, ensuring that employees are prepared for emergencies.
  • Environmental Training Record: This record documents training related to environmental regulations and practices. Like the Hazmat Training Record, it is essential for compliance with regulatory requirements.
  • Driver Qualification File: This file contains records that verify a driver's qualifications to operate commercial vehicles. Both documents maintain essential information about training and compliance, highlighting the employee's readiness for their role.
  • Workplace Violence Prevention Training Record: This form tracks training on recognizing and preventing workplace violence. Similar to the Hazmat Training Record, it emphasizes the need for ongoing training and documentation to ensure a safe work environment.
  • Hazard Communication Training Record: This document outlines the training employees receive regarding hazardous substances in the workplace. Like the Hazmat Training Record, it ensures that employees are informed and compliant with safety regulations.

Dos and Don'ts

When filling out the Hazmat Employee Training Record form, it is essential to follow specific guidelines to ensure accuracy and compliance. Below is a list of things you should and shouldn't do:

  • Do provide the full name of the employee, including first, last, and middle names.
  • Do include the employer's name clearly and accurately.
  • Do ensure the employee identification number is correct and up to date.
  • Do specify the job description or position of the employee.
  • Do list the most recent training completion date.
  • Do attach documentation for any previous hazmat training.
  • Don't omit any required information; incomplete forms can lead to compliance issues.
  • Don't use abbreviations or unclear terms that may confuse the reader.
  • Don't forget to certify that the employee has been trained and tested as required.

Following these guidelines will help ensure that the Hazmat Employee Training Record form is completed correctly and meets all necessary requirements.

Misconceptions

Understanding the Hazmat Employee Training Record form is crucial for employers and employees alike. However, several misconceptions can lead to confusion regarding its purpose and requirements. Below is a list of common misunderstandings.

  • Misconception 1: The form is only necessary for new employees.
  • This is incorrect. The training record must be maintained for all hazmat employees, regardless of when they were hired. It must include documentation of training for the past three years and be kept for the duration of employment and 90 days thereafter.

  • Misconception 2: Only initial training needs to be documented.
  • In reality, recurrent training is also required. The form should reflect not just initial training but any subsequent training that has occurred, ensuring that employees remain compliant with safety regulations.

  • Misconception 3: Employers do not need to keep records for employees who have left the company.
  • This is misleading. Employers must retain training records for a minimum of 90 days after an employee's departure, ensuring that documentation is available if needed for any future inquiries.

  • Misconception 4: Any training material can be used without documentation.
  • This is not true. The form requires a description, copy, or the location of the training materials used. Proper documentation ensures that the training meets regulatory standards.

  • Misconception 5: The form does not need to be signed by the trainer.
  • In fact, the certification section of the form requires the trainer's signature. This signature validates that the employee has completed the necessary training and testing.

  • Misconception 6: Only safety training is required for hazmat employees.
  • This is a narrow view. Hazmat employees must undergo training in multiple areas, including security awareness and function-specific training, as mandated by the regulations.

  • Misconception 7: The form is optional for employers.
  • This is a critical misunderstanding. The completion and retention of this form is a legal requirement for hazmat employers under federal regulations. Non-compliance can result in significant penalties.

  • Misconception 8: Once the form is filled out, it does not need to be updated.
  • This is incorrect. The form must be updated whenever new training is completed or when there are changes in the employee's training status. Keeping the record current is essential for compliance.

Addressing these misconceptions can help ensure that both employers and employees understand their responsibilities and maintain compliance with hazardous materials regulations.

Key takeaways

When it comes to filling out the Hazmat Employee Training Record form, there are several important points to keep in mind. This form is essential for ensuring compliance with safety regulations in the transportation of hazardous materials.

  • Employee Information: Start by accurately entering the employee's name, employer name, and identification number. This information is crucial for recordkeeping.
  • Training Records: Maintain a record of all training completed in the past three years. This includes both initial and recurrent training sessions.
  • Training Materials: Include a description or copy of the training materials used. This helps verify that the training meets the required standards.
  • Trainer Information: Document the name and address of the person who provided the training. This information may be needed for future reference.
  • Certification: Ensure that the form includes a certification statement confirming that the employee has been trained and tested as required.
  • Previous Employment: If applicable, provide details of relevant training from previous hazmat employment. Attach any necessary documentation from former employers.
  • Record Retention: Keep the training records for as long as the employee is with the company, plus an additional 90 days after their departure.
  • Compliance with Regulations: Familiarize yourself with the specific regulations outlined in sections 172.704 and 177.816 to ensure all training requirements are met.

By following these key takeaways, you can effectively manage the Hazmat Employee Training Record form, ensuring both compliance and safety in your operations.