General Information

Employee DOB:
Hire Date:
Gender:
Email:
Phone Number:

Emergency Contact

Emergency Contact: Everly Bang
Emergency Phone: 206 747-6372

Forms

Type	Name	Document/Link/Note	Expiration
Note		new note	2021-10-28
Link	Google	https://www.google.com	2021-11-06
Note		Test Note1	2021-11-06
Document		August2020-Front-Back.pdf	2022-01-27
Document	August2020-Front-Back.pdf	August2020-Front-Back.pdf	2022-01-27
Document	This Doc	August2020-Front-Back.pdf	2022-01-27
Document	This Doc	August2020-Front-Back.pdf	2022-01-27

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Certificates

Certifications

Name	Completed	Expiration
First Aid, CPR, AED	09/21/2021	09/21/2021
Forklift	09/21/2021	09/21/2021
MEWP	09/21/2021	09/21/2024
COVID 19	05/29/2021
Drug Testing Verification	09/13/2018
Electrical Safety	04/12/2021
Ergonomics Stretch & Flex	03/08/2021
Fall Protection Training	05/03/2021
Fire Prevention Protection	10/04/2021
Harassment Training	03/30/2021
HazCom/SDS	04/18/2019
Hearing Protection	01/04/2021
Heat Stress Training	06/08/2021
Ladder Training	11/30/2021
Lockout/ Tagout	04/27/2021
Personal Protective Equipment	04/18/2019
Pre Task Planning (PTP)	02/16/2021

Learndash Certifications

Name	Url

Licenses

Name	Completed	Expiration	Document

SDS

List of Uploaded Documents

Document Name	Document File	Delete Document
Employee Card	employee-card-43-2.pdf	X Remove
document new	OSHA-301-Form.pdf	X Remove