General Information

Employee DOB:
Hire Date:
Gender:
Email: stephenj@hudsonbayins.com
Phone Number: 206 379-3017

Emergency Contact

Emergency Contact: Desirae Tabanera
Emergency Phone: 360 620-4026

Forms

Type	Name	Document/Link/Note	Expiration
Link	Tool Box Talks Form	https://www.integritysafety.com/hbi-tool-box-talks/
Document	TBT 1/20/2022	TBT Sign In Sheet (Web Form).pdf

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Certificates

Certifications

Name	Completed	Expiration
First Aid CPR AED	09/16/2021	09/16/2023
MEWP	09/16/2021	09/16/2024
COVID 19	11/09/2021
Drug Testing Verification	01/07/2019
Electrical Safety	04/12/2021
Ergonomics Stretch & Flex	03/18/2021
Fall Protection Training	05/13/2021
Fire Prevention Protection	10/04/2021
Harassment Training	03/04/2021
HazCom/SDS	01/07/2019
Hearing Protection	01/04/2021
Heat Stress Training	06/08/2021
Ladder Training	11/30/2021
Lockout/ Tagout	04/27/2021
Personal Protective Equipment	05/28/2019
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
Sign In Sheet		X Remove
Fall Protection Work Plan		X Remove
Employee Incident Report		X Remove