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Safety sign-off sheet – Grain Systems Bin Accessories PNEG-1336D User Manual

Page 9

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2. Safety

PNEG-1336D VTDL-72-8X9D - VTDL-78-8X9D Door

9

Safety Sign-Off Sheet

As a requirement of O.S.H.A., it is necessary for the employer to train the employee in the safe operating
and safety procedures for this auger. This sign-off sheet is provided for your convenience and personal
record keeping. All unqualified persons are to stay out of the work area at all times. It is strongly
recommended that another qualified person who knows the shut down procedure be in the area in the
event of an emergency.

Date

Employee Name

Supervisor Name