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Safety sign-off sheet – Grain Systems Tanks PNEG-1070 User Manual

Page 10

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2. Safety

10

PNEG-1070 15', 18', 21', 24', 27' and 30' CHT’s

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