Grain Systems Tanks PNEG-4021 - Manual (Page 9)

1. Safety
PNEG-4021 40 Series 18', 21' and 24' Diameter Bins 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 equipment. 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