Employee Sign-Off Form - Wallenstein GX620 Operator's Manual

2.11 SIGN-OFF FORM
Wallenstein follows the general Safety Standards specifi ed by the American Society of Agricultural and
Biological Engineers (ASABE) and the Occupational Safety and Health Administration (OSHA). Anyone
who will be using and/or maintaining the Backhoe must read and clearly understand ALL Safety, Usage and
Maintenance information presented in this manual.
Do not use or allow anyone else to use this Backhoe until such information has been reviewed. Annually
review this information before the season start-up.
Make these periodic reviews of SAFETY and OPERATION a standard practice for all of your equipment. We
feel that an untrained operator is unqualifi ed to use this machine.
A sign-off sheet is provided for your record keeping to show that all personnel who will be working with the
equipment have read and understand the information in the Operator's Manual and have been instructed in
the operation of the equipment.
SIGN-OFF FORM
DATE
EMPLOYEES SIGNATURE EMPLOYERS SIGNATURE
10