Safety Training Sign-Off Form - Walinga Airlock 1008 Operator's Manual

OPERATOR'S MANUAL

SAFETY TRAINING SIGN-OFF FORM

Walinga Inc. follows the general safety standards specified by the American Society of
Agricultural Engineers (ASAE) and the Occupational Safety and Health Administration (OSHA).
Anyone who will be operating and/or maintaining the airlock must read and clearly understand
all safety, operating and maintenance information presented in this manual.
Do not operate or allow any other individual to operate this equipment until such information has
been reviewed. Annually review this information with personnel.
Make periodic reviews of safety and operations a standard practice for all of your equipment. An
untrained operator is unqualified to operate an airlock.
The following 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.
DATE EMPLOYEE'S NAME
SAFETY
EMPLOYEE'S SIGNATURE
00-144474-0 A
EMPLOYER'S SIGNATURE
4-11