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OPERATOR INSTRUCTIONAL DATA SHEET
DFG-SERIES SURFACE GRINDERS OPERATION AND PARTS MANUAL REV. #4 (05/28/09) PAGE 9
The following undersigned operators of the SURFACE GRINDER described and/or pertaining to this Operator
Manual have received formal safety and operational information/instruction from the undersigned
owner(s)/instructor(s) in accordance to OSHA 29 CFR 1926.21 (b)(2) and/or applicable updated revisions
pertaining to, but not necessarily limited to the:
1) READING, COMPREHENSION AND ACKNOWLEDGEMENT OF THE MATERIAL COMPRISING THE
ENTIRE CONTENTS OF THE APPLICABLE OPERATOR MANUAL AND APPLICABLE SAFETY AND
OPERATIONAL INFORMATION VIDEO TAPE FOR THE SURFACE GRINDER.
2) FORMALIZED OPERATOR SAFETY PROGRAM TO BE DEVISED BY THE OWNER OF THE SURFACE
GRINDER IN CONJUNCTION WITH THE CONTENTS OF THE APPLICABLE OPERATOR MANUAL AND
THE APPLICABLE SAFETY AND OPERATIONAL INFORMATION VIDEO TAPE FOR THE SURFACE
GRINDER AND THE APPLICABLE MATERIAL INCLUDED IN THE NATIONAL ELECTRICAL CODE®.
3) OSHA AND NATIONAL ELECTRIC CODE® RULES AND REGULATIONS RESEARCHED FOR AND/OR
BY THE OWNER OF THE SURFACE GRINDER AND DEEMED APPLICABLE TO THE SAFE AND
PROPER USE AND/OR OPERATION OF THE SURFACE GRINDER FOR ANY SPECIFIC JOB
APPLICATION.
4) LOCAL LAWS, REGULATIONS AND CUSTOMS RESEARCHED FOR AND/OR BY THE OWNER OF THE
SURFACE GRINDER AND DEEMED APPLICABLE TO THE SAFE AND PROPER USE AND/OR
OPERATION OF THE SURFACE GRINDER FOR ANY SPECIFIC JOB APPLICATION.
5) FORMALIZED MAINTENANCE PROGRAM FOR THE SURFACE GRINDER TO BE DEVISED BY THE
OWNER OF THE SURFACE GRINDER IN ACCORDANCE WITH, BUT NOT NECESSARILY LIMITED TO,
THE SPECIFICATIONS, GUIDELINES AND OPERATIONAL INFORMATION CONTAINED IN THE
APPLICABLE OPERATOR MANUAL.
6) COMPREHENSIVE OPERATIONAL INSTRUCTIONS FOR THE CORRECT AND PROPER USE OF THE
SURFACE GRINDER AS PER THE CONTENTS OF THE APPLICABLE OPERATOR'S MANUAL, SAFETY
AND OPERATIONAL INFORMATION VIDEO TAPE AND APPLICABLE MATERIAL INCLUDED IN THE
NATIONAL ELECTRIC CODE®.
_______________ Operator _______________ Owner/Instructor __________ Date
_______________ Operator _______________ Owner/Instructor __________ Date
_______________ Operator _______________ Owner/Instructor __________ Date
_______________ Operator _______________ Owner/Instructor __________ Date
_______________ Operator _______________ Owner/Instructor __________ Date
_______________ Operator _______________ Owner/Instructor __________ Date
NOTE: INSERT COPIES OF THIS PAGE WITHIN THE OPERATOR'S MANUAL IF SPACE FOR ADDITIONAL
OPERATORS IS REQUIRED.