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OPERATOR INSTRUCTIONAL DATA SHEET
SFCS-16 OPERATION AND PARTS MANUAL REV #4 (05/28/09) PAGE 7
The following undersigned operators of the FLOOR COVERING SCRAPER 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 FLOOR COVERING SCRAPER.
2) FORMALIZED OPERATOR SAFETY PROGRAM TO BE DEVISED BY THE OWNER OF THE FLOOR
COVERING SCRAPER IN CONJUNCTION WITH THE CONTENTS OF THE APPLICABLE OPERATOR
MANUAL AND THE APPLICABLE SAFETY AND OPERATIONAL INFORMATION VIDEO TAPE FOR THE
FLOOR COVERING SCRAPER.
3) OSHA RULES AND REGULATIONS RESEARCHED FOR AND/OR BY THE OWNER OF THE FLOOR
COVERING SCRAPER AND DEEMED APPLICABLE TO THE SAFE AND PROPER USE AND/OR
OPERATION OF THE FLOOR COVERING SCRAPER FOR ANY SPECIFIC JOB APPLICATION.
4) LOCAL LAWS, REGULATIONS AND CUSTOMS RESEARCHED FOR AND/OR BY THE OWNER OF THE
FLOOR COVERING SCRAPER AND DEEMED APPLICABLE TO THE SAFE AND PROPER USE AND/OR
OPERATION OF THE FLOOR COVERING SCRAPER FOR ANY SPECIFIC JOB APPLICATION.
5) FORMALIZED MAINTENANCE PROGRAM FOR THE FLOOR COVERING SCRAPER TO BE DEVISED BY
THE OWNER OF THE FLOOR COVERING SCRAPER 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
FLOOR COVERING SCRAPER AS PER THE CONTENTS OF THE APPLICABLE OPERATOR MANUAL AND
THE APPLICABLE SAFETY AND OPERATIONAL INFORMATION VIDEO TAPE.
_______________ 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.