Grain Systems Bin Flooring PNEG-1324 - Manual (Page 8)

1. Safety
8 PNEG-1324 72', 75', 78', 90' and 105' Cor-Lok and Cut-Lok Flooring
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 auger. 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