OPERATOR INSTRUCTIONAL DATA SHEET

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.

DFG-SERIES SURFACE GRINDERS

OPERATION AND PARTS MANUAL REV. #3 (07/13/06)

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Stow DFG Series manual Operator Instructional Data Sheet