Multiquip SFCS-16 User Manual

Page of 52
 
 
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.