210 ONE MAN HOLE DIGGER, FORM GOM-1061-1189, VERSION 2.0, AUTHORIZATION: DVR, PAGE: 5

Operator Instructional Data Sheet

The following undersigned operators of the Hole Digger described and/or pertaining to this Operator's

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'S MANUAL FOR THE HOLE DIGGER.

2) FORMALIZED OPERATOR'S SAFTEY PROGRAM TO BE DEVISED BY THE OWNER OF THE HOLE

DIGGER IN CONJUNCTION WITH THE CONTENTS OF THE APPLICABLE OPERATOR'S MANUAL FOR

THE HOLE DIGGER.

3) OSHA RULES AND REGULATIONS RESEARCHED FOR AND/OR BY THE OWNER OF THE HOLE

DIGGER AND DEEMED APPLICABLE TO THE SAFE AND PROPER USE AND/OR OPERATION OF THE

THE HOLE DIGGER FOR ANY SPECIFIC JOB APPLICATION.

4) LOCAL LAWS, REGULATIONS AND CUSTOMS RESEARCHED FOR AND/OR BY THE OWNER OF

THE HOLE DIGGER AND DEEMED APPLICABLE TO THE SAFE AND PROPER USE AND/OR

OPERATION OF THE HOLE DIGGER FOR ANY SPECIFIC JOB APPLICATION.

5) FORMALIZED MAINTENANCE PROGRAM FOR THE HOLE DIGGER TO BE DEVISED BY THE

OWNER OF THE HOLE DIGGER IN ACCORDANCE WITH, BUT NOT NECESSARILY LIMITED TO, THE

SPECIFICATIONS, GUIDELINES AND OPERATIONAL INFORMATION CONTAINED IN THE

APPLICABLE OPERATOR'S MANUAL.

6) COMPREHENSIVE OPERATIONAL INSTRUCTIONS FOR THE CORRECT AND PROPER USE OF

THE HOLE DIGGER AS PER THE CONTENTS OF THE APPLICABLE OPERATOR'S MANUAL.

_______________ Operator _______________ Owner/Instructor __________ Date

NOTE: INSERT COPIES OF THIS PAGE WITHIN THE OPERATOR'S MANUAL IF SPACE FOR

ADDITIONAL OPERATORS IS REQUIRED.

General 210 User Manual

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