Ohio BWC
Operator’s New/Modified Equipment Sign-Off Sheet:
Equipment description: __________________________________________________
Manufacturer: ____________ Model #: ___________Serial #: ____________________
Department: _______________________ Specific location: _____________________
Date purchased: ____________Date installed: __________ Start-up date: _________
Project coordinator: _____________________________ Title: __________________
Key elements of training
Purpose of equipment:
Equipment uses:
Design Features:
Limitations/Restrictions:
Inspection procedures:
Operating procedures:
Demonstration:
Reporting concerns:
Employees trained
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Trainer: __________________ Title: _________________ Date: ____________
Trainer: __________________ Title: _________________ Date: ____________
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