Page A1
The Maxi-Lift
®
Appendix
“A”
Operator Training Information Verification
This is to Certify that I have received training in the proper Operation and Safe
use of THE MAXI-LIFT
®
.
I hereby declare that I have:
1. Viewed and understand the training video supplied with THE MAXI-LIFT
®
.
2.
Read and understand the MANFACTURER’S OPERATING INSTRUCTIONS and
SAFETY RULES or have been trained by a QUALIFIED PERSON on the
OPERATING
INSTRUCTIONS
and
SAFETY
RULES
contained
in
the
MANFACTURER’S OPERATING, TRAINING and MAINTENANCE MANUAL.
3. Read and understand ALL Decals, Labels, Warnings, and Instructions on THE
MAXI-LIFT
®
.
I have been given an opportunity to ask questions about THE MAXI-LIFT
®
Operation and Safety Procedures.
I have read and understand the above statements.
EMPLOYEE NAME:
DATE:
EMPLOYEE SIGNATURE:
WITNESS:
