Safety Affirmation
1. I have read and understand the operator’s manual and all safety signs before operation, maintenance,
adjusting, or unplugging the Wire Winder.
2. I will allow only trained persons to operate the Wire Winder. *An untrained operator is not qualified to operate
this equipment.
3. I have access to a fire extinguisher.
4. I have all guards in place and will not operate the Wire Winder without them.
5. I will not allow riders on the Wire Winder.
6. I understand the danger of moving parts (rotating parts, hydraulics, and pinch points) and will stop the engine
before servicing.
7. I recognize the danger of the machine coming in contact with power lines.
8. I have the safety lock up pins and know and understand where and when to use them.
9. I understand that any accidents that occur with the Wire Winder are my responsibilities.
10. I understand that Patriot Equipment will not be held responsible for any accidents that involve the Wire
Winder.
Sign Off Sheet
(This sheet should be signed annually as part of your safety program)
As a requirement of OSHA, it is necessary for the owner/employer to train the employee in the safe operation and
safety procedures with the Wire Winder. We include this sign off sheet for your convenience and personal record
keeping.
DATE
EMPLOYER SIGNATURE
EMPLOYEE SIGNATURE
Wire Winder 6500 V2024.1
7