Safety Affirmation
1.
I have read and understand the operator’s manual and all safety signs before operation,
maintenance, adjusting, or unplugging the Crop Sweeper.
2.
I will allow only trained persons to operate the Crop Sweeper. *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 Crop Sweeper without them.
5.
I will not allow riders on the Crop Sweeper.
6.
I understand the danger of moving parts (rotating paddle reel, hydraulics, and pinch points) and
will stop engine before servicing.
7.
I recognize the danger of the Crop Sweeper 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 Crop Sweeper are my responsibilities.
10.
I understand that Patriot Equipment will not be held responsible for any accidents that involve
the Crop Sweeper.
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 this Crop Sweeper. We include this sign off sheet for your
convenience and personal record keeping.
DATE
EMPLOYER SIGNATURE
EMPLOYEE SIGNATURE
Crop Sweeper V 10.0
6
