Opera ons/Procedures/Forks/CAR BODY SAS FORKS Manual v2.pub 2/13/13 2/16/2013 2:50 PM
Page 18
www.sasforks.com
© 1995
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2013 S.A.S. of Luxemburg, Ltd. 1
‐
877
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SAS
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FORK
OPERATOR TRAINING DOCUMENTAION FORM
SAS™ FORKS
S.A.S. of Luxemburg,Ltd. 133 Center Drive Hwy 54, PO Box 260, Luxemburg, WI 54217 USA
Phone: 920-845-2198
1-877-SAS-FORK
Fax: 920-845-2309
Web: www.sasforks.com
(Please print name of employee / operator below)
I, ____________________________, have read, understand, and will carefully follow the guidelines set forth in the follow-
ing literature:
Machine Manufacturer’s Operator Manual
Operator Manual For Machines Equipped With SAS FORKS™
Identification Plate on the SAS FORKS™
· I further understand that this machine can cause serious injury or death if improperly operated.
· I agree to safely operate this machine and SAS FORKS™.
· If I have any questions regarding the safe operation or maintenance of the equipment, I shall ask
Management prior to operating the equipment.
· I understand that I may be terminated for misconduct if I fail to follow this and other established
safety and working procedures.
Date
Completed
1.Read:
Machine
Manufacturer’s
Operator
Manual
_____/_____/_____
2.Read:
SAS
FORKS
Operator
Manual
_____/_____/_____
3.Read: Identification Plate on the SAS FORKS™
_____/_____/_____
4.Review above procedures with Manager/Trainer
_____/_____/_____
5.Complete a written test on operation of loader and precautions
_____/_____/_____
6.Test shall be reviewed by Manager/Trainer with Employee
_____/_____/_____
7.Watch
demonstration
from
an
experienced
operator
_____/_____/_____
8.Complete a practice loader operation under supervision
_____/_____/_____
Training Completion Certification: The Employee / Operator, listed below, now has the knowledge of these procedures for
the machine and SAS FORKS™, and is responsible to see that the policies outlined here are followed on a daily basis. This
employee, as evidenced by the signatures below, is now qualified to operate the loader as necessary to safely complete work
assignments.
EMPLOYEE / OPERATOR:
MANAGER / TRAINER REVIEW:
____________________________________ ____________________________________________
(PRINT NAME OF TRAINEE)
(PRINT NAME OF TRAINER)
_______________________________ ____/____/____
_______________________ ________ ____/____/____
(SIGNATURE)
(SIGNATURE)
·Please file this completed and signed form, along with a completed written test in the employee’s personnel file.
·Note: This page can be photocopied for use with your machine operator training.
