AF500 AIR-SCRUB-R
®
Portable HEPA Air Filter
FORM GOM24101701US, VERSION 1.0
English-EN
2
OPERATOR INSTRUCTIONAL DATA SHEET
The following undersigned operators of AIR-SCRUB-R described and/or pertaining to this Operator Manual have received formal safety and operational
information/instruction from undersigned owner(s)/instructor(s) in accordance to OSHA 29 CFR 1926.21 (b)(2) and/or applicable updated revisions pertaining to,
but not necessarily limited to the:
1.
READING, COMPREHENSION AND ACKNOWLEDGEMENT OF MATERIAL COMPRISING ENTIRE CONTENTS OF APPLICABLE OPERATOR
MANUAL, APPLICABLE SAFETY AND OPERATIONAL INFORMATION VIDEO TAPE FOR AIR-SCRUB-R.
2.
FORMALIZED OPERATOR SAFETY PROGRAM TO BE DEVISED BY OWNER OF AIR-SCRUB-R IN CONJUNCTION WITH CONTENTS OF
APPLICABLE OPERATOR MANUAL, APPLICABLE SAFETY AND APPLICABLE OPERATIONAL INFORMATION VIDEO TAPE FOR AIR-SCRUB-R.
3.
OSHA RULES AND REGULATIONS RESEARCHED FOR AND/OR BY OWNER OF AIR-SCRUB-R AND DEEMED APPLICABLE TO SAFE AND
PROPER USE AND/OR OPERATION OF AIR-SCRUB-R FOR ANY SPECIFIC JOB APPLICATION.
4.
LOCAL LAWS, REGULATIONS AND CUSTOMS RESEARCHED FOR AND/OR BY OWNER OF AIR-SCRUB-R AND DEEMED APPLICABLE TO SAFE
AND PROPER USE AND/OR OPERATION OF AIR-SCRUB-R FOR ANY SPECIFIC JOB APPLICATION.
5.
FORMALIZED MAINTENANCE PROGRAM FOR AIR-SCRUB-R TO BE DEVISED BY OWNER OF AIR-SCRUB-R IN ACCORDANCE WITH, BUT NOT
NECESSARILY LIMITED TO, SPECIFICATIONS, GUIDELINES AND OPERATIONAL INFORMATION CONTAINED IN APPLICABLE OPERATOR
MANUAL.
6.
COMPREHENSIVE OPERATIONAL INSTRUCTIONS FOR CORRECT AND PROPER USE OF AIR-SCRUB-R AS PER CONTENTS OF APPLICABLE
OPERATOR MANUAL AND APPLICABLE SAFETY AND OPERATIONAL INFORMATION VIDEO TAPE.
_________________________________ Operator ______________________________ Owner/Instructor __________ Date
_________________________________ Operator ______________________________ Owner/Instructor __________ Date
_________________________________ Operator ______________________________ Owner/Instructor __________ Date
_________________________________ Operator ______________________________ Owner/Instructor __________ Date
_________________________________ Operator ______________________________ Owner/Instructor __________ Date
_________________________________ Operator ______________________________ Owner/Instructor __________ Date
_________________________________ Operator ______________________________ Owner/Instructor __________ Date
_________________________________ Operator ______________________________ Owner/Instructor __________ Date
_________________________________ Operator ______________________________ Owner/Instructor __________ Date
_________________________________ Operator ______________________________ Owner/Instructor __________ Date
_________________________________ Operator ______________________________ Owner/Instructor __________ Date
_________________________________ Operator ______________________________ Owner/Instructor __________ Date
_________________________________ Operator ______________________________ Owner/Instructor __________ Date
_________________________________ Operator ______________________________ Owner/Instructor __________ Date
_________________________________ Operator ______________________________ Owner/Instructor __________ Date
_________________________________ Operator ______________________________ Owner/Instructor __________ Date
NOTE:
INSERT COPIES OF THIS PAGE WITHIN OPERATOR’S MANUAL IF SPACE FOR ADDITIONAL OPERATORS IS REQUIRED.
