SAFETY AFFIRMATION
I have read and understand the operator’s manual and all safety signs before operation, maintenance, or
adjusting the Helicopter Tanks.
I will allow only trained persons to operate the Patriot Helicopter Tanks. *An untrained operator is not
qualified to operate this equipment.
I have access to a fire extinguisher.
I have all guards in place and will not operate the Patriot Helicopter Tanks without them.
I will not allow riders on the Patriot Helicopter Tanks.
I understand the danger of moving parts (PTO, auger flighting, and pinch points) and will stop engine
before servicing.
I am aware of the need to secure the Patriot Helicopter tank to its base.
I understand that any accidents that occur with the Patriot Helicopter Tanks are my responsibilities.
I understand that Minden Machine Shop will not be held responsible for any accidents that involve the
Patriot Helicopter Tanks.
SIGN OFF SHEET
(this must be signed annually as part of your safety program)
As a requirement of OSHA, it is necessary for the employer to train the employee in the safe operation and
safety procedures with this Helicopter Tank. We include this sign off sheet for your convenience and
personal record keeping.
DATE
EMPLOYER SIGNATURE
EMPLOYEE SIGNATURE
Helicopter Tanks
6
