Appendix A – List of Signatures
10 IM Hydraulic Stone and Concrete Splitter, Version 1.0 04/2010
List of Signatures
of the following company / authority / operator:
Address / Stamp
The persons listed below confirm by their signature that they have been instructed,
by means of
U this product manual (IM and OM)
U through special training / instructions given by the manufacturer, on
U the functions,
U the operations,
U the conversion, maintenance, servicing
of the devices and that they have read and understood Chapter
2 Safety Instructions of the Operating Manual.
Participant
Name
Date, Signature
Instructor
(Date, Signature)
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