Document ID: OMM-00131 Rev. E
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I understand that the aforementioned precautions may not be exhaustive and may not prevent any injury. I was advised to consult with a
physician immediately in case of over-exposure to the UV light and UV-curable ink. By signing below, I hereby acknowledge the above pre-
scribed safety measures. I will hold EFI Inkjet Solutions harmless and accept all responsibility for medical or health conditions incurred
resulting from my failure to adhere to the prescribed safety measures. I further agree that I will notify all operators, personnel, and any
persons near or around the printer of the potential dangers of exposure to UV light and UV ink and that I will cause all operators, personnel,
and any persons in the vicinity of the printer to read and sign this UV Safety Acknowledgement Form.
12. I understand that I should never disable or modify the UV safety features of my printer or handle
UV-curable inks. I acknowledge that by disabling or modifying the UV Safety features of my printer,
I may expose myself and others to unsafe levels of UV light and radiation and that by doing so, I am
making these modifications at my own risk and will hold EFI harmless in case of any negative effects
resulting therefrom.
13. I have read and understand the applicable Printer Safety Guide, available by calling Technical
Support, the Distributor, or visiting http://inkjetsupport.efi.com
.
14. I acknowledge that I have read and understand the applicable MSDS for each of the inks, solvents,
and chemicals used in or in connection with the printer.
Signature Date
Trainer, FSE, or Manager Material Version
Printer Model Serial Number
Page 2 of 2
Safety Concern Initials