Lists/Tables/Plans/Diagrams/Maintenance Verification
Confirmation about instructions given to the driver
9.11 Confirmation about instructions given to the driver
Mrs/Mr date of
birth
Last name and first name
Was instructed
on
about safe handling of the machine
about maintenance of the machine
from by.
Last name and first name
Has demonstrated the
required knowledge
for safe handling of the machine
for maintenance of the machine
by presenting the following documents:
Certificate/testimonial of (date)
Certificate/testimonial of (date)
She/he was given instructions by
(last
name and first name)
on
(date)
about the specific obligation of safe driving of the machine and the associated requirements. Subjects of
these instructions were: The chapter driving on roads of the operating manual of the machine, the applic-
able safety regulations and the specific requirements of the road traffic authority, in whose jurisdiction the
machine is to be moved.
I hereby confirm that I have given the above mentioned instructions to their full
extent:
Signature
I hereby confirm that I have received the above mentioned instructions for their
full extent and have understood them:
Signature of the operator
I have received, read and understood the operating instructions:
Place and date
Signature of the vehicle owner Signature of the operator
532 / 546
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