Lists/Tables/Plans/Diagrams/Maintenance Verification
Safety instructions
555 / 564
Statement
I
(last name and first name)
has been informed of the hazard zones applicable during lifting by the owner of the
ROPA sugar beet harvester. I have completely received this information and under-
stood it. I agree not to enter the hazard zones as long as the machine is running in
lifting operation. I have been informed that I must immediately leave these hazard
zones when I am directly requested to or by horn signals of the machine operator.
Date/signature
Please copy this form before completing it!