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Certificate
Mrs./Mr.
.......
.......
........
was instructed on DD.MM.YYYY
into the operation and function of the Ruthmann-Steiger,
Type: TB270
Serial No.: 27409
acc. to the Accident Prevention Act „Operation of Aerial Platforms“ (BGR 500 - 2.10)
The Operating Instructions for the Ruthmann-Steiger was handed over and/or it was
taken notice of it.
The safety regulations and instructions will be observed.
Signature Signature
of Instructor of instructed person
........................ ...........................
Place, Date Company
Address
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