Title Page
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Site conducted
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Employee Name
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Conducted on
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Machine Name
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Machine Number
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Introduction:
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Description of the machine and its use covered
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Description of how it works
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I have seen, or been told where to find the risk assessment for this machine
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Operation of Machine
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Pre-Use Checks
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Operation of Emergency Stops
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Lock down of Machine for Maintenance
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How to set the machine
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How to operate the machine
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PPE
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The use of PPE on this machine
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Fault Reporting
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How to report faults
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The importance of not using an unsafe machine
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EMPLOYEE - I can confirm that the above areas have been discussed and understood. I agree to comply with the company policies and procedures around this machine
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Employee signature
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TRAINER - I can confirm that I am happy to sign this employee off as competent to operate this machine safely and in line wiht the company policies and procedures
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Trainer signature