Metalshop Safety Form

Plymouth State University

 

I, _______________________, have been given proper safety and operation instruction for the Metalshop equipment.  The equipment I am able to use has been checked off below.

 

Oxy-Acy Torch            □

Jump Shear                        □

Hydrolytic Shear            □

Beverly Shear                        □

Rod Parter                        □

Band Saw                        □

Hand-Held Grinder            □

 

I understand I will not use any equipment unless I have been given proper safety and operation instruction by Phil Lonergan or the teacher of this course.

 

If you do not feel comfortable in your ability to operate safely any of the tools mentioned, do not sign this form.  Please ask for more training.

 

Signature ______________________

Date__________

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Nick Sevigney
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603-535-2547

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Phone: 603-535-2201
Email: dlstalnaker@plymouth.edu (Debra Stalnaker, Administrative Assistant)
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Plymouth, NH 03264