APPENDIX “14” SIGN DESIGN &FABRICATION, INC. RESPIRATOR TRAINING CERTIFICATION

I hereby certify that I have been trained in the proper use and limitations of the respirator issued to me. The training included the following:

1. Instruction on putting on, fitting, testing and wearing the respirator.
2. Instruction on inspection, cleaning, and maintaining the respirator.
3. Explanation of dangers related to misuse.
4. Instructions on emergency situations.

I further certify that I understand the use, care, and inspection of the respirator and have tested and worn the unit.

Date: ________________ Signed:___________________________________ SSN: _________________________ Respirator Type Issued: __________________________________ Training Coordinator: _____________________________________

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