Order Picker Sit-Down

OSH ***-**A

P*T OPERATOR'S PERMIT -

EMPLOYEE CERTIFICATION

Name: Guyvens Desruisseaux

Date Trained: 08/09/2024

Instructor: Bronson L. Burgeson @

EQUIPMENT-AUTHORIZATION

Sit-Down (SD) Tugger (TG) [

Stand-Up (SUR) Scissor Lift (SL) []

Order Picker (OP) Aerial Lift (AL) L_]

Pallet Jack (EPJ) Other LJ

Stock Chaser/EzGo

3-YEAR EVALUATION EXPIRATION

[] 2025 [] 2026 2027

[] 2028 [J 2029 [) 2030

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