Employee Tool Release Form
Phone Number: ________________________________________________________________________________
I hereby understand that this release discharges the company of all liability for any injury, beyond
what may be freely offered by the health clinic of the company in the event of injury for additional medical expenses.
I certify that I have extensive experience using one or more of the following power tools:
___ Skill Drive Saw ___ Table Saw
___ Chop Saw ___ Nail Gun
I agree to follow the rules as implemented by the company staff and will follow all of the companyís safety policies. I understand if I violate any of the rules or the safety policy that I will no longer be allowed to use the power tools.
Employee Signature: __________________________________________________________ Date: ___/___/_____
Supervisorís Signature: ________________________________________________________ Date: ___/___/_____