CENTRAL ELECTRICITY GENERATING BOARD

WEST BURTON POWER STATION

SAFETY CHECK FORM


This form should be completed by the Station Warden.

.................................................................................... (Name)


Clock No.......................................................


Employed in.......................................................Department


as.................................................................................has been personally instructed by me on the items listed on pages 15, 16 and 17, where they are applicable.




Signed.................................................................
                Station Warden.


I understand the instructions given to me on the above items



Signed.................................................................
                Employee