The manufacturer is responsible for that the machine is safely designed and manufactured.
But if there is an accident, and the customer claims for example that safety guards were never installed, or operators were never given instructions, then that little piece of paper will save your a**. Believe me, I have been there.
If there is an accident, and a customer can get out of court by claiming something like that, many (not all) will do so. And then you will be in trouble.
How do you prove that the machine you delivered were safe and operators were instructed ?
edit. You can make all kinds of warnings and instructions in your documentation, and then you can argue that it is the customer that must follow the documentation.
But then you must be 100% sure that your documentation covers any eventuality. It is hard to be 100%. Oh, and you have to translate all that to the local language.
And what if the machine comes not 100% assembled, but is built-up in-place ? In that case, how do you prove that everything was installed, and tested before the machine was put into operation.
This "signing of the take-over certificate" is one of the mandatory steps that my company goes through. Every time. And we do it because of hard-earned experience.