Fuel Pump Meter Reading Form
Please complete all sections to record the details of your fuel pump meter reading accurately.
Site/Station Name
*
Pump Number or ID
*
Date of Reading
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Reading
*
Hour Minutes
AM
PM
AM/PM Option
Operator Name
*
First Name
Last Name
Shift
*
Please Select
Morning
Afternoon
Night
Opening Meter Reading (liters)
*
Closing Meter Reading (liters)
*
Fuel Dispensed (liters)
Any Discrepancies or Issues?
*
No issues
Meter malfunction
Fuel leakage
Other (please specify below)
Submit Reading
Should be Empty: