Fuel Transfer Pump Operation Manual Acknowledgment Form
Please complete this form to confirm you have received, read, and understood the fuel transfer pump operation manual and agree to comply with all operating instructions and safety procedures.
Full Name
*
First Name
Last Name
Job Title or Role
*
Department or Work Site
*
Date of Acknowledgment
*
-
Month
-
Day
Year
Date
Have you received the Fuel Transfer Pump Operation Manual?
*
Yes
No
Have you read and understood the contents of the manual?
*
Yes
No
Are you trained and ready to operate the fuel transfer pump according to the manual and safety procedures?
*
Yes
No
I acknowledge that I will comply with all instructions and safety procedures described in the manual.
*
I acknowledge and agree
Supervisor or Trainer Name
Comments or Questions (optional)
Signature
*
Submit Acknowledgment
Submit Acknowledgment
Should be Empty: