Battery Safety Acknowledgement Form
Record your review and understanding of applicable battery safety expectations.
Full name
*
First Name
Last Name
Work email
*
example@example.com
Department or team
*
Work location or site
*
Role or job function
*
Battery or equipment identifier
Battery type
*
Lithium-ion
Lead-acid
Alkaline
Other
Unsure
I confirm that I have reviewed the applicable battery safety instructions.
*
I confirm
I acknowledge that I will follow applicable safe handling, charging, storage, inspection, and damage-reporting procedures, and seek guidance if unsure.
*
I acknowledge
Questions or safety concerns
Submit
Should be Empty: