Title Page

  • Document No.

  • Audit Title

  • Conducted on

  • Prepared by

  • Is the area surrounding the kiosk safe and secure

  • Is the main power isolator switched on

  • Is pump 1 in auto and showing no trip lights

  • Is pump 2 in auto and showing no tripped lights

  • Is the high level level light on

  • Secure the kiosk

  • Add signature

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