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Tank truck to marine vessel - Oil transfer
Appendix A: Fuel Transfer Safety Checklist

Table of Content

Appendix A - Oil Transfer Checklist

Oil Transfer Location:
Truck Company Name:
Vessel Name:

Response Personnel Information:

Vessel (Name, Phone):
Truck (Name, Phone):

Instructions for Completion:

The safety of operations requires that all questions be answered affirmatively. In the case of a negative answer, the operation shall not be carried out. No vessel is to load or discharge oil until this form is completed in its entirety.

Fuel transfer checklist information
Date/Time Product Quantity to be loaded Description of Receiving Tank Capacity of Receiving Tank Rate Pumping Pressure (psi)
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -


We have checked all the items on this checklist and have satisfied ourselves that the entries we have made are correct to the best of our knowledge.

Vessel Representative





Truck Representative




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