[Your Business Name]
Heavy Equipment & Machinery Rental Liability Waiver
Assumption of Risk
I understand that renting and operating heavy equipment, machinery, or power tools at or through [Your Business Name] involves inherent risks that cannot be eliminated regardless of the care taken to avoid injury, including but not limited to: rollover, tip-over, or crush injuries; entanglement in moving parts, blades, or augers; hydraulic or mechanical failures; falls while mounting or dismounting equipment; contact with buried or overhead utilities; flying debris; and hearing damage from prolonged noise exposure. I understand these risks may result in personal injury, illness, permanent disability, death, or property damage. I voluntarily choose to proceed with full knowledge of these risks, on my own behalf and on behalf of any minors listed below.
Participant initials: ______
Release of Liability and Indemnification
In consideration of being permitted to participate or rent, I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin, hereby release, indemnify, and hold harmless [Your Business Name], its owners, officers, employees, agents, and landlords from any and all claims, demands, causes of action, and costs (including attorney's fees) arising out of or related to any loss, damage, or injury sustained while participating in the activity, using rented equipment or property, or while on the premises, whether arising from the ordinary negligence of [Your Business Name] or otherwise, to the fullest extent permitted by law.
Participant initials: ______
Medical Authorization
I represent that I (and any minors listed below) am in good health and have no condition that would make participation unsafe. In the event of an emergency, I authorize [Your Business Name] to secure emergency medical treatment at my expense. I understand [Your Business Name] does not provide medical insurance on my behalf.
Rules and Safety Instructions
I agree to follow all posted rules and all verbal or written instructions given by staff, including: operating equipment only if trained and authorized, using seatbelts and rollover protection where equipped, keeping bystanders clear of the work area, calling utility-locate services before any digging, no operation while impaired or fatigued, and following the manufacturer's operating manual at all times. I understand that failure to follow rules or instructions may result in removal from the premises or termination of the rental without refund, and that I am responsible for any damage I cause through misuse of equipment, property, or facilities.
Operator Qualification & Training
I represent that I am qualified to operate the rented equipment, that I hold any license or certification required by law for its operation, and that I received and understood the operating orientation provided by [Your Business Name]. I agree that only operators meeting these requirements will use the equipment during the rental period.
Participant initials: ______
Equipment Condition & Damage Responsibility
I acknowledge inspecting the equipment and accepting it in good working condition. I accept responsibility for loss, theft, or damage to the equipment during the rental period as described in my rental agreement, agree to stop use immediately and notify [Your Business Name] if the equipment malfunctions, and agree not to attempt repairs or modifications myself.
Participant initials: ______
Photo & Video Release (Optional)
I grant [Your Business Name] permission to use photographs or video taken of me (and any minors listed below) during the activity for promotional purposes, without compensation. Initial to accept, or select "decline" — declining does not affect your ability to participate.
Participant initials: ______
Severability and Governing Law
This agreement is governed by the laws of the state or jurisdiction in which [Your Business Name] operates. If any portion of this agreement is held invalid, the remaining portions shall continue in full force and effect. This agreement is binding to the fullest extent permitted by applicable law.
Participant name: ____________________ Date of birth: ____________
Signature: ____________________ Date: ____________
Parent/guardian signing for minor(s): ____________________