Trainee Name____________________________

Trainee Social Security Number: ____________

Trainee Status:  _______

Course Name: ___________________

Course Code: ___________________                                 

National Center Course Number: ___________

Date Course Completed: ____________________

Performance Criteria Completed:  _____________

Performance Objectives:

                                                                                                                    Pass     Fail      

Topic 1: Heavy Lifting Equipment

1.1  Identify common pieces of heavy lifting hardware, explain
their basic functions, and accurately describe inspection
checks that should be made to each piece.

1.2  Accurately identify common types of bridge cranes and describe
basic features of a typical overhead crane.

1.3  Accurately identify common types of boom cranes and
describe basic features of a typical crawler crane.

1.4  Demonstrate or accurately describe how to perform a
frequent, or daily, inspection on an overhead crane and
a crawler crane.

Topic 2: Heavy Lifting Procedures

2.1 Demonstrate how to accurately read a set of lifting
      capacity charts.

2.2 Demonstrate or accurately describe techniques that can be used
      to ensure that a heavy load is balanced during a lift.

2.3 Demonstrate how to prepare for and perform a heavy
      lifting job.

Performance Evaluator’s Signature _______________________________

Performance Evaluator’s Name (Print) ____________________________

Date Completed: _____________________________________________