| 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: Using Flow Diagrams | ||
| 1.1 Describe how flow diagrams are used at your site. | ____ | ____ |
| 1.2 Use a flow diagram to properly line up valves in a process system at your site. | ____ | ____ |
| 1.3 Describe the relationship between flow diagrams and valve lineup checklists. | ____ | ____ |
| Topic 2: Using Electrical Diagrams | ||
| 2.1 Using an electrical one-line diagram to identify the components and characteristics of an electrical system at your site. | ____ | ____ |
| 2.2 Use an electrical one-line diagram to determine how to isolate equipment at your site for maintenance. | ____ | ____ |
| Performance
Evaluator’s Signature:____________________________ |
| Performance
Evaluator’s Name (Print):____________________________ |
| Date
Completed:____________________________ |