| 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: Transformers | ||
| 1.1 Explain the function of a transformer. | ____ | ____ |
| 1.2 Describe, in general terms, how a transformer works. | ____ | ____ |
| 1.3 Identify a transformer at your facility and describe some of its basic components. | ____ | ____ |
| 1.4 Perform checks on a transformer that is being inspected. | ____ | ____ |
| Topic 2: Breakers & Switches | ||
| 2.1 Describe the general operation of a circuit breaker. | ____ | ____ |
| 2.2 Reset a circuit breaker, in your facility, that has tripped. | ____ | ____ |
| 2.3 Rack out a circuit breaker in your facility. | ____ | ____ |
| Performance
Evaluator’s Signature:____________________________ |
| Performance
Evaluator’s Name (Print):____________________________ |
| Date
Completed:____________________________ |