AOPOS                                                Process Sampling – Obtaining Samples

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: Introduction
     
1.1 List five materials at your site that are sampled routinely. Locate their sample points. ____   ____
     
1.2 For each material listed above, locate the material safety data sheet(MSDS) and explain the handling procedures and personal protective equipment require- ments given on the MSDS. ____   ____
     
1.3 Select and install an air purifying res- pirator filter cartridge on a respirator for one of the materials listed above. ____   ____
     
1.4 Demonstrate the correct procedure for inspecting and putting on an air purifying respirator and an air-supplied respirator. ____   ____
     
     
Topic 2: Liquids    
     
2.1 Demonstrate the correct procedure for sampling a liquid material at your site to ensure that the sample is not contaminated and that it is representative. ____   ____
     
2.2 Fill out a sample label and attach it to a sample container according to unit procedure. ____   ____
     
     
Topic 3: Solids and Gases    
     
3.1 Demonstrate a routine procedure for sampling solid materials at your site. ____   ____
     
3.2 Demonstrate a routine procedure for sampling gases at your site. ____   ____


Performance Evaluator’s Signature:____________________________

Performance Evaluator’s Name (Print):____________________________

Date Completed:____________________________