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: Types of Fasteners

1.1  Identify examples of common types of threaded fasteners
and describe applications for which these fasteners might
be used.

1.2  Identify examples of common types of non-threaded
fasteners and describe applications for which these
fasteners might be used.

Topic 2: Installing Fasteners

2.1 Properly install various types of threaded fasteners
      including toggle bolts, anchor bolts, and expansion
      anchor bolts.

2.2 Properly install a blind rivet.

Performance Evaluator’s Signature _______________________________

Performance Evaluator’s Name (Print) ____________________________

Date Completed: _____________________________________________