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: Removal and Inspection

1.1  Describe your facility’s precautions and preparations for
safely removing and disassembling components from a
hydraulic system.

1.2  Disassemble and inspect a valve, a pump, and a cylinder
according to your facility’s procedures for hydraulic
system maintenance.

Topic 2: Reassembly and Reinstallation 

2.1 Describe your facility’s general procedures for
      reassembling and reinstalling hydraulic system components.

2.2 Recondition, reassemble, and reinstall a valve, a pump, and
      a cylinder according to your facility’s procedures for
      hydraulic system maintenance.

Performance Evaluator’s Signature _______________________________

Performance Evaluator’s Name (Print) ____________________________

Date Completed: _____________________________________________