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: Gaskets

1.1  Explain how gaskets work.

1.2  Identify common types of gaskets.

1.3  Cut a gasket using a gasket cutter.

1.4  Cut a gasket by hand.

1.5  Install a basic flat gasket on a casing.

1.6  Install an “O” ring on a flange.

Topic 2: Packing

2.1 Identify packing and explain how packing works.

2.2 Identify and describe components of a typical
      packing gland.

2.3 Identify compression packing and hydraulic packing,
      and explain how the two types differ.

2.4 Remove old packing from a stuffing box.

2.5 Install new packing in a stuffing box.

Performance Evaluator’s Signature _______________________________

Performance Evaluator’s Name (Print) ____________________________

Date Completed: _____________________________________________