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 Safety Valves

1.1  Describe the parts and operation of typical examples of
the following types of valves: huddling chamber safety
valve, safety-relief valve, pilot-actuated relief valve.

Topic 2: Safety Valve Maintenance

2.1 Perform an external inspection on a safety valve.

2.2 Disassemble a safety valve and inspect its internal
      components.

2.3 Reassemble and test a safety valve before putting it in
      service.

Performance Evaluator’s Signature _______________________________

Performance Evaluator’s Name (Print) ____________________________

Date Completed: _____________________________________________