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: Routine Maintenance

1.1  Complete the tasks necessary to prepare for performing
maintenance on a valve.

1.2 Adjust packing in a valve.

1.3 Remove packing from a valve.

1.4 Replace packing in a valve.

Topic 2: Valve Overhaul

2.1 Disassemble a valve and inspect its parts.

2.2 Perform a lapping procedure.

2.3 Perform a spotting-in procedure.

2.4 Reassemble a valve and return it to service.

Performance Evaluator’s Signature _______________________________

Performance Evaluator’s Name (Print) ____________________________

Date Completed: _____________________________________________