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NOTE ON PERFORMANCE TESTING Performance Profile Sheet(s) are included in a format that can be easily photocopied for each trainee. This examination is designed to measure competency in the tasks taught in each module. Please note the number of tasks to be tested while teaching each module. Each trainee should be tested on all the tasks listed on the Performance Profile Sheet(s). Before performance testing, the instructor should brief the trainees on: Test objectives and criteria Safety precautions Procedures for each task to be tested The instructor administering the performance testing should also do the following: Ensure that all of the needed equipment is available and operating properly. Set up the testing stations. Organize and administer the test in a way that allows for optimal performance. Complete the Performance Profile Sheet(s) for each trainee by assigning a pass/fail score for each listed task. Include the testing date and start and end times for each task in the rating boxes. Monitor adherence to all safety regulations and precautions. Provide adequate supervision to prevent injuries. Take immediate and effective action to remedy any emergency. Performance Testing If Performance Testing is done as part of the NCCER Standardized Craft Training Program, the following conditions must be met: 1. The Craft Instructor must hold valid NCCER instructor certification. 2. The training must be delivered through an Accredited Training Sponsor recognized by NCCER. 3. The specific performance testing must be completed successfully. 4. The results of the testing must be recorded and submitted to the local Accredited Training Sponsor for approval through NCCER s Registry system. Certified Plus Credential If the sponsor is working through an NCCER- Accredited Assessment Center, candidates who successfully pass performance testing may be eligible for a Certifed Plus credential. A number of NCCER's Performance Profiles cross over to NCCER's Assessment Performance Verifications and may be completed simultaneously. Note that two other important conditions are required for the Certified Plus credential: 1. Candidates must first pass the associated written assessment. 2. An NCCER- Accredited Assessment Administrator must sign off on the Performance Verification before it is submitted to NCCER.

PERFORMANCE PROFILE SHEET Heavy Highway Construction Module One: 22201-12 Introduction to Earth Moving NCCER TRAINING TRAINEE NAME: TRAINING PROGRAM SPONSOR: INSTRUCTOR: Rating Levels: (1) Passed: performed task (2) Failed: did not perform task Be sure to list the date the testing for each task was completed. Recognition: When testing for the Program, record per for mance testing results on Training Report Form 200, and submit the results to your Training Program Sponsor. Certified Plus Credential: Trainees who successfully complete these performance tasks may be eligible for a Certified Plus Credential. Refer to the Note on Performance Testing for eligibility OBJECTIVE TASK RATING DATE 3 1. Draw a plan for basic earthmoving operations: Clearing and grubbing Excavating the foundation Constructing embankments Backfilling Compacting START TIME END TIME 6 5 2. Lay out a basic earthmoving operation. 3. Identify and select the proper equipment for a given earthmoving operation. Copyright 2017 NCCER. Permission is granted to reproduce this page provided that copies are for local use only and that each HEAVY HIGHWAY CONSTRUCTION MODULE 22201-12 PERFORMANCE PROFILE

Peformance Profile Sheet (Page 1 of 1) Heavy Highway Construction Level Two Module Two, 22307-14 Finishing and Grading!"#$%&&'%#(&)!"#$%$%*'+",*"#('-+,%-,") $%-!"./!,")!"#$%&'()*)+,-!)./&%$#$/%- (1) Passed: performed task (2) Failed: did not perform task Also, list the date for testing for each task was completed. When testing for the Program, be sure to record Performance testing results on Training Report Form 200, and submit the results to the Training Program Sponsor. 0)1#$2$)3'4+5,' 01)3)%#$"+- Trainee who successfully complete these performance tasks may be eligible for a Certified Plus 67890:;<9 :=AC!=:;>? @=:9 A:=!:' :;B9 9>@':;B9 3 Establish a finish grade after a rough grade has been performed, according to instructions. Copyright 2017 NCCER. Permission is granted to reproduce this page provided that copies are for local use only and that each HEAVY HIGHWAY CONSTRUCTION--MODULE 22307-14 PERFORMANCE PROFILE

Pe formance Profile Sheet (Page 1 of 1) Level Two 27306-14 Trenching and Excavating!"#$%&&'%#(&)!"#$%$%*'+",*"#('-+,%-,") $%-!"./!,")!"#$%&'()*)+,-!)./&%$#$/%- (1) Passed: performed task (2) Failed: did not perform task Also, list the date for testing for each task was completed. When testing for the Program, be sure to record Performance testing results on Training Report Form 200, and submit the results to the Training Program Sponsor. 0)1#$2$)3'4+5,' 01)3)%#$"+- Trainee who successfully complete these performance tasks may be eligible for a Certified Plus 67890:;<9 :=AC!=:;>? @=:9 A:=!:' :;B9 9>@':;B9 1 Draft a job hazard/safety analysis for an excavation according to instructor s specifications. Copyright 2017 NCCER. Permission is granted to reproduce this page provided that copies are for local use only and that each HEAVY HIGHWAY CONSTRUCTION--MODULE 27306-14 PERFORMANCE PROFILE

Module Number: 36107-17 has no Performance Profile Sheet; performance testing is not required for this module.

Performance Profile Sheet (Page 1) Heavy Highway Construction Level Two 36108-17 Paving Trainee Name: Training Program Sponsor: Instructor: Rating Levels: (1) Passed: performed task (2) Failed: did not perform task Also, list the date the testing for each task was completed. Recognition: Certified Plus Credential: When testing for the Program, be sure to record Performance testing results on the Registration of Training Modules form, and submit the results to the Training Program Sponsor. Trainees who successfully complete these performance tasks may be eligible for a Certified Plus OBJECTIVE TASK RATING DATE START TIME END TIME 1 1 1. Demonstrate setting the stringline to establish the grade for concrete slipform paving. 2. Correctly set up the slipform paver for operation. 1 3. Perform slipform paving 1 4. Perform a concrete slump test. 2 5. At the discretion of your instructor, perform hot-mix asphalt paving. 2 6. Perform a quantitative analysis on the segregation of stone. Copyright 2017 NCCER. Permission is granted to reproduce this page provided that copies are for local use only and that each Heavy Highway Construction Level Two Module 36201-17 Performance Profile

Pe formance Profile Sheet (Page 1 of 1) 27309-14 Horizontal Formwork!"#$%&&'%#(&)!"#$%$%*'+",*"#('-+,%-,") $%-!"./!,")!"#$%&'()*)+,-!)./&%$#$/%- (1) Passed: performed task (2) Failed: did not perform task Also, list the date for testing for each task was completed. When testing for the Program, be sure to record Performance testing results on Training Report Form 200, and submit the results to the Training Program Sponsor. 0)1#$2$)3'4+5,' 01)3)%#$"+- Trainee who successfully complete these performance tasks may be eligible for a Certified Plus 67890:;<9 :=AC!=:;>? @=:9 A:=!:' :;B9 9>@':;B9 4 4 Erect, plumb, brace, and level a hand-set deck form. Install edge forms, including instructor-selected blockouts, embedments, and bulkheads. Copyright 201 NCCER. Permission is granted to reproduce this page provided that copies are for local use only and that each HEAVY HIGHWAY CONSTRUCTION LEVEL TWO--MODULE 27309-14 PERFORMANCE PROFILE

Pe formance Profile Sheet (Page 1 of 1) Heavy Highway Construction Level Two 27308-14 Vertical Formwork!"#$%&&'%#(&)!"#$%$%*'+",*"#('-+,%-,") $%-!"./!,")!"#$%&'()*)+,-!)./&%$#$/%- (1) Passed: performed task (2) Failed: did not perform task Also, list the date for testing for each task was completed. When testing for the Program, be sure to record Performance testing results on Training Report Form 200, and submit the results to the Training Program Sponsor. 0)1#$2$)3'4+5,' 01)3)%#$"+- Trainee who successfully complete these performance tasks may be eligible for a Certified Plus 67890:;<9 :=AC!=:;>? @=:9 A:=!:' :;B9 9>@':;B9 3 4 Erect, plumb, and brace an instructorselected wall form. Erect, plumb, and brace an instructorselected column form. 6 Erect, plumb, and brace a stair form. Copyright 2017 NCCER. Permission is granted to reproduce this page provided that copies are for local use only and that each HEAVY HIGHWAY COSNTRUCTION LEVEL TWO--MODULE 27308-14 PERFORMANCE PROFILE

Pe formance Profile Sheet (Page 1 of 1) Heavy Highway Construction Level Two 27304-14 Reinforcing Concrete!"#$%&&'%#(&)!"#$%$%*'+",*"#('-+,%-,") $%-!"./!,")!"#$%&'()*)+,-!)./&%$#$/%- (1) Passed: performed task (2) Failed: did not perform task Also, list the date for testing for each task was completed. When testing for the Program, be sure to record Performance testing results on Training Report Form 200, and submit the results to the Training Program Sponsor. 0)1#$2$)3'4+5,' 01)3)%#$"+- Trainee who successfully complete these performance tasks may be eligible for a Certified Plus 67890:;<9 :=AC!=:;>? @=:9 A:=!:' :;B9 9>@':;B9 3 4 4 4 Use appropriate tools to cut and bend reinforcing bars. Demonstrate five types of ties for reinforcing bars. Demonstrate proper lap splicing of reinforcing bars using wire ties. Demonstrate the proper placement, spacing, tying, and support for reinforcing bars. Copyright 2017 NCCER. Permission is granted to reproduce this page provided that copies are for local use only and that each HEAVY HIGHWAY CONSTRUCTION LEVEL TWO--MODULE 27304-14 PERFORMANCE PROFILE

Module Number: 36112-17 has no Performance Profile Sheet; performance testing is not required for this module.

Performance Profile Sheet (Page 1 of 2) nccer Training Heavy Highway Construction Level Two Module Number: 30108-11 Trade Drawings One TRAINEE NAME: TRAINEE SOCIAL SECURITY NUMBER: CLASS: TRAINING PROGRAM SPONSOR: INSTRUCTOR: Rating Levels: Recognition: Certified Plus Credential: (1) Passed: performed task (2) Failed: did not perform task Also, list the date the testing for each task was completed. When testing for the NCCER Standardized Craft Training Program, be sure to record Per for mance testing results on Training Report Form 200, and submit the results to the Training Program Sponsor. Trainees who successfully complete these performance tasks may be eligible for a Certified Plus Credential. Refer to the Note on Performance Testing of this Performance Profile for eligibility requirements, or contact NCCER for more information. Objective TASK RATING 3 1. Identify job plans and drawings used for ironworking jobs. continued Copyright 2017 NCCER. Permission is granted to reproduce this page provided that copies are for local use only and that each HEAVY HIGHWAY CONSTRUCTION module 30108-11 Performance Profile

Performance Profile Sheet (Page 2 of 2) nccer Training Heavy Highway Construction Level Two Module Number: 30108-11 Trade Drawings One Objective TASK RATING 3 2. Identify the symbols used on selected ironworking plans and drawings. 3 3. Identify selected structural steel symbols and applications on job plans and drawings. 3 4. Identify selected ornamental ironwork and welding symbols and applications on job plans and drawings. Copyright 2017 NCCER. Permission is granted to reproduce this page provided that copies are for local use only and that each trade drawings one module 30108-11 Performance Profile

Performance Profile Sheet nccer Training Heavy Highway Construction Module Number: 30109-11 Structural Ironworking One TRAINEE NAME: TRAINEE SOCIAL SECURITY NUMBER: CLASS: TRAINING PROGRAM SPONSOR: INSTRUCTOR: Rating Levels: Recognition: Certified Plus Credential: (1) Passed: performed task (2) Failed: did not perform task Also, list the date the testing for each task was completed. When testing for the NCCER Standardized Craft Training Program, be sure to record Per for mance testing results on Training Report Form 200, and submit the results to the Training Program Sponsor. Trainees who successfully complete these performance tasks may be eligible for a Certified Plus Credential. Refer to the Note on Performance Testing of this Performance Profile for eligibility requirements, or contact NCCER for more information. Objective TASK RATING 1 1. Describe different uses for structural steel. 1 2. Identify selected types, shapes, and grades of structural steel. 2 3. Identify different types of structural-steel beams. 1 4. Make bolted connections on structural steel. Copyright 2017 NCCER. Permission is granted to reproduce this page provided that copies are for local use only and that each HEAVY HIGHWAY CONSTRUCTION module 30109-11 Performance Profile

Performance Profile Sheet (Page 1) Heavy Highway Construction Level Two 36201-17 Bridge Construction Trainee Name: Training Program Sponsor: Instructor: Rating Levels: (1) Passed: performed task (2) Failed: did not perform task Also, list the date the testing for each task was completed. Recognition: Certified Plus Credential: When testing for the Program, be sure to record Performance testing results on the Registration of Training Modules form, and submit the results to the Training Program Sponsor. Trainees who successfully complete these performance tasks may be eligible for a Certified Plus OBJECTIVE TASK RATING DATE START TIME END TIME 3 1. Use a bridge plan to explain the details of a project. 2 2. Perform layout based on a plan sheet. Copyright 2017 NCCER. Permission is granted to reproduce this page provided that copies are for local use only and that each Heavy Highway Construction Level Two Module 36201-17 Performance Profile

Performance Profile Sheet (Page 1) Heavy Highway Construction Level Two 36202-17 Bridge Foundations Trainee Name: Training Program Sponsor: Instructor: Rating Levels: (1) Passed: performed task (2) Failed: did not perform task Also, list the date the testing for each task was completed. Recognition: Certified Plus Credential: When testing for the Program, be sure to record Performance testing results on the Registration of Training Modules form, and submit the results to the Training Program Sponsor. Trainees who successfully complete these performance tasks may be eligible for a Certified Plus OBJECTIVE TASK RATING DATE START TIME END TIME 1 1. Lay out pile locations according to drawings. 2 2. Create a template in accordance with drawings provided. Copyright 2017 NCCER. Permission is granted to reproduce this page provided that copies are for local use only and that each Heavy Highway Construction Level Two Module 36202-17 Performance Profile

Performance Profile Sheet (Page 1) Heavy Highway Construction Level Two 36203-17 Bridge Formwork Trainee Name: Training Program Sponsor: Instructor: Rating Levels: (1) Passed: performed task (2) Failed: did not perform task Also, list the date the testing for each task was completed. Recognition: Certified Plus Credential: When testing for the Program, be sure to record Performance testing results on the Registration of Training Modules form, and submit the results to the Training Program Sponsor. Trainees who successfully complete these performance tasks may be eligible for a Certified Plus OBJECTIVE TASK RATING DATE START TIME END TIME 3 1. Prepare a material takeoff for concrete formwork. 3 2. Build a small cap form at least 4' x 3' (1.3 m x 1 m) with headers. Include a beam seat and anchor bolts, as well as a blockout for pipe. Copyright 2017 NCCER. Permission is granted to reproduce this page provided that copies are for local use only and that each Heavy Highway Construction Level Two Module 36203-17 Performance Profile