Jenkins Academy of Applied Technology

Workplace understanding verification

Blasting and Explosives · v1.0.0 · October 22, 2026

Course developed by Todd Jerome Jenkins, MS, CSP.

Complete this worksheet using the actual workplace and current plan. A blank form or course score is not evidence that the action occurred. Record actual dates and observations. Print or save a completed copy before closing; entries are not automatically stored. Do not sign in advance or treat this worksheet as explosives handling authorization.

Employee, instructor, site and actual dateWorker explains warning actions and designated safe placeWorker explains restricted access and authorized reentryWorker explains no touching or investigating suspected explosivesWorker explains emergency and security reportingLanguage/access support and questions resolvedObserved gaps, corrective instruction and repeat teach-backEmployer assignment and restrictions; online score recorded separately