Jenkins Academy of Applied Technology

Workplace understanding verification

Electric Power and Telecommunications · v1.0.0 · October 23, 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 switching, energized work or entry authorization.

Worker, instructor, task and actual dateScope, hazards, role limits and stop conditions explainedBriefing, energy controls and PPE explainedEntry, access and emergency arrangements explainedLanguage/access support and questionsSafe observed proficiency; corrections and repeat reviewSeparate employer authorization and training records