Terminal Extension Exercise Log Form
Please complete this form to accurately log details of your terminal extension exercise session.
Trainee/Operator Name
*
First Name
Last Name
Terminal or Workstation Identifier
*
Date of Exercise
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Exercise Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Exercise End Time
*
Hour Minutes
AM
PM
AM/PM Option
Exercise Type
*
Please Select
Routine Extension
Emergency Extension
Simulation
System Upgrade
Other
Terminal Extension Scenario / Description
*
Tasks Completed
*
Issues Encountered
Supervisor Notes or Follow-up Action
Submit Log
Should be Empty: