_________________________________________________________________

ENGINEER-IN-TRAINING REPORT ON EXPERIENCE

*NEW: Indicate here if this is an Interim Report or the Final Report: Interim: Final: X

This is the Final Report only if it is the last one you will be submitting to the APEGS office prior to applying for
Professional Member. All other reports are submitted as Interim Reports (including international experience unless it is
experience from the United States, which can be submitted as a Final Report). Separate reports are required for separate
jobs. A separate report is required even if it is work for the same employer but there was a change in job function.

Complete sections A and B, and Parts 1 to 4. Your supervisor(s) completes section C and mentor(s) completes section D
(mentor required only if the direct supervisor is not a P.Eng. or P.Geo.). Both the supervisor and mentor answer
questions and fill in comments on each page of Parts 1 to 6. This form must be shared electronically so that the
supervisor(s) and mentor(s) have an opportunity to enter comments. Print all pages up to the end of the Report
Summary Form (8 pages minimum) when it is completed. After printing, initials are required throughout the report from
supervisors and mentors. Signatures of all those contributing to the report are required on the final page.

A. PERSONAL INFORMATION
Name: John Smith names have been changed for confidentiality E-mail: home@123.com
Home address: Apt 123, ABC Street, Cityname, SK, A1B 2C3
Bachelor degree (month/yr completed): 05/01 Discipline: Civil University: University of Saskatchewan
Masters degree (month/yr completed): Discipline: University:
Doctorate degree (month/yr completed): Discipline: University:
Other degree (month/yr completed): Discipline: University:

B. EMPLOYER INFORMATION FOR THE REPORTING PERIOD

Employer name: ABC Consulting Ltd. Job title: Structural Engineer
Business address: Box 123, ABC Street, Cityname, SK, A1B 2C3
Business phone: (306) 123-4567 Fax: (306) 456-7890 E-mail: work@123.com
Nature of business: Consulting
Brief description of job duties (three lines maximum): Junior structural engineer providing structural design and project
management for a variety of projects.
Employment dates with this employer (mm/dd/yyyy): 07/02/03 to 01/20/06
This report covers experience from (mm/dd/yyyy): 01/20/04 to 01/20/06
Number of months: 24 x Percentage of full-time: 100 % = 24 months credit applying for

INTERIM REPORT PAGE 1 OF 8

C. SUPERVISOR INFORMATION (start with the current or most recent supervisor for the reporting period)
Name: Jim Jones P.Eng. X P.Geo. Neither (place an X
beside all that apply). If P.Eng. or P.Geo., in which province(s) are you registered? SK
If not P.Eng. or P.Geo., indicate the country where you are an engineer or geoscientist, if applicable:
I have known the applicant for 2 1/2 years in my capacity as his/her supervisor X fellow worker
other (specify and/or include details)
Current Business address: Box 123, ABC Street, Cityname, SK, A1B 2C3
Current Business phone: (306) 123-4567 Fax: (306) 456-7890 E-mail: work@123.com
Other Supervisors in this reporting period: 0
(If more than one supervisor, attach additional pages with the same information as above)
Affirmation: By signing the last page of this form, I affirm that I have read and am familiar with APEGS Guideline 11,
Components of Acceptable Engineering Work Experience, as it applies to work experience reporting for APEGS.

D. MENTOR INFORMATION (start with the current or most recent mentor for the reporting period)
Mentor required only if the direct supervisor is not a P.Eng. or P. Geo.
Name: Click on shaded areas to complete each form field P.Eng. P.Geo. (place an X beside all that
apply). In which province(s) are you registered?
I have known the applicant for years in my capacity as his/her supervisor mentor
fellow worker other (specify and/or include details)
Employer:
Business address:
Business phone: Fax: E-mail:
Nature of business:
Other Mentors in this reporting period:
(If more than one mentor, attach additional pages with the same information as above)
Affirmation: By signing the last page of this form, I affirm that I have read and am familiar with APEGS Guideline 11,
Components of Acceptable Engineering Work Experience, as it applies to work experience reporting for APEGS.

E. DESCRIPTION OF EXPERIENCE

APEGS Guideline 11, Components of Acceptable Engineering Work Experience, describes of the areas of experience
referred to in the following pages of this form where you will provide examples of what you have done over this
reporting period. Also refer to APEGS Guideline 10 for detailed information on work experience reporting.

If you worked for the same company, had more than one supervisor or mentor in this reporting period and you use
examples from work performed under previous supervisors, please identify which supervisor each example pertains to.
Refer to APEGS Guideline 10 for further information on multiple supervisors for the reporting period or click here.

INTERIM REPORT PAGE 2 OF 8

Part 1 - APPLICATION OF THEORY
(Click here to view an explanation of Application of Theory)

I have gained experience in the following areas of application of theory in this reporting period (type an X in the box
to the right of all those that apply). These areas are described in detail in APEGS Guideline 11.

Analysis X Design and synthesis X Testing methods X Implementation methods X

Work experience examples for Application of Theory in this reporting period: (click here for further instructions)

Supervisor/Mentor name(s): Jim Jones

Examples for the period (mm/dd/yyyy): from 01/20/04 to 01/20/06
Analysis
I performed a load rating analysis on North Battleford Bridge according to the CSA-S6-00 Canadian
Highway Bridge Design Code using Saskatchewan Highway and Transportations (SHT) primary legal
truck loads to determine feasibility of widening the existing structure. Several widening options were
evaluated and compared to the existing structural capacity of the hybrid steel plate girders to determine
strengthening requirements. A thorough detailed analysis was required as the steel girders material and
cross-sectional properties varied along their length.
I performed a load rating analysis on the Victoria Bridge according to the CSA-S6-00 Canadian Highway
Bridge Design Code to determine if the current load restriction of 5 tonne was valid given the corrosion and
deterioration found in the bottom chord members of the trusses.
I performed a number of load rating analysis on steel, timber, and concrete bridges throughout the province
to typically determine feasibility of rehabilitating existing structures and/or as part of routine inspections.
Design and synthesis
I designed the strengthening details for the widening of the North Battleford Bridge. Strengthening
consisted of bolting steel plates to the top and bottom flanges of the hybrid steel girders and bottom flanges
of the floor beams, attaching nelson studs to the top flanges of the hybrid steel girders to make the girders
composite with the concrete deck, and modification of the cast in place concrete girders in the abutment
spans.
I performed a design check for several components for the North Battleford Wastewater Treatment Plant,
including the design of the concrete clarifiers and piling plan for several of the site buildings.
I performed several culvert designs for replacement of existing drainage structures for SHT.
Testing methods
I participated in several bridge deck testing programs for the City of Saskatoon, and the City of Prince
Albert for various bridge structures. Deck testing consisted of delamination testing by chain-dragging,
procuring concrete powder samples for chloride testing, concrete cover testing using electronic cover meter,
and CSE testing (Copper sulfate electrode testing).
I arranged for and participated in the Magnetic Particle Testing of a 5 span steel bridge near Meadow Lake
for SHT. Testing program was required after a previous inspection I performed found fatigue cracking in
several welds on the horizontal bracing affixed to the bottom flange of the main girders.
Implementation methods
I performed life cycle costing analysis on several bridge structures to determine the least cost alternative for
several rehabilitation options and performed maintenances and rehabilitation evaluations for many bridge
structures for the City of Saskatoon and SHT as part of their typical routine inspections.

Supervisor/Mentor Evaluation of Part 1 - Application of Theory

Is this experience consistent with satisfactory progress toward the professional designation? Refer to APEGS Guideline
10 for the definition of satisfactory progress or click here.
Yes __________ No __________ (initials of all supervisors and mentors required after printing)

Comments (click here for further instructions)

INTERIM REPORT PAGE 3 OF 8

Part 2 - PRACTICAL EXPERIENCE
(Click here to view an explanation of Practical Experience)

I have gained experience in the following areas of practical experience in this reporting period (type an X in the box
to the right of all those that apply). These areas are described in detail in APEGS Guideline 11.

Studying or being exposed to existing engineering works X Limitations of practical engineering X

Application of equipment in larger systems X Significance of time X

Work experience examples for Practical Experience in this reporting period: (click here for further instructions)

Supervisor/Mentor name(s): Jim Jones

Examples for the period (mm/dd/yyyy): from 01/20/04 to 01/20/06
Visits of engineering works
I provided site inspections for several projects that were designed by our office. This work entailed
checking accuracy of reinforcing steel placement, concrete placement/finishing, quality assurance, and
other construction practices to ensure contractors compliance with contract plans and specifications.
Projects included; Diefenbaker Bridge Rehabilitation, Highway 16 Culvert Replacement, Circle and
College Bridge Overpass Construction, and Riverside Drive Bridge Rehabilitation.
I performed numerous routine visual inspections on steel, timber, and concrete bridges to determine
material and performance defects for local, provincial, and federal public agencies. Inspections were
carried out either according to Ontario Ministry of Transportation Bridge Structure Inspection Manual
(OSIM) or other proprietary bridge management systems.
I performed specialized detailed inspections that included destructive and non-destructive testing methods
on several bridges and building structures throughout the province. Projects included; deck testing for the
City of Saskatoon, detailed investigation of the University Bridge Piers for the City of Saskatoon, Magnetic
Particle Testing for Highway #55/Beaver River Bridge for SHT, structural assessment of North Battleford
Civic Centre.
Limitations of practical engineering
I have an understanding of the limits practical engineering when using testing equipment and techniques.
Care must be taken and strict procedures must be followed in order to produce reliable and reproducible
results so that the results can be accurately interpreted by others in order to achieve the desired results.
Application of equipment
The role of computer software is vital in all aspects of our work; I use SAP 2000 structural software as a
design and analysis aid when performing member analysis/design, I use Haestads Culvertmaster software
when analyzing existing hydraulic conditions and for designing the viable alternatives for a culvert
replacement, I use Microsoft Excel as a calculation tool for performing repetitive calculations for structural
analysis and for cost estimates for construction and fees, and I use Microsoft Office for writing reports and
preparing contract specifications.
Significance of time
I am involved with the writing of proposals and estimating of engineering effort to complete proposed
projects. This includes determining available resources, calculation of man-hours, and scheduling to ensure
that the project can be completed on budget and within the given timeframe.

Supervisor/Mentor Evaluation of Part 2 Practical Experience

Is this experience consistent with satisfactory progress toward the professional designation? Refer to APEGS Guideline
10 for the definition of satisfactory progress or click here.
Yes __________ No __________ (initials of all supervisors and mentors required after printing)

Comments (click here for further instructions)

INTERIM REPORT PAGE 4 OF 8

Part 3 - MANAGEMENT OF ENGINEERING
(Click here to view an explanation of Management of Engineering)

I have gained experience in the following areas of management of engineering in this reporting period (type an X in
the box to the right of all those that apply). These areas are described in detail in APEGS Guideline 11.

Planning X Budgeting X Project control X

Scheduling X Supervision X Risk assessment X
Other (specify)

Work experience examples for Management of Engineering in this reporting period: (click here for further instructions)

Supervisor/Mentor name(s): Jim Jones

Examples for the period (mm/dd/yyyy): from 01/20/04 to 01/20/06
Planning
I have been involved with the planning of many projects from inception to completion. For example, for
the Victoria Bridge detailed bridge inspection; I wrote the proposal and prepared the fee estimate that won
us the job, prepared the inspection plan, organized the manpower and equipment to perform the inspection,
led the inspection, performed the load rating analysis, wrote the final report, and assisted with its
presentation to our client.
Scheduling
As part of the proposal process, I developed detailed schedules for completion of our services. The
development of these schedules ensured clients project delivery dates would be met and assisted us in the
preparation of the cost estimates for our engineering services.
Budgeting
As part of the proposal process, I developed detailed cost estimates for our engineering services for a
number of clients. These cost estimates, while competitive, included our fess required in order to complete
all aspects of the proposed project as outlined in the Request for Proposals. After the successful award of a
project, I calculated preliminary budgets for presentation to the client for completion of the proposed work.
These budgets included contingencies, general requirements, and contractor overhead and profits. As
projects progressed towards tender stage, I constantly adjusted these detailed budgets as quantities and unit
costs were updated.
Supervision
As a project manager, I was responsible for the successful completion of many projects. This required the
coordination of other employees within our department and the allocation of our resources. This typically
involved the supervision of technologists for drawings and calculations, and intermittently providing
technical assistance to other engineers when required.
Project Control
As a project manger, I was in control of numerous projects through all phases of the work until its
completion. As a clients representative, I monitored and controlled project progress through chairing of
weekly/bi-weekly construction meetings and enforcing the contract specifications to ensure that the
contractor would complete the work within the project schedule and remain within the clients budget. As
my companys representative, I ensured that our project team stayed within our allocated budget through
monitoring costs/expenditures and by assisting with the preparation of monthly invoices to our clients.

Supervisor/Mentor Evaluation of Part 3 Management of Engineering

Is this experience consistent with satisfactory progress toward the professional designation? Refer to APEGS Guideline
10 for the definition of satisfactory progress or click here.
Yes __________ No __________ (initials of all supervisors and mentors required after printing)

Comments (click here for further instructions)

INTERIM REPORT PAGE 5 OF 8

Part 4 - SOCIAL IMPLICATIONS OF ENGINEERING
(Click here to view an explanation of Social Implications of Engineering)

During this reporting period, my awareness of the social implications of engineering has been heightened in the
following areas (type an X in the box to the right of all those that apply). These areas are described in detail in
APEGS Guideline 11.

The value or benefits of engineering works to the public X

Safeguards to protect employees and the public and mitigating adverse impacts X
Engineering activity and the public at large (for example, educational programs)
Interest and involvement in the broader social implications of engineering
Significance of regulatory agencies on the practice of engineering X

Work experience examples for Social Implications in this reporting period: (click here for further instructions)

Supervisor/Mentor name(s): Jim Jones

Examples for the period (mm/dd/yyyy): from 01/20/04 to 01/20/06
The value and benefits of engineering works to the public of the many of the projects that I have been
involved with, ensures that the bridges and structures that we inspect are safe for public use. These projects
have provided me with a heightened awareness of the potential consequences of our work and the effect it
can have on the public. For example, the Victoria Bridge detailed inspection led to the recommendation of
temporary closing the bridge to vehicular traffic until certain repairs could be made to key components of
the trusses. The analysis also needed to include an assessment of the bridge for pedestrian use only to
ensure the safety of the traveling public.
As our clients are typically public agencies, I provide additional benefits to the public with the value
engineering we provide as every detailed investigation typically is accompanied by a life-cycle cost
analysis, providing our clients with the most viable, least cost alternative.
Through several courses that I have taken with the Saskatchewan Construction Association along with our
companys own health and safety policies, I have gained an excellent understanding of the provincials
occupational health and safety requirements necessary to ensure the safety of fellow employees and the
general public on each project we undertake. For example, at the initiation of each of my projects, I am
required to fill out a project Risk Management Safety form outlining the potential job hazards, required
personal protective equipment and precautionary measures that may be required to complete the work.
Additionally, I protect the publics interests by enforcing the contract specifications for each project
undertaken as they pertain to health and safety (i.e. work zone safety, tail gate meetings, hazardous
materials, emission controls etc.).
I have developed an appreciation of the role of regulatory bodies on the practice of engineering. These
agencies provide the minimum guidelines that must be met to ensure the safety of the general public. For
example, using the CSA-S6-00 Canadian Highway Bridge Design Code and National Building Code in
limit states design ensures that the correct load factors are used in order to safeguard the public. For
example, as I perform a load rating analysis on a bridge, I must use the appropriate modification and load
factors to ensure that the structure can safely carry the loads placed upon it, while taking into consideration
the current condition state of the member/component under investigation.

Supervisor/Mentor Evaluation of Part 4 Social Implications of Engineering

Is this experience consistent with satisfactory progress toward the professional designation? Refer to APEGS Guideline
10 for the definition of satisfactory progress or click here.
Yes __________ No __________ (initials of supervisor and mentor required after printing)

Comments (click here for further instructions)

INTERIM REPORT PAGE 6 OF 8

Part 5 - COMMUNICATION AND WORKING SKILLS
To be completed by the direct supervisor (and the mentor if applicable).

Satisfactory (S): has met all expectations/norms and has exceeded some.
Needs improvement (NI): performance is not wholly satisfactory, even though some expectations/norms have
been met or even exceeded. Comments are required below for each of the areas that need improvement.
(Click here for instructions on completing the table below)
Supervisor Mentor
SKILL AREAS S NI S NI
1. The Engineer-in-Trainings skills in oral communication (e.g., organization and clarity of S
thought, appropriate language, responds to questions directly and fully) in discussions
with yourself as well as presentations to a group:
2. The Engineer-in-Trainings skills in written communication (e.g., organization and clarity, S
appropriate language, being concise) in memoranda and reports (including e-mails):
3. The Engineer-in-Trainings skills in working with others (e.g., works cooperatively with S
others, contributes ideas, listens to others, is tactful when disagreeing):
4. The Engineer-in-Trainings skills in time management (e.g., tasks or projects are generally S
completed on schedule; is prompt for meetings; is able to set priorities):
5. The Engineer-in-Trainings ability to assume responsibility (e.g., work without close S
supervision, willingness to take on new tasks or projects, suggests improvements):
6. The Engineer-in-Trainings character (e.g., maturity, professionalism, integrity): S

Comments (click here for further instructions)

Part 6 - SUMMARY EVALUATION

Supervisor: The Engineer-in-Training is making either Satisfactory X or Below Satisfactory progress toward
earning the professional designation (place an X beside your selection).
FOR THE FINAL REPORT ONLY: Based on your knowledge to date, are you prepared to recommend this
Engineer-in-Training be registered as a Professional Engineer? Yes X or No

24 ________________________________ ________________
months credit * Signature ** Date

Mentor: The Engineer-in-Training is making either Satisfactory or Below Satisfactory progress

toward earning the professional designation (place an X beside your selection).
FOR THE FINAL REPORT ONLY: Based on your knowledge to date, are you prepared to recommend this
Engineer-in-Training be registered as a Professional Engineer? Yes or No

click to insert # ________________________________ ________________

months credit * Signature ** Date

* Insert the number of months experience credit for the reporting period. Factor in the % of full-time employment.
** This signature also pertains to the Affirmation on page 2.

If you answered Below Satisfactory, the Engineer-in-Training is lacking in exposure to, or requiring improvement
in, the following areas (complete electronically and use as much space as necessary):

Engineer-in-Training: ________________________________ __________________

Signature Date

Print and submit all pages up to here plus the Report Summary Form following
INTERIM REPORT PAGE 7 OF 8
 WORK EXPERIENCE REPORT SUMMARY FORM

Update and submit this form with each work experience report. Document experience in chronological order. Include
all experience, even that which you have not submitted yet, but plan to submit. Copy boxes and use extra pages as
required.

Reporting Period #1 Time period covered (mm/dd/yyyy): from 06/01/01 to 07/01/02

Employer Name: California Department of Transportation Job Title: Area Bridge Maintenance Engineer
Number of months: 13 Percentage of full-time: 100 % Credit Received: 13 months
Type of Experience: A) Canadian or International: International (equivalent-to-Canadian)
B) Pre-graduation, Post-bachelors, Masters, PhD Post-bachelors

Reporting Period #2 Time period covered (mm/dd/yyyy): from 02/15/03 to 01/20/04

Employer Name: California Department of Transportation Job Title: Assistant Structure Representative
Number of months: 11 Percentage of full-time: 100 % Credit Received: 11
Type of Experience: A) Canadian or International: International (equivalent-to-Canadian)
B) Pre-graduation, Post-bachelors, Masters, PhD Post-bachelors

Reporting Period #3 Time period covered (mm/dd/yyyy): from 01/20/04 to 01/20/06

Employer Name: ABC Consulting Ltd. Job Title: Structural Engineer
Number of months: 24 Percentage of full-time: 100 % Credit Received: Current report
Type of Experience: A) Canadian or International: Canadian
B) Pre-graduation, Post-bachelors, Masters, PhD Post-bachelors

INTERIM REPORT PAGE 8 OF 8