attach photograph clear adhesive...

24

Attach photographof yourself hereand cover with

clear adhesive flap

Name

Plant Operator Logbook

C M

Y K

PMS ???

PMS ???

PMS ???

PMS ???

Cutter

Non-print 2

JOB LOCATION:

PRINERGY 3

Non-printingColours

Section 5 – Validation Check ListC

ateg

ory

Co

de

End

ors

emen

t

Co

de

No

. of

Ho

urs

Rec

ord

edO

per

atin

g

End

ors

emen

t co

mp

lete

d(p

leas

e ti

ck)

OS

A a

chie

ved

(w

here

by

insu

ffici

ent

or

no

hou

rs a

chie

ved)

Y

or

N

Valid

H

S&

E T

est

(ple

ase

tick)

Valid

R

enew

al

Test

(ple

ase

tick)

Valid

ato

r N

ame:

Valid

ato

r S

igna

ture

:D

ate:

LB M

oni

tor

Nam

e:LB

Mo

nito

r S

igna

ture

:D

ate

of

Aud

it:

Version 5 May 2015

CSK-CPCS-LogBk-2015-DOWNLOAD.indd 1-2 05/05/2015 14:04

232

Keep it Safe

Your logbook is proof of your ongoing experience as a plant operator (or equipment user).

You must keep this book in a safe place – you may be charged for a replacement if it is lost or damaged.

Your CPCS card No.

Your card expiry date D D M M Y Y Y Y

Your signature

If found, please return this logbook to CPCS

CPCS PO Box 320 Bircham Newton King’s Lynn Norfolk, PE31 6WD

© CITB 2015

Section 5 – Category and Endorsement Codes

Co

de

Des

crip

tio

nE

ndo

rsem

ent

A71

Soi

l Sta

bilis

erA

: S

elf P

rope

lled

C: S

prea

der

Sel

f Pro

pelle

dB

: To

wed

A72

Sta

tic C

oncr

ete

Pla

cing

Boo

mA

: U

p to

13

met

res

B:

All

size

s

A73

Pla

nt &

Veh

icle

Mar

shal

ler

A74

Pilin

g R

ig A

tten

dant

A75

Con

veyi

ng P

ump

A:

Pne

umat

ic –

All

Type

sC

: Wor

m/p

isto

n P

ump

(up

to 5

0 m

m

outle

t) w

ith m

ixer

B:

Wor

m/P

isto

n P

ump

(up

to 5

0 m

m o

utle

t) w

ithou

t mix

er

D90

Dem

oliti

on P

lant

A:

Mat

eria

ls p

roce

ssin

gC

: Dem

olis

hing

up

to 1

5 m

etre

sE

: Dem

olis

hing

all

heig

hts

B:

Up

to 1

0 to

nnes

D: D

emol

ishi

ng u

p to

30

met

res

F: L

iftin

g op

erat

ions

D91

Dem

oliti

on P

lant

– P

edes

tria

n O

pera

ted

A:

180°

sle

wB

: A

ll ty

pes

D92

Dem

oliti

on O

pera

tions

–

Ski

d S

teer

Too

l Car

rier

A: D

emol

ition

Ope

ratio

ns –

ex

trac

ting

B: D

emol

ition

Ope

ratio

ns –

de

mol

ishi

ng

** A

68 –

Pla

nt D

rivi

ng: A

ll en

dors

emen

ts a

re s

epar

ate

by c

hass

is g

roup

but

hav

e se

nior

end

orse

men

ts w

ithin

the

chas

sis

grou

p.

Load

ing/

unlo

adin

g en

dors

emen

t has

the

high

er s

tatu

s.

Version 5 May 2015 Version 5 May 2015


22 3

Contents

Section 1 – Operating Record

Section 2 – Testing Record

Section 3 – Training Record

Section 4 – Employment Record

Section 5 – Further information

• CPCS Contact Information

• Category and Endorsement Codes

• Validation Checklist

If you need further information about this logbook orhave any other queries about CPCS, please contactus (details in section 5).

Section 5 – Category and Endorsement Codes C

od

eD

escr

ipti

on

End

ors

emen

tA

62C

rane

/Lift

ing

Ope

ratio

ns S

uper

viso

rA

63P

edes

tria

n-op

erat

ed T

ower

Cra

neA

: U

p to

36

m –

100

m/t

eB

: In

clin

ed ji

bA

64O

verh

ead

Trav

ellin

g C

rane

A:

Rem

ote

Ope

rate

d co

ntro

lB

: Fi

xed

Cab

Con

trol

A66

Com

pact

Cra

neA

: S

tatic

-sta

bilis

ers

C:

Luffi

ng S

tatic

Dut

ies

B:

Mob

ile In

dust

rial

D:

360

– P

ick

and

Car

ryA

67Tu

nnel

Loc

omot

ive

A:

Ele

ctric

- U

p to

10

tonn

esC

: Die

sel -

Up

to 1

0 to

nnes

E: T

ande

m

B:

Ele

ctric

- A

ll S

izes

D: D

iese

l - A

ll si

zes

A68

Pla

nt D

rivin

g**

A: T

rack

ed b

oom

equ

ippe

d -

Up

to 1

0 to

nnes

- n

on-o

pera

tiona

l onl

yB

: Tra

cked

boo

m e

quip

ped

- U

p to

10

tonn

es -

load

ing/

unlo

adin

gC

: Tra

cked

boo

m e

quip

ped

- U

p to

50

tonn

es -

non

-ope

ratio

nal o

nly

D: T

rack

ed b

oom

equ

ippe

d -

Up

to 5

0 to

nnes

- lo

adin

g/un

load

ing

E: T

rack

ed b

oom

equ

ippe

d -

All

size

s -

non-

oper

atio

nal o

nly

F: T

rack

ed b

oom

equ

ippe

d -

All

size

s -

load

ing/

unlo

adin

gG

: Tra

cked

(bla

de/s

hove

l) -

Up

to 2

0 to

nnes

- n

on-o

pera

tiona

l onl

yH

: Tra

cked

(bla

de/s

hove

l) -

Up

to 2

0 to

nnes

- lo

adin

g/un

load

ing

I: Tr

acke

d (b

lade

/sho

vel)

- A

ll si

zes

- no

n-op

erat

iona

l onl

yJ:

Tra

cked

(bla

de/s

hove

l) -

All

size

s -

load

ing/

unlo

adin

gK

: Whe

eled

art

icul

ated

cha

ssis

- U

p to

15

tonn

es -

non

-ope

ratio

nal o

nly

L: W

heel

ed a

rtic

ulat

ed c

hass

is -

Up

to 1

5 to

nnes

- lo

adin

g/un

load

ing

M: W

heel

ed a

rtic

ulat

ed c

hass

is -

All

size

s -

non-

oper

atio

nal o

nly

N: W

heel

ed a

rtic

ulat

ed c

hass

is -

All

size

s -

load

ing/

unlo

adin

gO

: Whe

eled

rig

id c

hass

is -

Up

to 1

5 to

nnes

- n

on-o

pera

tiona

l onl

yP

: Whe

eled

rig

id c

hass

is -

Up

to 1

5 to

nnes

- lo

adin

g/un

load

ing

Q: W

heel

ed r

igid

cha

ssis

- A

ll si

zes

- no

n-op

erat

iona

l onl

yR

: Whe

eled

rig

id c

hass

is -

All

size

s -

load

ing/

unlo

adin

gS

: Non

-ope

ratio

nal R

ide

on R

olle

rT:

Loa

ding

/unl

oadi

ng R

ide

on R

olle

r



4 21


About this section

How do I complete this section?

You should fill out this section to record • When – operating dates – the number of operating hours* (Hours) – the cumulative hours (Cum) recorded to date • What – the category of plant or equipment you used** – the type of plant or equipment you used – the identification number (ID) for the machine which could be the registration number, fleet

number or manufacturer’s serial number • Where – location of where you operatedYou should fill in this section regularly, i.e. daily or weekly.You should complete one set of pages for each category to enable the cumulative hours completed to date to be recorded easily. Please use the tabs provided to separate the categories to make this process easier.

Who can endorse the operating record?Each entry must be endorsed by someone who can confirm your operating experience on that machine or equipment. They must provide full contact details.The endorser must map your operating experience against the declaration on the next page.

* What does operating hours mean?“Operating hours” means when you used the machine or equipment for work. This does not include downtime, for example, when driving a mobile crane or backhoe loader to and from the site or meal breaks.

**How do role-based categories complete the logbook?Appointed Persons/Crane Supervisors can record the type of lifts they have planned or supervised.

Section 5 – Category and Endorsement Codes

Co

de

Des

crip

tio

nE

ndo

rsem

ent

A34

Cra

wle

r –

Trac

tor/

Doz

erA

35C

raw

ler

– Tr

acto

r/S

ide

Boo

mA

36Lo

rry

Load

erA

: H

ook

C:

Hyd

raul

ic C

lam

pB

: C

lam

shel

l Buc

ket

A37

Tren

cher

A39

Ski

p H

andl

erA

40S

linge

r/S

igna

ller

A:

All

type

s –

All

Dut

ies

C:

Knu

ckle

Boo

m –

Sta

tic D

utie

s O

nly

E:

Lift

truck

onl

y

B:

All

Type

s –

Sta

tic D

utie

sD

: E

xcav

ator

onl

y

A41

Load

er C

ompr

esso

rA

42C

rush

erA

43S

cree

ner

A44

Con

cret

e P

ump

Trai

ler

Mou

nted

A45

Pilin

g R

ig –

Driv

en b

elow

15

tonn

esA

46P

iling

Rig

– D

riven

abo

ve 1

5 to

nnes

A47

Pilin

g R

ig –

Bor

ed b

elow

15

tonn

esA

48P

iling

Rig

– B

ored

abo

ve 1

5 to

nnes

A49

Load

er/S

ecur

er –

non

-STG

OA

: N

on-L

GV

B:

LGV

A50

Load

er/S

ecur

er –

STG

OA

56D

ump

Truc

k –

Art

icul

ated

Cha

ssis

A:

Up

to 1

5 to

nnes

B:

All

size

sA

57D

ump

Truc

k –

Rig

id C

hass

isA

: U

p to

15

tonn

esC

: A

ll si

zes

(whe

eled

)B

: U

p to

50

tonn

esD

: A

ll si

zes

(trac

ked)

A58

Exc

avat

or 3

60º

belo

w 1

0 to

nnes

A:

Trac

ked

C:

Lifti

ng O

pera

tions

B:

Whe

eled

A59

Exc

avat

or 3

60º

abov

e 10

tonn

esA

: Tr

acke

dC

: Li

fting

Ope

ratio

nsB

: W

heel

ed

A60

Mob

ile C

rane

A:

Blo

cked

dut

ies

only

C:

All

Dut

ies

B:

Pic

k-an

d-ca

rry

dutie

s on

ly

A61

App

oint

ed P

erso

n –

Lifti

ng O

pera

tions



20 5

Section 1 – Operating RecordEndorsement Declaration

I confirm that the user of this Logbook is experienced in the following activities for which I have endorsed their work experience.

1. Preparing the machine or equipment for work, as per manufacturer’s requirements

2. Transporting/manoeuvring the machine to the workplace in a safe manner (mobile plant only)

3. Setting the machine/equipment for work, as per manufacturer’s and industrial requirements

4. Operating/using the machine or equipment, as per manufacturer’s and industrial requirements

5. Carrying out work in a safe and efficient manner

6. Working to given instructions, dimensions and tolerances

7. Conforming to legislation, requirements and company regulations

8. Shutting down, securing and leaving the machine or equipment in a safe situation

9. Maintaining appropriate company records i.e. vehicle check forms, etc.

Appointed Person/Crane Supervisor Only

10. Planning or supervising lifting operations in accordance with regulations and official guidance

11. Constructing or following risk assessments, method statements and lift plans

Section 5 – Category and Endorsement Codes C

od

eD

escr

ipti

on

End

ors

emen

t

A02

Cra

wle

r C

rane

ove

r 10

tonn

esA

04To

wer

Cra

neA

: Tr

olle

y jib

B:

Luffi

ng ji

bA

05D

ragl

ine

A06

Con

cret

e P

ump

- Tr

uck

Mou

nted

Boo

mN

ote

: LG

V li

cenc

e m

ust b

e he

ldA

09Fo

rwar

d Ti

ppin

g D

umpe

rA

: W

heel

edB

: Tra

cked

A10

Exc

avat

or 1

80º

belo

w 5

tonn

esA

12E

xcav

ator

180

º ab

ove

5 to

nnes

A14

Rou

gh T

erra

in M

aste

d Fo

rklif

tA

15Fo

rklif

t Sid

e-Lo

ader

A16

Indu

stria

l For

klift

Tru

ckA

17Te

lesc

opic

Han

dler

A:

Indu

stria

l Tel

esco

pic

C:

All

size

s ex

c. 3

60º

slew

B:

Up

to 9

met

res

D:

All

size

s in

c. 3

60º

slew

A18

Rea

ch T

ruck

A19

Gra

der

A20

Hoi

stA

: R

ack

& P

inio

n G

oods

C:

Rop

e op

erat

ed g

oods

B:

Pas

seng

er/g

oods

com

bine

dD

: Tr

ansp

ort P

latfo

rm

A21

Whe

eled

Loa

ding

Sho

vel

A22

Trac

ked

Load

ing

Sho

vel

A23

Ski

d S

teer

Loa

der

A24

Mot

oris

ed S

crap

erA

25M

obile

Ele

vatin

g W

ork

Pla

tform

– S

ciss

orA

26M

obile

Ele

vatin

g W

ork

Pla

tform

– B

oom

A:

Vehi

cle

Mou

nted

B:

Sel

f-pr

opel

led

A27

Mob

ile E

leva

ting

Wor

k P

latfo

rm –

Mas

t Clim

ber

A30

Pilin

g R

ig –

Trip

odA

31R

ide

on R

olle

rA

32S

oil/L

andfi

ll C

ompa

ctor

A33

Agr

icul

tura

l Tra

ctor



6 19

Section 1 – Operating RecordExample completed page

Name Andy Driver CPCS 0 1 2 3 9 8 5 Card No.

Start date 1 5 / 0 3 / 1 1

End date 1 9 / 0 3 / 1 1

Hours 2 6 Cum. 4 0

Start date 0 7 / 0 3 / 1 1

End date 1 2 / 0 3 / 1 1

Hours 1 4 Cum. 1 4

Site Address

Plant Training Ltd Trench Lane Digger Land

Site Postcode

H43 2AU

Site Address

Back Fill Plenty Muckley Lane Hole Deep

Site Postcode

G23 1AB

Name

Sam Sample

Position

Site Foreman

Signature

Sam Sample

Company Name

Plant Hire Ltd

Company Telephone

01234 987654

Name

Sarah Sample

Position

Site Manager

Signature

Sarah Sample

Company Name

Deepfill Plc

Company Telephone

0845 800813

Category A59

Endorsement A

Make/Model JCB JS130

ID Number N1PD L13

Category A59

Endorsement A

Make/Model JCB JS130

ID Number N1PD L13

Whe

n O

pera

ting

Hour

sW

hat

Ope

ratin

g De

tails

Whe

re

Ope

ratin

g Lo

catio

nW

ho

Ope

ratin

g En

dors

emen

t

Op

erat

orE

mp

loye

r

Section 5 – Contact information

CPCSCPCS Helpline: 0844 815 7274CPCS Website: www.citb.co.uk/cpcsThese sources will be able to provide information on: • How do I get a card? • How do I find a CPCS Test Centre?

Mailing Address:CPCS, PO Box 320, Bircham Newton, King’s Lynn Norfolk, PE31 6WD

Health, safety and environment testHS&E Booking number: 0344 994 4488HS&E Website: www.citb.co.uk/hsandetestThese sources will be able to provide information on: • How do I prepare for the test? • How do I book the test?

CPCS Renewal testRenewal test booking number: 0344 994 4488Renewal test website: www.citb.co.uk/renewaltestThese sources will be able to provide information on how to: • prepare for the CPCS Renewal test • book the CPCS Renewal test

CITB GrantGrant Website: www.citb.co.uk/grantThis source will be able to provide information on: • What is Grant? • What Grants are available? • How much grant can I claim? • How do I claim?



18 7


Name CPCS Card No.

Start date / /

End date / /

Hours Cum.

Start date / /

End date / /

Hours Cum.

Site Address

Site Postcode

Site Address

Site Postcode

Name

Position

Signature

Company Name

Company Telephone

Name

Position

Signature

Company Name

Company Telephone

Category

Endorsement

Make/Model

ID Number

Category

Endorsement

Make/Model

ID Number

Whe

n O

pera

ting

Hour

sW

hat

Ope

ratin

g De

tails

Whe

re

Ope

ratin

g Lo

catio

nW

ho

Ope

ratin

g En

dors

emen

t

Section 5 – Further Information

About this sectionThe purpose of this section is to provide you with further information to support you in completion of your logbook.

• CPCS contact information • Categories and Endorsement codes • Validation Checklist



8 17

Whe

n Em

ploy

men

t Dat

esW

hat

Empl

oym

ent D

etai

lsW

here

Em

ploy

er L

ocat

ion

Who

Em

ploy

er E

ndor

sem

ent


Name CPCS Card No.

Start date / /

End date / /

Total duration

Employer Address

Site Postcode

Name

Position

Signature

Company Name

Company Telephone

Nature of business

Job title/duties

Start date / /

End date / /

Total duration

Employer Address

Site Postcode

Name

Position

Signature

Company Name

Company Telephone

Nature of business

Job title/duties


Name CPCS Card No.

Start date / /

End date / /

Hours Cum.

Start date / /

End date / /

Hours Cum.

Site Address

Site Postcode

Site Address

Site Postcode

Name

Position

Signature

Company Name

Company Telephone

Name

Position

Signature

Company Name

Company Telephone

Category

Endorsement

Make/Model

ID Number

Category

Endorsement

Make/Model

ID Number

Whe

n O

pera

ting

Hour

sW

hat

Ope

ratin

g De

tails

Whe

re

Ope

ratin

g Lo

catio

nW

ho

Ope

ratin

g En

dors

emen

t



16 9

Whe

n Em

ploy

men

t Dat

esW

hat

Empl

oym

ent D

etai

lsW

here

Em

ploy

er L

ocat

ion

Who

Em

ploy

er E

ndor

sem

ent


Name CPCS Card No.

Start date / /

End date / /

Total duration

Employer Address

Site Postcode

Name

Position

Signature

Company Name

Company Telephone

Nature of business

Job title/duties

Start date / /

End date / /

Total duration

Employer Address

Site Postcode

Name

Position

Signature

Company Name

Company Telephone

Nature of business

Job title/duties


About this sectionThe purpose of this section is to capture your Testing Record which can be countersigned by the Testing Body to confirm Test Completion.

How do I complete this section?You should fill out this section to record • When – the test date and duration • What – details of the test taken, for example: – HS&E Test passes – Technical Test passes – Renewal Test Passes • Where – location of where the test was taken

You should fill in this section after each test that you take is passed.

Who can endorse the testing record?Each entry must be endorsed by the Tester to confirm that you have completed and passed the test as stated. They must provide full contact details.



10 15


About this sectionThe purpose of this section is to capture a record of current employment, or any previous employment over the last few years.

This information could be useful to a new employer if you change your job.

How do I complete this section?You should fill out this section to record the details about your employment including: • When – start and finish dates • What – the sectors of industry you worked in (nature

of business) and your duties • Where – the address where the employer is based

You should fill in this section on leaving an employer.

Who can endorse the employment record?Each entry must be endorsed by the employer to confirm that you have worked for them as stated. They must provide full contact details.

Whe

n Te

st D

ate

Wha

t Te

st D

etai

lsW

here

Te

st L

ocat

ion

Who

Te

st E

ndor

sem

ent


Name CPCS Card No.

Test date / /

Test duration

Site Address

Test Site Postcode

Tester Name

Tester Position

Tester Signature

Test Centre Name

Test Centre Telephone

Test date / /

Test duration

Site Address

Test Site Postcode

Tester Name

Tester Position

Tester Signature

Test Centre Name




14 11


Name CPCS Card No.

Training /

/

date

Training duration

Test Site Address

Test Site Postcode

Trainer Name

Trainer Position

Trainer Signature

Training Provider Name

Training Provider Telephone

Training /

/

date

Training duration

Test Site Address

Test Site Postcode

Trainer Name

Trainer Position

Trainer Signature



Whe

n Tr

aining

Dat

eW

hat

Trai

ning

Det

ails

Whe

re

Trai

ning

Loc

atio

nW

ho

Trai

ning

End

orse

men

t

Whe

n Te

st D

ate

Wha

t Te

st D

etai

lsW

here

Te

st L

ocat

ion

Who

Te

st E

ndor

sem

ent


Name CPCS Card No.

Test date / /

Test duration

Site Address

Test Site Postcode

Tester Name

Tester Position

Tester Signature

Test Centre Name


Test date / /

Test duration

Site Address

Test Site Postcode

Tester Name

Tester Position

Tester Signature

Test Centre Name




12 13


Name CPCS Card No.

Training /

/

date

Training duration

Test Site Address

Test Site Postcode

Trainer Name

Trainer Position

Trainer Signature



Training /

/

date

Training duration

Test Site Address

Test Site Postcode

Trainer Name

Trainer Position

Trainer Signature



Whe

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aining

Dat

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hat

Trai

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Det

ails

Whe

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Trai

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Loc

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Trai

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End

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About this sectionThe purpose of this section is to capture a record of any training courses, tests or assessments that you have attended or taken.

This information could be useful to a new employer if you change your job.

How do I complete this section?

You should fill out this section to record • When – the training date and duration • What – details of the training, for example: – All forms of safety training – First aid training – Training on additional categories – LGV driving training • Where – location of where the training was taken

You should fill in this section after each training session that you have completed.

Who can endorse the training record?Each entry must be endorsed by the Trainer to confirm that you have completed the course. They must provide full contact details.



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