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Version 5 May 201524LB Monitor Name:Validator Name:Category CodeEndorsementCodeDate of Audit:LB Monitor Signature:ValidValidOSA achievedHS&E TestRenewal(whereby(please tick)Testinsufficient or(please tick)no hours achieved)Y or NDate:OperatingEndorsementcompleted(please tick)Validator Signature:No. of HoursRecordedSection 5 – Validation Check ListAttach photographof yourself hereand cover withclear adhesive flapPlant Operator LogbookName

Version 5 May 20152Conveying PumpDemolition PlantDemolition Plant – Pedestrian OperatedDemolition Operations –Skid Steer Tool CarrierA75D90D91D92YYour logbook is proof of your ongoing experience as a plantoperator (or equipment user).B: Up to 10 tonnesD: Demolishing up to 30 metresF: Lifting operationsB: All typesB: Demolition Operations –demolishingB:  Worm/Piston Pump (up to 50mm outlet) without mixerB: All sizesEndorsementB: TowedA: Pneumatic – All TypesC: Worm/piston Pump (up to 50 mmoutlet) with mixerA: Materials processingC: Demolishing up to 15 metresE: Demolishing all heightsA: 180 slewA: Demolition Operations –extractingA: Self PropelledC: Spreader Self PropelledA: Up to 13 metresKeep it Safe23** A68 – Plant Driving: All endorsements are separate by chassis group but have senior endorsements within the chassis group.Loading/unloading endorsement has the higher status.Piling Rig AttendantA74 CITB 2015Plant & Vehicle MarshallerCPCSPO Box 320Bircham NewtonKing’s LynnNorfolk, PE31 6WDStatic Concrete Placing BoomYour signatureA73If found, please return this logbook to CPCSYA72Your card expiry dateDDMMYYDescriptionYour CPCS card No.Soil StabiliserYou must keep this book in a safe place – you may becharged for a replacement if it is lost or damaged.CodeA71Section 5 – Category and Endorsement CodesVersion 5 May 2015

DescriptionCrane/Lifting Operations SupervisorPedestrian-operated Tower CraneOverhead Travelling CraneCompact CraneTunnel LocomotivePlant Driving**CodeA62A63A64A66A67A68Version 5 May 2015B: Inclined jibB: Fixed Cab ControlB: Mobile IndustrialD: 360 – Pick and CarryB: Electric - All SizesD: Diesel - All sizesA: Tracked boom equipped - Up to 10 tonnes - non-operational onlyB: Tracked boom equipped - Up to 10 tonnes - loading/unloadingC: Tracked boom equipped - Up to 50 tonnes - non-operational onlyD: Tracked boom equipped - Up to 50 tonnes - loading/unloadingE: Tracked boom equipped - All sizes - non-operational onlyF: Tracked boom equipped - All sizes - loading/unloadingG: Tracked (blade/shovel) - Up to 20 tonnes - non-operational onlyH: Tracked (blade/shovel) - Up to 20 tonnes - loading/unloadingI: Tracked (blade/shovel) - All sizes - non-operational onlyJ: Tracked (blade/shovel) - All sizes - loading/unloadingK: Wheeled articulated chassis - Up to 15 tonnes - non-operational onlyL: Wheeled articulated chassis - Up to 15 tonnes - loading/unloadingM: Wheeled articulated chassis - All sizes - non-operational onlyN: Wheeled articulated chassis - All sizes - loading/unloadingO: Wheeled rigid chassis - Up to 15 tonnes - non-operational onlyP: Wheeled rigid chassis - Up to 15 tonnes - loading/unloadingQ: Wheeled rigid chassis - All sizes - non-operational onlyR: Wheeled rigid chassis - All sizes - loading/unloadingS: Non-operational Ride on RollerT: Loading/unloading Ride on RollerA: Up to 36 m – 100 m/teA: Remote Operated controlA: Static-stabilisersC: Luffing Static DutiesA: Electric - Up to 10 tonnesC: Diesel - Up to 10 tonnesE: TandemEndorsementSection 5 – Category and Endorsement CodesContents22Section 1 – Operating RecordSection 2 – Testing RecordSection 3 – Training RecordSection 4 – Employment RecordSection 5 – Further information CPCS Contact Information Category and Endorsement Codes Validation ChecklistIf you need further information about this logbook orhave any other queries about CPCS, please contactus (details in section 5).3Version 5 May 2015

Version 5 May 20154B: WheeledAll sizesUp to 50 tonnesAll sizes r 360º above 10 tonnesA59Appointed Person – Lifting OperationsExcavator 360º below 10 tonnesA5821A61Loader CompressorCrusherScreenerConcrete Pump Trailer MountedPiling Rig – Driven below 15 tonnesPiling Rig – Driven above 15 tonnesPiling Rig – Bored below 15 tonnesPiling Rig – Bored above 15 tonnesLoader/Securer – non-STGOLoader/Securer – STGODump Truck – Articulated ChassisDump Truck – Rigid ChassisA41A42A43A44A45A46A47A48A49A50A56A57Up to 15 tonnesUp to 15 tonnesAll sizes (wheeled)TrackedLifting OperationsTrackedLifting OperationsBlocked duties onlyAll DutiesB: LGVA: Non-LGVB: All Types – Static DutiesD: Excavator onlyA: All types – All DutiesC:  Knuckle Boom – Static Duties OnlyE:  Lift truck onlyB: Clamshell BucketA: HookC: Hydraulic ClampTrencherSkip HandlerSlinger/Signaller**How do role-based categories complete the logbook?Appointed Persons/Crane Supervisors can record the type oflifts they have planned or supervised.A37A39A40* What does operating hours mean?“Operating hours” means when you used the machine orequipment for work. This does not include downtime, forexample, when driving a mobile crane or backhoe loader toand from the site or meal breaks.DescriptionCrawler – Tractor/DozerCrawler – Tractor/Side BoomLorry LoaderWho can endorse the operating record?Each entry must be endorsed by someone who can confirmyour operating experience on that machine or equipment.They must provide full contact details.The endorser must map your operating experience againstthe declaration on the next page.CodeA34A35A36You 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, fleetnumber 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 toenable the cumulative hours completed to date to berecorded easily. Please use the tabs provided to separate thecategories to make this process easier.EndorsementHow do I complete this section?B: Pick-and-carry duties onlySection 5 – Category and Endorsement CodesMobile CraneAbout this sectionA60Section 1 – Operating RecordVersion 5 May 2015

Section 5 – Category and Endorsement CodesSection 1 – Operating RecordB: Self-propelledB: Passenger/goods combinedD: Transport PlatformB: Up to 9 metresD: All sizes inc. 360º slewWheeled Loading ShovelTracked Loading ShovelSkid Steer LoaderMotorised ScraperMobile Elevating Work Platform – ScissorMobile Elevating Work Platform – BoomMobile Elevating Work Platform – Mast ClimberPiling Rig – TripodRide on RollerSoil/Landfill CompactorAgricultural TractorA21A22A23A24A25A26A27A30A31A32A33A: Vehicle MountedReach TruckGraderHoistA: Rack & Pinion GoodsC: Rope operated goodsA: Industrial TelescopicC: All sizes exc. 360º slewB: TrackedNote: LGV licence must be heldA: WheeledB: Luffing jibA18A19A20DescriptionVersion 5 May 20151. Preparing the machine or equipment for work, as permanufacturer’s requirements2. Transporting/manoeuvring the machine to the workplacein a safe manner (mobile plant only)3. Setting the machine/equipment for work, as permanufacturer’s and industrial requirementsCrawler Crane over 10 tonnesTower CraneDraglineConcrete Pump - Truck Mounted BoomForward Tipping DumperExcavator 180º below 5 tonnesExcavator 180º above 5 tonnesRough Terrain Masted ForkliftForklift Side-LoaderIndustrial Forklift TruckTelescopic HandlerCodeI confirm that the user of this Logbook is experienced in thefollowing activities for which I have endorsed their workexperience.A02A04A05A06A09A10A12A14A15A16A17A: Trolley jibEndorsementEndorsement Declaration204. Operating/using the machine or equipment, as permanufacturer’s and industrial requirements5.Carrying out work in a safe and efficient manner6.Working to given instructions, dimensions and tolerances7. Conforming to legislation, requirements and companyregulations8. Shutting down, securing and leaving the machine orequipment in a safe situation9. Maintaining appropriate company records i.e. vehiclecheck forms, etc.Appointed Person/Crane Supervisor Only10. Planning or supervising lifting operations in accordancewith regulations and official guidance11. Constructing or following risk assessments, methodstatements and lift plans5Version 5 May 2015

Section 1 – Operating RecordSection 5 – Contact informationExample completed pageStart date 15 / 03 / 11End date 12 / 03 / 11End date 19 / 03 / 11A59Hours2 6CategoryCum. 4 0A59Endorsement AEndorsement AMake/Model JCB JS130Make/Model JCB JS130ID NumberID NumberN1PD L13N1PD L13Site AddressPlant Training LtdTrench LaneDigger LandSite AddressBack Fill PlentyMuckley LaneHole DeepSite PostcodeSite PostcodeH43 2AUNameSam SamplePositionSite ForemanSignatureG23 1ABNameSarah SamplePositionSite ManagerSignatureSam SampleSarah SampleCompany NameCompany NamePlant Hire LtdCompany Telephone01234 987654Version 5 May 2015Deepfill PlcCompany Telephone0845 8008136EmployerCategoryCum. 1 4WhoOperating Endorsement1 4Operator1WhenOperating Hours3 / 1WhatOperating Details7 / 0WhereOperating LocationStart date 0HoursCPCSCPCS 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?CPCS0 1 2 3 9 8 5Card No.Name Andy DriverMailing Address:CPCS, PO Box 320, Bircham Newton, King’s LynnNorfolk, PE31 6WDHealth, 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 testCITB 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?19Version 5 May 2015

Version 5 May 201518/Start date//End date//End tEndorsementMake/ModelMake/ModelID NumberID NumberSite AddressSite AddressSite PostcodeSite Company NameCompany NameCompany TelephoneCompany Telephone7WhenOperating Hours/WhatOperating Details CPCS contact information Categories and Endorsement codes Validation ChecklistStart dateWhereOperating LocationAbout this sectionThe purpose of this section is to provide you with furtherinformation to support you in completion of your logbook.CPCSCard No.NameWhoOperating EndorsementSection 5 – Further InformationSection 1 – Operating RecordVersion 5 May 2015

Section 4 – Employment RecordCPCSCard No.Start date//Start date//End date//End date//HoursCum.HoursCPCSCard No.NameCum.WhenOperating HoursNameStart date//Start date//End date//End date//Total durationTotal durationNature of businessNature of businessJob title/dutiesJob title/dutiesEmployer AddressEmployer AddressSite PostcodeSite ID NumberID NumberSite AddressSite AddressSite PostcodeSite sitionSignatureSignatureSignatureSignatureCompany NameCompany NameCompany NameCompany NameCompany TelephoneCompany TelephoneCompany TelephoneCompany TelephoneVersion 5 May 2015817WhoEmployer EndorsementWhereOperating LocationWhoOperating EndorsementWhereEmployer LocationCategoryWhatOperating DetailsCategoryWhatWhenEmployment Details Employment DatesSection 1 – Operating RecordVersion 5 May 2015

Section 4 – Employment RecordSection 2 – Testing Record/Start date//End date//End date//Total durationTotal durationNature of businessNature of businessJob title/dutiesJob title/dutiesEmployer AddressEmployer AddressSite PostcodeSite Company NameCompany NameCompany TelephoneCompany TelephoneVersion 5 May 201516WhereEmployer Location/WhoEmployer EndorsementStart dateWhatWhenEmployment Details Employment DatesCPCSCard No.NameAbout this sectionThe purpose of this section is to capture your Testing Recordwhich can be countersigned by the Testing Body to confirmTest 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 takenYou should fill in this section after each test that you takeis passed.Who can endorse the testing record?Each entry must be endorsed by the Tester to confirm thatyou have completed and passed the test as stated. Theymust provide full contact details.9Version 5 May 2015

Section 2 – Testing Record/Test date/Test duration/WhatTest DetailsTest duration/WhenTest DateTest dateSection 4 – Employment RecordCPCSCard No.NameAbout this sectionThe purpose of this section is to capture a record of currentemployment, or any previous employment over the lastfew years.This information could be useful to a new employer if youchange your job.How do I complete this section?You should fill out this section to record the details about youremployment including: When – start and finish dates What – the sectors of industry you worked in (natureof business) and your duties Where – the address where the employer is basedSite AddressTest Site PostcodeTest Site PostcodeYou should fill in this section on leaving an employer.Tester NameTester NameTester PositionTester PositionWho can endorse the employment record?Each entry must be endorsed by the employer to confirm thatyou have worked for them as stated. They must provide fullcontact details.Tester SignatureTester SignatureTest Centre NameTest Centre NameTest Centre TelephoneTest Centre TelephoneVersion 5 May 201510WhoTest EndorsementWhereTest LocationSite Address15Version 5 May 2015

CPCSCard No.//TrainingdateCPCSCard No.Name//WhenTraining DateNameTrainingdateSection 2 – Testing RecordTest date//Test date/Test durationTest durationSite AddressSite AddressTest Site PostcodeTest Site PostcodeTrainer NameTester NameTester NameTrainer PositionTrainer PositionTester PositionTester PositionTrainer SignatureTrainer SignatureTester SignatureTester SignatureTraining Provider NameTraining Provider NameTest Centre NameTest Centre NameTraining Provider TelephoneTraining Provider TelephoneTest Centre TelephoneTest Centre TelephoneTraining durationTest Site AddressTest Site AddressTest Site PostcodeTest Site PostcodeTrainer NameVersion 5 May 201514WhatTest DetailsWhereTest Location11WhoTest EndorsementWhoTraining EndorsementWhereTraining LocationWhatTraining DetailsTraining duration/WhenTest DateSection 3 – Training RecordVersion 5 May 2015

//Trainingdate/Training durationTraining durationTest Site AddressTest Site AddressTest Site PostcodeTest Site PostcodeTrainer NameTrainer NameTrainer PositionTrainer PositionTrainer SignatureTrainer SignatureTraining Provider NameTraining Provider NameTraining Provider TelephoneTraining Provider Telephone/This information could be useful to a new employer if youchange your job.You should fill in this section after each training session thatyou have completed.Who can endorse the training record?Each entry must be endorsed by the Trainer to confirm thatyou have completed the course. They must provide fullcontact details.Version 5 May 20151213WhereTraining LocationHow 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 takenWhenTraining DateTrainingdateWhatTraining DetailsAbout this sectionThe purpose of this section is to capture a record of anytraining courses, tests or assessments that you haveattended or taken.CPCSCard No.NameVersion 5 May 2015WhoTraining EndorsementSection 3 – Training RecordSection 3 – Training Record

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

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