Level5Diplomain

ControllingLiftingOperations
PlanningLifts(Construction)
CandidatesGuidetotheQualification
andEvidenceRequirements

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1.

CskillsAwardsL5DiplomainControllingLiftingOperations
PlanningLifts(Construction)
CandidatesGuidetoEvidenceRequirements

IntroductiontotheQualification

TheCskillsAwardsL5DiplomainControllingLiftingOperationsPlanningLiftsisthevocationalqualification
required to convert a red CPCS Trained Operator card, which is endorsed Appointed Person (Lifting
Operations),toablueCompetentOperatorcardwiththesameendorsement.
Whilst the qualification is quite high in the table of qualifications (roughly equal to a university degree in
academicterms),itisfairlystraightforwardforthosewhohaveexperienceofdevelopingsafesystemsofwork
forliftingoperationsandwhoarefamiliarwiththerequirementsofLOLER,PUWERandBS7121.
Thisqualificationcomprises7units,allofwhicharemandatory.Theyareasfollows;
UnitCode

UnitTitle

QCF210v

DevelopingandMaintainingGoodOccupationalWorkingRelationshipsintheWorkplace

QCF728

EvaluatingandSelectingWorkMethodstoMeetProjectorOperationalRequirementsinthe
Workplace

QCF732

Identifying,AllocatingandPlanningtheDeploymentandUseofPlant,EquipmentorMachineryin
theWorkplace

QCF530v2

PlanningandEstablishingHealth,Safety,WelfareandEnvironmentalSystemsforLifting
OperationsintheWorkplace

QCF529v2

PlanningLiftingActivitiesUsingCranesand/orLiftingEquipmentintheWorkplace

QCF729

PlanningthePreparationoftheSitefortheProjectorOperationintheWorkplace

QCF702v2

PlanningWorkActivitiesandResourcestoMeetWorkRequirementsintheWorkplace

Althoughtheunitcodesandunittitlesmayseemalittledauntingitisinfactaquitestraightforwardprocessif
youroutinelyprepareriskassessmentsandmethodstatementsforliftingoperations.





Acommonmisconceptionisthatyoumustplanliftingoperationsusingmobilecranesinordertoachievethis
qualification. You can actually achieve this qualification by planning lifting operations using a variety of
different types of lifting equipment including tower cranes, crawler cranes, lorry loader cranes, hoists,
overhead cranes, telescopic handlers, masted forklift trucks, excavators, drilling rigs and other lifting
equipment covered by LOLER 98. Your evidence can be drawn from planning safe systems of work using a
singletypeofliftingequipmentorthroughplanningusingdifferenttypesofliftingequipment.



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2.

CskillsAwardsL5DiplomainControllingLiftingOperations
PlanningLifts(Construction)
CandidatesGuidetoEvidenceRequirements

EvidenceRequirements

InordertoachievethisLevel5Diplomayouwillneedtoprovidesufficientevidencetoproveyourcompetence
acrossallthe mandatoryunitsinthisqualification.Theevidenceyouprovidemustbeyourownworkwhich
covers your lift planning activities and your lift planning experience. The types of evidence needed will vary
accordingtothetypeofliftingequipment,theindustryandtheindustrialsectoritisbeingusedin.Different
companieswillalsohavetheirownorganisationalandoperationalprocedures.Evidencecouldinclude;
x
x
x
x
x
x
x
x
x
x

Recordsofformalandinformalmeetingswhereliftplanningwastheissue;
Records of telephone conversations when you sought information or gave advice about lifting
planningactivities;
Emails to or from others which show a communication process to seek information or clarification,
confirmorders,provideinformationorsuggestingalternativearrangementsforliftingoperations;
Copiesofsitevisitrecordswhichconfirmthelocationforplannedliftingactivitieswhichmightinclude
accessandegressfortheliftingequipment/transport,sitespecifichazards,welfarefacilitiesetc;
Copies of risk assessments for lifting operations which take into account the risks and the control
measures;
Copies of method statements for lifting operations which contain all the details for the planned lift
including load handling devices, people and their competencies, methods of attaching the load for
transferringandpositioning,proximityhazards,sequenceofoperationsetc;
Copiesofdrawingswhichindicatetheloaddimensionsandliftingpointsormethodofslinging,lifting
equipment details for positioning purposes etc. Drawing can be hand drawn sketches or computer
generated;
Dutychartsand/orrangecharts;
Detailsofthecontractconditionsfortheliftingequipmenttobeused(cranehire/contractlift);
Otherlegislative,organisationaland/oroperationaldetailsnecessarytocompletethesafesystemof
workforliftingoperations.

Dontworryifyoudonthaveaccesstosomeoftheinformationshownabove.Yourassessorwillensurethat
youare able to identify all the naturallyoccurring workbased evidence for yourparticular lifting equipment
andworkactivity.
3.

ProfessionalDiscussion

Asthisisaplanningbasedqualificationitisdifficulttoassessthewholeplanningprocessinameaningfulway
throughpaperbasedorelectronicevidencealone.Therefore,weuseprofessionaldiscussiontodeterminethe
underpinningknowledgerequirementsforthisqualification.
Thisisanaudiorecordeddiscussionaboutwhat,howandwhyyouplanyourliftingoperationsincertainways
andwhattheconsequencesmightbeifliftingoperationsarentproperlyplanned.Werecordthediscussionin
short start/stop segments to ensure that we are able to review all of the professional discussion afterwards
ratherthandisruptingtheflowofthediscussionbytryingtotakecopiousnotesalthoughyourassessormay
stillmakesomenotes.THISISNOTEATESTORAPASS/FAILINTERVIEW
Theprofessionaldiscussionswillbebasedonevidencewhichyouhavepreviouslysubmittedtoyourassessor
andthiswillbethebasisofthequestionsthatwillbeasked.Thequestionswillbeinatellmeformatand
therewontnecessarilybespecificallyrightanswers.Yourreplywillbebasedonthecircumstancesofyouyr
plannedliftingoperationsandthereforetheanswerwillbespecifictoyourindustry,sector,operationandthe
specificequipmentrequirementsforeachplannedlift.Theimportantthingtorememberisthatitisnotatest
andthereisnopassorfailyouwilleithermeetthenationalstandardforthequalificationoryouwillneedto
provideadditionalevidencetoreachthestandard.
4.

TypesofEvidenceCommunication

Throughoutourworkingdayandbeyond,weuseavarietyofcommunicationmethodstoseekinformationor
adviceandtoprovidedetailsandinformationtoothers.Wemayneedtoenquireaboutavailability/leadtime
forliftingequipmentorperhapsrequestplanthireratesamongstotherthings.


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CskillsAwardsL5DiplomainControllingLiftingOperations
PlanningLifts(Construction)
CandidatesGuidetoEvidenceRequirements

Commonmethodsofcommunicationincludefacetofacediscussions,formalandinformalmeetings,telephone
conversations, emails to and from others, letters and faxes etc. Some forms of communication result in
tangibleevidencesuchaminutesofmeetings,emails,lettersandfaxesforexample.
Wherethereisntanytangibleevidenceofcommunicationsuchasfacetofacediscussions,informalmeetings
and telephone conversations for example, you could make reference to these in a personal statement (see
appendix1foranexample).Inyourpersonalstatementyoucoulddescribethemethodofcommunication,the
purposeandcontentofthecommunicationandtheoutcomeofthecommunication.Analternativetothisis
foryourassessortoobserveyouundertakingoneormoretheseactivitiesbutthiswouldbedifficulttoarrange
unlesstheopportunityarosenaturallyduringanassessmentvisitorduringanassessmentplanningvisit.
Remember, whatever form of communication you use as evidence it must be your own and it must relate
primarilytoaliftplanningprocesswhichisrelevanttothisqualification.
5.

TypesofEvidenceSourcesofInformation

In order to plan safe lifting operations which meet the minimum requirements of legislation, as well as the
organisationalandoperationalrequirementsofthetask,youwillneedtoobtainliftplanninginformationfrom
avarietyofsources.Thisinformationwillformthebasisofyoursafesystemofwork.
Althoughthisqualificationcoversawiderangeofliftingequipmentasmentionedearlierwearegoingtouse
examplesofamobilecranesusedforliftingloadsonaconstructionsitestoillustratesourcesofinformation.
This is for brevity purposes only and your assessor will advise you of other sources information which are
relevanttoyourparticularcircumstance.
The clients outline  this provides you with details needed in order to start planning the lifting
operation.Thiswillincludedetailsoftheloadweight,size,shapeetc.Thisisgoodevidencetouseas
it is the start of the lift planning process and your assessor will be able to discuss your thought
process;
Rangechartsand/orcranedutychartstheseallowyoutomakeyourinitialassessmentofthetype
ofcranethatmightbesuitablefortheliftingoperationbasedontheclientsoutlineinformation(see
appendix2foranexample);
Siteinspectionreportthisallowsyoutofinetuneyourinitialcraneselectionbyidentifyingaccess
andegressissuesforthecraneaswellastransportfortheload.Heightandrangeissues,proximity
hazards,obstaclesandothertrades/plantworkingonsitewillalsoinfluencetheplanningprocess(see
appendix3foranexample);
Manufacturersinstructionsand/orcranespecificationguidesyoumayusetheseyouidentifythe
availablecraneduties,riggingprocedure,theweightofthecraneincludingtheaccessories/equipment
onthecrane,themanoeuvrabilityofthecraneetc(seeappendix4foranexample);
Informationfromthecranehirecompanythismaybeanemailrequestinginformationandcould
includethemaximumoutriggerloadingsbasedontheircalculationsusingtheplannedconfiguration
andtheloadtobeliftedandaccessoriesthatwillbeused(seeappendix5foranexample);
Drawingsfromtheclient,liftsite,contractororsubcontractorthesemaybehanddrawnsketches
forsimpleliftingoperationsorCADdrawingsformorecomplexlifts.Thedrawingscouldbeoftheload
dimensions, the slinging configuration, the crane berthing study, the loading/offloading of the load
etc(seeappendix6foranexample);
Yourownriskassessmentoftheliftingoperationthisallowsyoutoincludethenecessarycontrol
measuresintothefinalsafesystemofworkandwillcoverPPE,safetyequipment,specialistsupport
materialsandotherequipmentetc(seeappendix7foranexample);
Othersourcesofinformationcanbefoundthroughinternetsearches,specialisttradeassociationssuchasthe
CPA,discussionswithcolleagues,callstoutilitycompaniesetc.Thismethodofsourcinginformationcouldalso
beincludedinyourpersonalstatement(seeappendix1)



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6.

CskillsAwardsL5DiplomainControllingLiftingOperations
PlanningLifts(Construction)
CandidatesGuidetoEvidenceRequirements

TypesofEvidencePersonnelSelectionandCompetenceRequirements

An important part of the lift planning process is the identification of the personnel requirements and
determiningtheircompetency.Thisisoftenincludedinthemethodstatementanditsanareaoftencoveredin
toolboxtalksgivenpriortotheliftingoperation(seeappendix8foranexample).
In the UK construction industry the most recognised proof of competence is the Construction Plant
CompetenceScheme(CPCS).Thisschemeincludesalmostallthecategoriesofplantusedonconstructionsites
andtheoperatorwillholdacardshowingwhichcategoriesofplanttheyarecompetenttooperate.
Otherexampleswhichaliftplannermayspecifytodeterminecompetencemayincludecertificatesofspecific
trainingforthecranetheywillbeoperatingorproofofsafetyharnesstrainingifthatisspecifiedintherisk
assessmentasacontrolmeasure.
Thesafesystemofworkforliftingoperationsmustshowpersonneltobeusedandhowtheywillbedeemed
competent.
7.

TypesofEvidenceSafeSystemsofWork

Therearemanydifferentwaysofproducingsafesystemsforworkforliftingoperations.Somearebasedon
promoted best practice by trade associations such and the Construction Planthire Association (CPA), others
areinhousetemplateswhicharepartofanestablishedqualitymanagementsystem.
Thetypeofliftingequipment,thecomplexityoftheoperationandthefrequencyofsimilarliftingoperationsin
the work same area or site will all influence the finished document. However, the evidence doesnt have to
conform to a particular layout or presented in a particular way but it does need to contain all the elements
requiredtoensuresafetyismaintainedthroughouttheliftingoperation.
Thesafesystemofworksubmittedasevidenceshouldincludethefollowing:

x Anassessmentofrisksassociatedwiththeoperationandthecontrolmeasures;
x Evidenceofplanningtheoperation;
x Amethodstatementshowingthesequenceofoperations;
x Detailsoftheselection,provisionanduseofsuitableliftingequipment,including:
o maintenance;
o inspection;
o examination,andtestingifrequired;
x Sitepreparation,ifrequired,includingaccessandegressfromtheequipmentandtransport;
x Detailsoftrainedandcompetentpersonnelwhoareawareoftheirstatutoryresponsibilities;
x Supervisionbyproperlytrainedandcompetentpersonnelwithauthority;
x Methodofensuringthatalltestcertificatesandotherdocumentsareavailableduringoperations;
x Methodofpreventingunauthorisedmovementaroundtheliftsiteatalltimesduringoperations;
x Considerationforthesafetyofpersonsinthedangerzonebutnotinvolvedintheliftingoperation.

Remember, your assessor is always available to help, guide and support you throughout the assessment
process. If you are unsure of what is required or if you need further clarification then please contact your
assessor.
TheinformationshowninthefollowingappendicesarebasedonsomeofthegoodpracticewhichISTraining
Ltdhascollectedduringtheassessmentprocess.However,theinformationhasbeenalteredtoremovedirect
referencestoindividualsandcompanies.Therefore,theinformationshouldnotbeusedforplanningpurposes.
Itisprovidedasexamplesofevidenceandhowitmaybepresented.


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CandidateStatement

Appendix1

Iwasaskedtoliaisewiththeclientsconstructionmanagerregardingtheliftingandtransportationof3largeintake
trashscreenswhichwerebeingusedonthehydropowerschemetopreventlargepiecesofdebrisenteringthehead
tunnelanddamagingtheinfrastructure.Theclientrequiredthejobtobecarriedoutassoonaspossible.
My first task was to undertake a site inspection, take photographs of the current positions of the trash screens,
sketch out the area and look at possible areas where a crane could be setup. Two of the units weighed
approximately4,800kgs.However,thethirdunitweighed8,200kgswhichruledouttheuseofalorryloadercrane
whichwasavailableonsiteatalltimes.ThethirdunitwaswellinexcessofthelorryloadersmaximumSWL.
Twoofthethreeunitswerepositionedtotherearofapeatstorageareawithonlyanarrowaccessroadthrough
wetandsoftground.ThismeantthatIhadtoselectacranecapableofreachingalltheunitsfromanareaatthe
frontoftheintakezone.
OnceIhadobtainedtheweightsofalltheunitsfromtheclientIwasabletoconsultsomecranedutychartstomake
aninitialcraneselection. AlthoughIknewa largercranewasneededfor reachpurposes Ihadtoensurethatthe
cranewouldnotbetoobigduetotheadditionalspacerequirementsforsettingup.Acranethatwastoobigwould
increasetheoutriggerloadingsandleadtolargertemporaryfoundationsforthecranesetupon.
MyinitialcraneselectionwasaLiebherrLTM1055allterraincrane.Thiscranewaslargeenoughtomanagethelift
associatedwiththe8,200kgstrashscreen.Thetemporarysupportforthiscranewouldrequirepeattobestripped
backandtype1materialandspoilfromthetunnelcompactedtoformsuitablefoundations.
Once I had confirmed the crane size needed for the job I completed a requisition form in order for the buying
departmenttoorderthecranefromalocalcranehirecompany.OnthisrequestformIincludedallofthenecessary
informationIrequiredtoplantheliftingoperationsuchasthedetailsofoutriggerloadings,the12monthlythorough
examination report and details of all certified lifting equipment which the crane came with as standard. I also
requireddetailsofthecraneoperatorandcertificatesofspecifictrainingforthatparticularcrane.
Unfortunately,duetootherjobsoverrunningtheactualdateforthecraneliftwaspostponedanumberoftimes.
Thismeantthatthecranehirecompanyandtheavailablecranealsochanged.Theonlycranethenewhirecompany
couldsupplywasaGroveGMK3055whichwasofasimilarspecificationtotheLiebherrLTM1055.Iamendedmy
notesfortheliftplanaccordingly.
OncetheactualdateoftheliftwasconfirmedIsentemailstothoseconcerned,liaisedwiththeclientandcalledthe
cranesupplierinordertoensureeverythingwasinplaceforthenewdate.Ialsohadtoensurethatthesiteforeman
waskeptuptodatewiththechanginginformationsothatthefoundationmaterialsforbeneaththeoutriggerpads
wouldbeonsiteandpreparedintime.
InadditiontotheliftplanIcompletedasitesketchshowingthelocationofthecraneforthesetupaswellasthe
location of the tractor and trailer for transporting the gates off site. The lifting sequence and methodology was
preparedandincludedthemethodstatementwhichoutlinedtherolesandresponsibilitiesofindividualsinvolved.A
riskassessmentwasalsoprepareddetailingthecontrolmeasuresrequiredinordertoeliminatetherisksidentified.
Thefinalisedsafesystemofworkwassenttotheclientforcommentandacceptance.Whentheircommentswere
receivedIincorporatedthemintoarevisedmethodstatementanddistributeditaccordinglytoallconcerned.The
newplanwasclearlymarkedREVISION1SUPERSEDESREVISION0.
The lift took place according to plan and I called a team meeting afterwards to discuss the lifting operation and
askedforsuggestions,commentsandfeedbackwhichwouldassistmewithfutureliftplanning.Everyonewashappy
andIthankedthemforanexcellentjobwelldone.
MichaelEversomme,AppointedPerson,MountEngineeringSolutionsLtd

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Appendix2

Groundconditionsonsitearesoftandthetemporaryaccessroadissufficienttohandlethecraneandtransport.Craneandtransportmusttravelslowly
alongtheaccessroadanda
banksmantoguidethemtoavoid
gettingtoclosetotheedges;

Partoftheexistingfencingwill
needtoberemovedinorderto
sitethecrane.Siteagentto
arrangepriortocranearrival;

Theliftsiteisinanopenareawith
nooverheadhazards;

Sufficientwelfarefacilitiesonsite
forthecraneoperatorand
transportdriver;

Thereisanenvironmentalaction
planonsite.Thereforethecrane
operatorandtransportdrivermust
haveaccesstospillkitsandbe
properlytrainedintheiruse;

SiteagentsnameisTommyandhis
mobilenumberis0780xxxxxxx

PostcodeforthesiteisAL139MR

Sitesafetyinductionsarehelddaily
at7.30am.Alloperativesmust
attendinduction

x

x

x

x

x

x

x

x

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ThesiteislocatedinaruralareaofAngleseywithlimitedaccessfromasingletrackcountryroad.Cranemusthaveallwheelsteerinordertoturnoffthe
roadandontosite.Additionalbanksmenwillbeneedduringthecraneandtransportaccessandegressofsitemanoeuvrestowarnoncomingtrafficof
vehiclesintheroad;

x

SiteVisitReportHydrodaleTunnelProject,Anglesey.InspectionreportbyMichaelEversomme

Appendix3

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Appendix4

MichaelEversomme

Appendix5

From:

Gabbot,Andrew[andrew.gabbot@fortalmondcs.com]
Sent: 

17May201115:46
To: 

Eversomme,Michael
Cc:
Subject:

RE:AllowableBearingPressuresCraneOutriggerLoadings

Michael,

1.
400kN/m2(minimum3mfromedgeofPQ)
2.
300kN/m2(builtonsoundlayer)
3.
200kN/m2(subjecttoheeltest)

Ofcourse,thisisdependentontheoutriggerpadedgebeingaminimumdistancefromthetopoftheclosest
batter.Wealsorecommendusingloadspreadingmatsingeneral.
Asituationcanbelookedatindetailifthesevaluesarepreclusive.

Regards,

Andy

From:Eversomme,Michael
Sent:17May201113:12
To:Gabbot,Andrew[andrew.gabbot@fortalmondcs.com]
Subject:AllowableBearingPressuresCraneOutriggerLoadings

Andy,

IhavebeenrequestedtodesignacraneliftattheTarnmillsproject.

Canyoupleaseprovidemewiththeallowablegroundbearingpressuresforthefollowing;

1.
PQConcrete
2.
Crushedconcretecraneplatform/pilingmatt(400mmthick(
3.
Gravels(ifallowable)

Iwillconductaplatebearingtestonthecrushedconcreteplatformorthegravelspriortoloadingifithasnotbeen
undertaken.

Regards

MichaelEversomme
AppointedPerson



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Appendix6

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Appendix7

SiteLocation:
RAProducedby:
Activity&Hazards
(Identifyhazardsassociated
withtask)
Access

SiteSpecificRiskAssessment MobileCraneOperations
OldHillTannery,GillFarm,Exxeborne
Page1of1
MichaelEversomme,AppointedPersonMESL
Date:
08/06/2012
InitialRisk
Residual
ControlMeasures
Rating
RiskRating
(Identifymeasurestoeliminate,reduceorcontrolhazardorthose
thatarerequestedbyothers)
H M L
H M L

 


Unsuitableaccessorbase

9

Restrictedliftingor
operationalarea

9

IncorrectuseofCraneand
LiftingOperation

Overloadingofcraneand
liftingequipment

9

Failureofequipment

9

LackofcorrectPPE

9

General
Slips,tripsandfalls

9

Workingatheight

9

Fallingintoexcavationsor
voids

9

COSHH

9

Plancranearrivalandworkareas.Ensureaccessrouteandstanding
areasarefreeofobstructionandsoftground.CraneSupervisorto
ensureadequatesafeareaforriggingandderiggingtotakeplace.
Checkoperationalareaforoverheadoradjacentstructures.Ensure
cranestandingareawillwithstandimposedloading.
Check that the Slinger/Signaller and crane operator can see or
communicate with each other. Crane coordination may be
requiredifotherliftingoperationsaretakingplace.Ensureloadsto
be lifted are in the correct position and can be lifted and sited
safely.  No loads to be lifted over public areas.  Lifting operations
willnotbecarriedoutduringadverseweatherconditions.

Ensure that all safe load indicators are working correctly.  Make
surethereisadequatesafeslewingareaforthecranesbody.Does
access need to be restricted?  Check that the crane and its lifting
accessoriesareingoodconditionandfitforthejob.Ensureloadsto
be lifted are secure contained, or wrapped and the landing areas
are clear and adequate for the loads. Remove any defective
equipment immediately and ensure replacements are in good
condition and certificated before being used. All lifting operations
willbecontrolledbyacompetentpeoplewithCPCScards.
Allliftingequipmentwillbeinspectedpriortoeachworkingdayor
when the equipment has been abused or misused. All lifting
equipment is subject to regular thorough examination, frequent
inspection, maintenance and testing if deemed necessary by a
competent person. Records of all of the above will be kept and
readilyavailablewhenrequired.
In order to avoid confusion on site the Slinger/Signaller and
Banksman will wear distinctive high viz jackets or vests.  Head
protection should be of a distinctive colour and is a mandatory
requirement.Handprotectionshouldbeofgoodqualityandafford
maximum dexterity. Foot protection is mandatory.
Communication equipment will be of the best quality and
maintainedtothehigheststandards.

Theworkareamustbekeptclearofdebrisandunnecessaryitems
andequipment.Safetybootswithsufficientanklesupportmustbe
worntopreventtwistedanklesriggerbootsmustnotbeworn.
There is no requirement for personnel to work at height on this
project.Ladders,hopupsetcmustnotbeused.
Excavations and voids must be barriered off to ensure falls into
themcannotoccur.CraneSupervisortoensureallexcavationsand
voidsareprotectedpriortostartingtheliftandthroughout.
Appropriate gloves and light eye protection must be worn when
refuellingorlubricatingplant,machineryandaccessories.

9

9

9

9

9

9

9

9

9


AllpersonsundertakingactivitiesindicatedonthisRiskAssessmentFormmustbemadefullyawareofitscontents


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Appendix8

CompetenceandTrainingRequirementsforLiftingOperationsPersonnel
SiteLocation:

OldHillTannery,GillFarm,Exxeborne

Page:

1of1

RAProducedby:

MichaelEversomme,AppointedPersonMESL

Date:

08/06/2012

RoleinLiftTeam

Name

CPCSCategory

Card
Number

Expiry
Date

AdditionalTraining
CertificateRequirements

A61AP

44xxx62

Jan2013

N/A

A62CLOS

92xxx01

Aug2014

N/A

A60MobileCranes

64xxx59

June2013

AppointedPerson

MichaelEversomme

CraneSupervisor

AndrewJones

CraneOperator

PeterThompson

Slinger/Signaller1

PhilAnderson

A40Slinger/Signaller

89xxx72

May2015

N/A

Slinger/Signaller2

MarkWarner

A40Slinger/Signaller

77xxx64

Dec2012

N/A

GMK3055SpecificTraining

IconfirmthatIhavereadandunderstoodtheRiskAssessmentandMethodStatementforthisliftingoperation
andIamawareofmyroleandresponsibilities.
PrintName

Signature

Employer

Date

1.

MichaelEversomme

Michael Eversomme

MountEngineering

08/06/2012

2.

AndrewJones

Andrew Jones

MountEngineering

08/06/2012

3.

PeterThompson

SouthernCentralCraneSupplies

08/06/2012

4.

PhilAnderson

Phil Anderson

MountEngineering

08/06/2012

5.

MarkWarner

Mark Warner

SouthernCentralCraneSupplies

08/06/2012

Peter Thompson

Notes:

Alloftheaboveundertookthesitespecificinductiononthefirstmorningfollowedbyatoolboxtalkdelivered
bytheCraneSupervisorAndrewJoneswhichcoveredtheriskassessmentandmethodstatement.





AllCPCScardsandtrainingcertificatesmustbecheckedandrecordedbeforetheliftingoperationbegins.All
liftingoperationspersonnelmustsignthisformbeforetheliftingoperationbeginstoconfirmthattheyhave
seen,readandunderstoodtheriskassessmentandmethodstatement.


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