KD-PLT-OA-011
Plant Operator Authorisation and Competence Record
The record that a named operator is authorised on a named machine: card type, category and expiry seen, familiarisation on this model with its handbook and controls, restrictions, and the site manager's authorisation with a validity date.
2 pages · 48 fillable fields · works in Adobe Reader, Preview, Chrome, or on a phone — or complete it online in your browser and download the finished document.
Page 1 of 2 — click to enlarge
Read all 2 pages first — watermarked sample, no email Before you submit: the checklist
Statutory basis, cited on the form
- PUWER 1998 reg 9
- CDM 2015 reg 15(7)
- CDM 2015 regs 13 and 15
What it is not
It is not a completed document and it is not health and safety advice. You must adapt it to your site and have a competent person complete and sign it off. See why we don't say "compliant".
Format
AcroForm fillable PDF. Every field has a tooltip. Tab order follows the reading order. Works on desktop and mobile, in Adobe and non-Adobe readers.
This revision was prepared against legislation current at 10 August 2026. Revision A0. Check kubitdocs.com/revisions for the current revision before use.
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