SPECIMEN — FOR APPROVAL

Assessment evidence record

Darren Wheeler · reference DW4417 · evidence file PHW/EF/2026/4417

Employer
Specimen Construction Ltd
Instructor / Assessor
Adrian Whetton (7317/001)
Qualifications
6
Record issued
25 June 2026

How competence was established

Every qualification below was awarded only after three components were completed and signed:

The full evidence file — question records, the marked test papers and the signed practical checklists — is retained by PHW Services for the life of the certificate plus three years and is available to site management on request.

Legal basis

There is no statutory universal “plant licence” in the UK. The legal test is operator competence established through adequate training:

Qualifications and evidence

Counterbalance Forklift Truck

Up to 4500 kg · motive power diesel / gas / electric
A16
Date of assessment
12 January 2026
Machine used
Toyota 8FG25 (LPG), 2.5 t counterbalance
Refresher recommended
January 2029 – January 2031
Supplementary
Supplementary written sets: A 21/21 · Safety 15/16 · Operational 20/21

Theory examination

62 / 71 (87%) · pass mark 57 (80%) · All safety-critical correct
Answered in the candidate’s own handwriting; paper marked, scored and signed by the assessor.

Practical assessment — all criteria competent

Units achieved

RefUnit title
1072Health, Safety and Security at Work
7780Prepare the Forklift Truck for Driving or Manoeuvring
7781Operate, Move or Manoeuvre the Forklift Truck
7782Select, Transfer and Position Loads Using a Forklift Truck
7783Load the Container, Vehicle, Vessel or Craft Using a Forklift Truck
7784Unload the Container, Vehicle, Vessel or Craft Using a Forklift Truck
7785Undertake Post-operational Checks on Forklift Trucks
9451Obtain Information on the Collection and/or Delivery of Loads
7913Keep Work Areas Clean in an Industrial/Construction Operations Environment
7914Moving and/or Handling Goods in an Industrial/Construction Operations Environment
7933Sort Goods and Materials for Recycling or Disposal
7917Wrap and Pack Goods in an Industrial/Construction Operations Environment

Mobile Elevating Work Platform

3a mobile vertical (scissor) and 3b mobile boom
MEWP 3a / 3b
Date of assessment
26 February 2026
Machine used
Genie GS-3232 scissor · Niftylift HR12 boom
Refresher recommended
February 2029 – February 2031

Theory examination

55 / 63 (87%) · pass mark 51 (80%) · All safety-critical correct · boom supplement 10/10
Answered in the candidate’s own handwriting; paper marked, scored and signed by the assessor.

Practical assessment — all criteria competent

Units achieved

RefUnit title
1072Health, Safety and Security at Work
3901Prepare the MEWP for Work — Pre-use Inspection and Siting
3902Set Up, Elevate and Position the Work Platform
3903Travel and Manoeuvre the MEWP (Stowed and Elevated as Permitted)
3904Work Safely at Height from the Platform, Including Fall Protection
3905Ground Rescue and Emergency Lowering Procedures
3906Undertake Post-operational Checks, Shutdown and Securing of the MEWP
6831Loading/Offloading the MEWP onto Road Freight Vehicles

Telescopic Handler

All sizes including 360 slew
A17
Date of assessment
19 March 2026
Machine used
JCB 540-170 Loadall, forks
Refresher recommended
March 2029 – March 2031

Theory examination

64 / 72 (89%) · pass mark 58 (80%) · All safety-critical correct
Answered in the candidate’s own handwriting; paper marked, scored and signed by the assessor.

Practical assessment — all criteria competent

Units achieved

RefUnit title
1072Health, Safety and Security at Work
7780Prepare the Telescopic Handler for Driving or Manoeuvring
7781Operate, Move or Manoeuvre the Telescopic Handler
7782Select, Transfer and Position Loads Using a Telescopic Handler
7783Load the Container, Vehicle, Vessel or Platform Using a Telescopic Handler
7784Unload the Container, Vehicle, Vessel or Platform Using a Telescopic Handler
7785Undertake Post-operational Checks on the Telescopic Handler
9451Obtain Information on the Collection and/or Delivery of Loads
7913Keep Work Areas Clean
7914Moving and/or Handling Goods
7933Sort Goods and Materials for Recycling or Disposal
6831Loading/Offloading the Telescopic Handler onto Road Freight Vehicles

360 Excavator

Below 12 tonnes · tracked
EXC360
Date of assessment
14 May 2026
Machine used
Kubota KX080-4, 8 t tracked, semi-automatic quick hitch
Refresher recommended
May 2029 – May 2031

Theory examination

35 / 40 (88%) · pass mark 32 (80%) · All safety-critical correct
Answered in the candidate’s own handwriting; paper marked, scored and signed by the assessor.

Practical assessment — all criteria competent

Units achieved

RefUnit title
1169Roles and Responsibilities of the Excavator Operator; Use of the Operator's Manual
7202Names, Components and Functions of the Excavator
7783Correctly Mount and Dismount the Excavator
7513Dangers of Underground Services, Overhead Cables and Other Site Hazards
7780Pre-use Checks, Functional Checks and Correct Shutdown Procedures
7782Locate and Identify the Controls and Their Function; Prepare for Site and Road Travel
7781Configure and Travel the Excavator Across Various Terrains in Open and Confined Spaces
7785Carry Out All Necessary Safety Checks in the Work Area
9451Set the Excavator Up in Readiness for Excavating Tasks
7913Carry Out Various Excavating Tasks
7914Backfilling Excavations, Spreading and Grading Ground
7936Loading Materials into Transport Vehicles
7942Changing Buckets and Attachments for Specific Activities (Including Quick Hitches)

Lorry Loader Crane

Hook · clamshell bucket · hydraulic clamp
A36
Date of assessment
25 June 2026
Machine used
Hiab X-HiPro 232 on rigid chassis
Refresher recommended
June 2029 – June 2031

Theory examination

63 / 73 (86%) · pass mark 59 (80%) · All safety-critical correct
Answered in the candidate’s own handwriting; paper marked, scored and signed by the assessor.

Practical assessment — all criteria competent

Units achieved

RefUnit title
1072Health, Safety and Security at Work
7783Operator Roles and Responsibilities
7764Regulations and Legislation
7513Principal Components, Controls and Terminology
7780Pre-Use Checks
7781Pre-Travel Set-Up and Travelling the Vehicle
7782Manoeuvring in Confined Spaces
7785Configure for Lifting Duties
9451Hazards: Underground and Overhead Services
7913Rated Capacity Indicator for Lifting Duties
7914Lifting Loads — Radius, Slewing and Swing
7933Moving Un-balanced Loads
7917Lifting Accessories
7793Shutdown and Securing Procedures

Abrasive Wheels

Mounting and use · bench and portable
AW
Date of assessment
25 June 2026
Machine used
Bench grinder · 230 mm angle grinder · cut-off saw
Refresher recommended
June 2029 – June 2031

Theory examination

31 / 35 (89%) · pass mark 28 (80%) · All safety-critical correct
Answered in the candidate’s own handwriting; paper marked, scored and signed by the assessor.

Practical assessment — all criteria competent

Knowledge topics assessed

Status on site

PHW Services delivers and evidences stage 1, basic training. Before this operator works on your site the remaining stages are the employer’s:

StageContentResponsible
1. Basic trainingOff-the-job skills and knowledge for the machine typePHW Services — complete
2. Specific job trainingThe employer’s machine, site rules, actual tasks, risk assessments and method statementsEmployer
3. FamiliarisationSupervised operation under normal working conditionsEmployer supervisor
4. Written authorisationEmployer authorises the named operator for named machines and tasksEmployer