Doc No.

AP/SFT/104/WPS/NT

ADVENT PROJECTS & CONSULTANCY SERVICES PVT. LTD. Rev 01

NIGHT WORK PERMIT

Date & Time- Permit no-

Project Name-
Name of Sub Contractor-
Area & Location-
Date & Time of Work Start-
Date & Time of Work Finish-
Tools and Equipment involved-
Job Description-

DETAILS SUB-CONTRACTOR AREA IN-CHARGE/ENGINEER

Name
Signature
Date
This permit does not relieve user from responsibility with respect to
NOTE safety precautions, user must fully understand the site conditions,
validity of permit, personally checked by permit issuer and user.

STAFF PRESENT DURING WORK

SR. NO NAME DESIGNATION

PRECAUTIONS
1. Sufficient Lighting Provided.
2. Area to be cleaned after the work.
3. Emergency Vehicle should be available & vehicle no-
4. Driver Name & Contact no-
5. Worker list must attach to the permit.
6. Any other Precaution.

Remarks /additional safety measures required if any:-

COUNTER SIGNATURES
I have received a copy of this permit and have understood it. I undertake to follow all the
precautions specified. (VENDOR TEAM)

Name of Project Safety Engineer:________________________Signature:_________________

Name of Project Manager/Engineer:______________________ Signature:_________________

Advent Projects and Consultancy services Pvt. Ltd. Pune|India

 Doc No. AP/SFT/104/WPS/NT

ADVENT PROJECTS & CONSULTANCY SERVICES PVT. LTD. Rev 01

NIGHT WORK PERMIT

APPROVED BY APCSPL TEAM:

Name of the Project Engineer : __________________________Signature:_________________

Name of Safety In charge: _____________________________Signature:_________________

RENEWAL & PERMIT BEYOND STIPULATED TIME :

Remarks if any-

Permit extended up to date & Time: ___________________________

Name of Safety In charge:_____________________________Signature:__________________

The job has been completed and inspected by safety department. All workmen have been

withdrawn; tools removed and job left tidy.

Remarks if any_________________________________________________________________

Date & Time __Name: __________Signature: __

Advent Projects and Consultancy services Pvt. Ltd. Pune|India