Night Vigilance Report

NIGHT VIGILANCE REPORT

SITE:
MONTH:

Name of Leader of Vigilance Team

Designation
Employee Number
Date
Time of Commencement of Visit
Time of Conclusion of Visit

:
:
:
:
:
:

Name of Shift-in-Charge on duty during Vigilance

Employee ID of Shift-in-Charge

:
:

Number of FPONM employees in shift as per Attendance

:
Number of Outsourced employees in shift as per Attendance :
No. of employees doing overtime, if any
:
Discussion with Plant Head and Shift In-charge (based on annexed observations)

Corrective actions suggested / taken (to be reviewed during next Night Vigilance)

Signature of Vigilance Officer

FPONM

Signature of Plant Head

Page | 1

Night Vigilance Report

Annexure - A
S.no

Area

Parameter

Observations

Equipment Status:
(Running / Stopped)
No. of Personnel Deputed at
the Area:
No of Personnel actually
available / working
Unsafe Condition Observed:
Unsafe Behaviour Observed
(including sleeping)
Equipment Status:
(Running / Stopped)
No. of Personnel Deputed at
the Area:
No of Personnel actually
available / working
Unsafe Condition Observed:

Unsafe Behaviour Observed

(including sleeping)
Equipment Status:
(Running / Stopped)
No. of Personnel Deputed at
the Area:
No of Personnel actually
available / working
Unsafe Condition Observed:

Unsafe Behaviour
(including sleeping)

Observed

4
n

Please attach Photos as necessary

FPONM

Page | 2