Permits to work · Extended permits · used by 6 trades
KD-PTW-OO-033
Out-of-Hours and Lone Working Authorisation
Work outside site hours or alone — what is not allowed, check-in schedule and escalation, first aid and fire without a working site, check-in log.
3 pages · 94 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 3 — click to enlarge
Read all 3 pages first — watermarked sample, no email Before you submit: the checklist
Statutory basis, cited on the form
- MHSWR 1999 regs 3 and 5
- CDM 2015 reg 13
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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This document is used by 6 trades: Demolition & Strip-Out, Painting & Decorating, Site Logistics & Cleaning, Site Management & Quality System, Shopfitting & Retail Fit-Out, Property Maintenance.