Title Page

  • This form is prepared by

  • Date and time

  • List of all person travel

  • Please provide mobile number for all persons involve in this travel

  • Purpose of travel

  • Will you able to return before dark? (one day trip only)

  • please avoid driving NLC vehicle after sunset. Consider to book accommodation (if available) or camping (if safe to do so)

  • Is this travel require overnight stay

  • have you booked an accommodation?

  • Accommodation contact details (name and Phone number)

  • Is this travel require camping

  • Please provide details (camping location, how many nights, etc)

  • Will you drive a vehicle for this travel?

  • Please provide vehicle rego number

  • Is this travel required driving on dirt road?

  • Suitable 4WD vehicle is booked

  • 4 x 4 recovery kit available in the vehicle

  • Jerry can filled with fresh water is available

  • Will you bring satellite phone for this travel?

  • Please provide Satellite phone number

  • Please provide your trip details - for each day of travel (date, from, departure time, destination, estimated arrival time, main road intended to use, etc.)

  • Your manager and branch admin aware about this travel

  • Checked road and weather condition through roadreport.nt.gov.au and Bureau of Meteorology website

  • No ceremony or sorry business happening in the destination area

  • Agreed call in schedule arrange with any NLC worker?

  • Please provide worker's name (you agreed to have a call in schedule with) and (his/her) mobile number

  • 1. Call before you depart, mentioning route intend to take and estimated time arrival
    2. Once you arrived to destination send a text or call to let your colleague know that you has arrived safely
    3. Ensure you have received acknowledgement that your text / call was received
    4. If you do not meet the ETA within 2 hours, SAR will be enacted

  • Signature of person completing this form

  • Submit completed and signed of this form to branch admin prior to departure

  • In case of SAR.png
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