Title Page
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This form is prepared by
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Date and time
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List of all person travel
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Please provide mobile number for all persons involve in this travel
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Purpose of travel
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Will you able to return before dark? (one day trip only)
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please avoid driving NLC vehicle after sunset. Consider to book accommodation (if available) or camping (if safe to do so)
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Is this travel require overnight stay
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have you booked an accommodation?
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Accommodation contact details (name and Phone number)
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Is this travel require camping
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Please provide details (camping location, how many nights, etc)
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Will you drive a vehicle for this travel?
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Please provide vehicle rego number
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Is this travel required driving on dirt road?
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Suitable 4WD vehicle is booked
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4 x 4 recovery kit available in the vehicle
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Jerry can filled with fresh water is available
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Will you bring satellite phone for this travel?
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Please provide Satellite phone number
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Please provide your trip details - for each day of travel (date, from, departure time, destination, estimated arrival time, main road intended to use, etc.)
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Your manager and branch admin aware about this travel
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Checked road and weather condition through roadreport.nt.gov.au and Bureau of Meteorology website
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No ceremony or sorry business happening in the destination area
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Agreed call in schedule arrange with any NLC worker?
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Please provide worker's name (you agreed to have a call in schedule with) and (his/her) mobile number
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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
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Submit completed and signed of this form to branch admin prior to departure