Journey Management Plan Template

• Drivers Name

• Conducted on

  Date
• Location
  Address

• Passengers

• If more than one driver please list the names.

• Departure - Date and Time

  Date

• Vehicle ID

Completion of all relevant site-specific inductions

• Is the vehicle fit for the trip ?

  Yes

  No

  N/A

• Have you had an site induction?

  Yes

  No

  N/A

• Have you notiified the site contact ?

  Yes

  No

  N/A

• Do you have the appropriate PPE and clothing ? Includes fire extinguisher, drinking water, first aid kit (includes snake bite kit),hat, boots, long trousers, sunscreen and Hi Vis vest.

  Yes

  No

  N/A

• Have you completed a journey plan/itineray? Including departure, arrival and return times.

  Yes

  No

  N/A

• What are the current road conditions ? Do you need to consider a time change due to weather conditions?

Conduct - What you need to do whilst going to and doing the site inspection

• Have you planned rest breaks ?

• Have you informed your manager of your site inspection plan?

  Yes

  No

  N/A

• Do you have a hard copy of the site plan?

  Yes

  No

  N/A

• Are there any known hazards on site ? E.g. Creek crossings, snake sightings

  Yes

  No

  N/A

• Have confirmed an emergency contact on site ?

  Yes

  No

  N/A

Trip Conclusion - Considerations for after the inspection is conducted

• Are there any hazards to report ?

• Was there an incident to report ?

• Have you checked in with your manager?

  Yes

  No

  N/A

• Driver's name and signature

  Sign