Information

Journey management

  • Proposed drive (roads & rest stops)

  • JMC Case No

  • Emergency Contact:

  • Vehicle Rego(s)

Work Plan

  • Conducted on:

  • Toolbox Leader:

  • Purpose of field visit:

  • Properties approved for access:

  • Expected hours:

  • Weather:

  • EMERGENCY ESCORT LOCATION

PPE and Safety requirments

PPE & Safety Requirements

  • Hard hat

  • High Vis

  • Steel caps

  • Gloves

  • Safety Glasses

  • Slam & HazOb books

  • First aid kit

  • Sunscreen

  • Water 5l per person

  • GPS

  • UHF Radio

  • Satellite Phone

  • Vehicle pre-start checklist

  • Vehicle weed hygiene certificate

  • Site access approval

Potential hazards and controls

Potential hazards and controls

  • Driving

  • Snakes & other wildlife

  • Navigation

  • Fatigue

  • Exposure to elements

  • Slips, trips and falls

  • Fire

  • OTHER HAZARDS

  • OTHER HAZARDS

  • OTHER HAZARDS

Attendance sign off

Attendance sign off:

  • Name of employee

  • Name of employee

  • Name of employee

  • Name of employee

  • Name of employee

  • Name of employee

  • Name of employee

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.