Seam Surveys Journey Management Plan

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

Personnel & Vehicle

• Primary Driver:

• Mobile Phone:

• Vehicle Make:

• Vehicle Rego:

• Vehicle Call Sign:

Passengers

Passenger

• Name:

• Phone:

Journey Details

• Departure Location:

• Departure time:

  Date

• End Location:

• Arrival time:

  Date

• Via:

• Contact name at destination:

• Contact phone number at destination:

Route Details:

Journey section

• Driver:

• From:

• Distance (km):

• To:

• Break (mins):

Conditions

• Type of road surfaces on journey:

  Select Bitumen Gravel Off Road

  • Bitumen
  • Gravel
  • Off Road

• Weather:

  Select Very Hot Hot Mild Cold Very Cold Fine Overcast Heavy Rain Rain Fog Low Visibility

  • Very Hot
  • Hot
  • Mild
  • Cold
  • Very Cold
  • Fine
  • Overcast
  • Heavy Rain
  • Rain
  • Fog
  • Low Visibility

• Road conditions:

  Select Good Fair Bad Unknown

  • Good
  • Fair
  • Bad
  • Unknown

• Remote Location? - Consider food, water, recovery equipment, communications equipment, etc

• Rescue \ recovery services available?

  Yes

  No

  N/A

• Description, contact details

• Other hazards?

  Yes

  No

  N/A

• Description

Risk Assessment

• Abnormal driving conditions<br><br>(Rain, dust, flooding, low visibility, wind)

  Off

  On

• Controls: wait for better driving conditions

• Appropriate equipment<br><br>Spare tyre, triangles, radio, mobile phone, snatch strap, bog mat, water containers etc

  Off

  On

• Controls: acquire equipment

• Long distances<br><br>Single driver, boredom, fatigue

  Off

  On

• Controls: ensure proper sleep prior to departure, regular stops, call in

• Night or early morning driving<br><br>Wildlife, fatigue, isolation, boredom, visibility

  Off

  On

• Controls: change journey times

• Remote location<br><br>Emergency and survival equipment, first aid

  Off

  On

• Controls: Alternate routes, take a travel companion, equipment

• Unfamiliar destination or route<br><br>City or country driving, security, lone driver, navigation

  Off

  On

• Controls: Familiar with route and risks

• Unsealed roads

  Off

  On

• Controls: Drive to conditions

• Vehicle familiarity<br><br>Left hand \ right hand drive, manual\automatic

  Off

  On

• Controls: Familiarize beforehand

• Vehicle selection<br><br>Fuel capacity, 4WD

  Off

  On

• Controls: Other vehicle choice

Individual Fatigue

• X - How much sleep have you had in the last 24 hours?

• Y - How much sleep have you had in the last 48 hours?

• Awake Time - How long will you have been awake (in total) from when you got up today until the end of your working day or journey?

• Calculate Z = Awake Time - Y (hrs)

Scoring

• 

• Actual X Score from above chart

• Actual Y Score from above chart

• Actual Z Score from above chart

• Calculate FINAL FATIGUE score = X Score + Y Score + Z Score

Signature

• Signature

  Sign