Travel Checklist - Assets Team

• Travel conducted on

  Date

• Checklist prepared by

• Phone Number

• Attendees:

• This form is used to ensure adequate preparation for working away from your primary office/home. This may include travelling to locations to undertake asset assessments or inspections, visiting contractors or consultants or travelling to offices or depots for meetings. Checklist is for 1 day only. Repeat for multiple day travel.

Travel destinations:

• Departing from:
  Address

• At:

  Date
Destination
• Traveling to:
  Address

• Anticipated arrival:

  Date
• Overnight Stop / Final destination:
  Address

• Anticipated time of arrival:

  Date

Planning the visit

• Does your site visit require a WHS Hazard Identification and Risk Management form to be completed?

  Yes

  No

  N/A

• Have you let your manager/team know of your site visit/ details including time on site and location?

  Yes

  No

  N/A

• Has BOM issued any rain or severe weather warnings?

  No

  Yes

• Is it safe to proceed with the site visit, and has your supervisor been notified?

  Yes

  No

• Has CFS declared a Catastrophic Fire Danger rating for area of travel?

  Select No Yes

  • No
  • Yes

• Is it Business Critical and has your supervisor given approval to proceed?

  Yes

  No

• Have you contacted the relevant site manager who will be meeting/escorting you on-site and advised them of the work you will be doing during your visit?

  Yes

  No

  N/A

• Site manager name:

• Phone number:

• Are there any site specific safety rules including site induction requirements and specific Personal Protective Equipment (PPE) which attendees may need to take with them to site?

  Yes

  No

  N/A

• Are there any JSEA's/SWP's which may be relevant to your site visit?

  Yes

  No

  N/A

• Are there any existing WHS issues that the site manager is aware of which may impact your visit?

  Yes

  No

  N/A

• List identified issues:

• Will your visit involve remote or isolated work and have you completed a WHS Hazard Identification and Risk Management Plan?

  Yes

  No

  N/A

• Have you identified your Communications requirements? (E.g. Mobile network coverage, Satellite phone, etc.)

  Yes

  No

  N/A

• Have you informed all attendees of the travel and site specific information relevant to them?

  Yes

  No

  N/A

• Have you considered the dangers associated with wildlife and stock before travelling to site. The risks of encountering animals increase at certain times of the day and year.

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Hi Vis clothing

  Yes

  No

  N/A

• Steel capped enclosed footwear

  Yes

  No

  N/A

• Long sleeve top and pants

  Yes

• Hard Hat

  Yes

  No

  N/A

• Safety Eyewear

  Yes

  No

  N/A

• Sun Hat/ Sunscreen/ Insect Repellant

  Yes

  No

  N/A

• Required training (white card/working at heights)

  Yes

  No

  N/A

Travelling to Site

• Do you have an appropriate vehicle?

  Yes

  Yes, AWD

  Yes, 4WD

  N/A

• Have you checked the suitability of your vehicle? (Tyres, fuel, first aid, washer fluid, lights etc.)

  Yes

  No

  N/A

During Your Visit

• Ensure key hazards have been identified and controlled. These may include:

• Vehicles and Mobile Plant

• Tools and Equipment

• Manual Handling

• Falls - People and Items

• Slip & Trip - Ground Condition

• Energy Isolation - Electricity / Water / Air

• Environment / Surroundings - Animals

• Chemicals

• Working on or over water

• Lead based paint/coatings & asbestos

• Ergonomics - including desk and office environment

• Fatigue - Long driving distances (max 700km)

• Ask for site inductions and consider emergency exits, fire alarm protocols, assembly points etc.

Post Site Visit Prompts

• Post site visit please consider:

• Managing hygiene, i.e. washed hands and stored/cleaned PPE

• Reportable hazards, near misses or incidents which need to be logged in the Hazard and Incident Report Form

• Notifying your supervisor when returned safely at the end of the day?

Declaration

• I have implemented reasonable safety measures and will consider my safety throughout the travel.

  Sign