JOURNEY MANAGEMENT PLAN
Driver and Passenger’s Details
Contact Number:
Driver’s Name:
Date: Project:
Driver’s License: In possession of a suitable/valid driver's license of vehicle being used Yes No
Competence: Defensive driving training Yes No
Medical Fitness: assessment completed within past year Yes No
Date of last assessment: ……………….……………………………………….
Any restrictions? ……………………………………………………………………
Passenger’s Names: Passenger’s Phone Numbers:
Vehicle Details
Vehicle Registration:
Type of Vehicle: Pick- Up Sedan
4x4 Other (specify)
…………………………………………………………………
Vehicle inspection completed prior to journey Yes Is vehicle suitable for intended use? Yes No
No
Journey To:
From:
Journey Distance Estimated Driving Time
(KMs): (Hrs):
Will combined working and driving time exceed 12 hrs? Yes No
(If either of above responses are yes, then alternative travel arrangements are required or an overnight rest location must be
(identified)
Route Details
Will the journey involve travelling through areas where there are significant security risks, where medical
emergency response services are not readily available or similar factors need to be given special
consideration? Yes No
(If the response to this question is yes, the section on the second page of this form, ‘Additional Risk Reduction Measures’, must be
completed.)
JOURNEY MANAGEMENT PLAN
Primary Route/s Rest Stops
Locations to be avoided or where extra precautions are to be taken (e.g. road works or known locations with
high accident rates)
Additional Risk Reduction Measures
(Examples: Call-in frequency, travelling in convoy, travelling in daylight hours only)
Logistics Manager Approval: Signature Date:
QHSE Manager Approval: Signature Date:
Country /Operations Manager: Signature: Date:
