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Ve rsion 1.0 dated 26-6-2009 Journey Management Plan Template Name: Vehicle Reg:_ _____ Date: Journey from: ___ To: _ _ Via which location/s ______  ______ Estimated distance: ______ Estimated driving time: Will total driving time eceed ! hrs" #$/N% Will com&ined wor'ing and driving time eceed () h rs" #$/N% _____ If either of above responses are yes, then alternative travel arrangements are required or an overnight rest location must be identified. Will the *ourney involve travelling through areas where there are significant security ris's+ where medical emergency res,onse services are not readily availa&le or similar factors need to &e given s,ecial consideration" #$/N% _____ If the response to this question is yes, the section on the second page of this form, ‘Additional Risk Reduction Measures’, must be completed. 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" Page 1 of 2

Journey Management Plan

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Page 1: Journey Management Plan

7/25/2019 Journey Management Plan

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Version 1.0 dated 26-6-2009

Journey Management Plan Template

Name: Vehicle Reg:_ _____ Date:

Journey from: _______ To:_____ ____

Via which location/s ______ ___________  ______ 

Estimated distance: ______ Estimated driving time: ___________

Will total driving time eceed ! hrs" #$/N% _____

Will com&ined wor'ing and driving time eceed () hrs" #$/N% _____ If either of above responses are yes, then alternative travel arrangements are required or an overnight restlocation must be identified.

Will the *ourney involve travelling through areas where there are significant security ris's+ wheremedical emergency res,onse services are not readily availa&le or similar factors need to &e givens,ecial consideration" #$/N% _____ If the response to this question is yes, the section on the second page of this form, ‘Additional Risk ReductionMeasures’, must be completed.

Primary Route/s Rest Stops

Locations to be avoided or where extra precautions are to be taken e!g! roadworks or known locations with high accident rates"

Page 1 of 2

Page 2: Journey Management Plan

7/25/2019 Journey Management Plan

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Version 1.0 dated 26-6-2009

#dditional Risk Reduction Measures(Examples: Call-in frequency, travelling in convoy, travelling in daylight hours only)

-u,ervisor authorisation: ______________________________or email ac'nowledgment . $E-o be signed by the driver’s supervisor delegate or ackno!ledged by email

Journey com,leted:__________________________ o be signed by the driver 

s u,date of J01 re2uired" $E- / N3

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