JOURNEY MANAGEMENT PLAN

Driver Name: Company / Division / Department:

Document
Contact no.: Line Manager Name and Contact no.:
Si
numbe r :
Distance/Time Driving Frequency Number of drivers
gNnSaNtu
300 to 500 km Non regular driver Single
re :
More than 500 km Non regular driver Single / Shared /O H S/0
28
More than 10 working hours irrespective of distance Regular driver Single
Document
Registered owner of the vehicle Yes No name:
Medical Fitness Purpose of the journey Journey
Manageme
Medical fitness assessment completed within past year Yes No nt Plan
Date of last assessment
Any restrictions: Specify

Type of Vehicle Type of Trailer

Pick up DC SC Trailer being utilized on journey Yes No
4x4 Single Axle >750kg
Sedan Double Axle <750kg
Other: Specify Other: Specify
Vehicle Suitability Trailer Suitability
Vehicle fit for intended use Yes No Trailer fit for intended use Yes No
Vehicle inspection completed/to be completed prior to journey Yes No Vehicle inspection completed/to be completed prior to journey Yes No
Driver Competence Drivers License
Defensive driver training Yes No In possession of a suitable driver's license of vehicle being used (e.g. Professional driver permit) Yes No
In possession of a suitable driver's license for towing units (such as trailers, caravans, fuel tanks and generators)
Off road driver training 4 x 4 Yes No Yes No
License code to be provided.
Journey Start Plan from - office Home Journey Return Plan to office Home
Note: If travelling time to the office / home is more than 10 hours - Suitable overnight accommodation is to be used e.g. B&B. Continue with journey the next day.
Location Time: Location Time: Location Time: Location Time:
Start point: (Location) Restart trip Start Point: (Location) Restart trip
Rest Stop 1 (2H) Rest Stop 1 (2H) Rest Stop 1 (2H) Rest Stop 1 (2H)
Rest Stop 2 (2H) Rest Stop 2 (2H) Rest Stop 2 (2H) Rest Stop 2 (2H)
Rest Stop 3 (2H) Rest Stop 3 (2H) Rest Stop 3 (2H) Rest Stop 3 (2H)
Rest Stop 4 (2H) Rest Stop 4 (2H) Rest Stop 4 (2H) Rest Stop 4 (2H)
Over night stop Final Destination Over night stop Final destination:
Deviations / Alternative route Yes No
Reason

Additional Risk Mitigation Measures.(Example : Call-in frequency, travelling in convoy, travelling in daylight hours only) Does the Primary driver have a Professional Drivers Permit Yes No
Date: S i gn ature Line DateD:ocument Owner:
R EV 4
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