Template Information
This journey management plan enables the traveller to document their commute plans in accordance with the fitness for work: fatigue management plan.
Category: mining
Template Questions
- Surname
- Given Name
- Personnel Number
- Company
- Department
- Position
- Crew
- Roster Pattern
- Personnel Details
- Name
- Contact Number
- Relationship
- Daily Commute Plan
- From Address
- Start time Date
- To Address
- Finish time Date
- Activity - All
- Route distance (km)
- Dayshift
- Nightshift
- Do you have any pre-existing medical conditions that may affect your journey management plan?
- What are your additional controls measures to manage fatigue?
- List other controls
- Signature - Traveller
- Traveller
- Signature - Direct Supervisor
- 1-up Line Manager
- Approved
- Not Approved
- Comments
- Overall Risk Ranking
- Date Approved Date
- This Individual Journey Management Plan Form shall be reviewed bi-annually or if there is a change in