#

JAZAN – ABHA REFINED PRODUCTS PIPELINE PROJECT

Journey Management Log Sheet

By signing this form, you confirm that you are fit to travel (physically & mentally), your Saudi Arabian driver's license and your DIP/DIRS are current. If any of these are not current, immediately advise your supervisor and DO NOT TRAVEL. If in doubt - complete a full LPD Journey Management Form.
Note: Expected check-in time is arrival at proponent/LPD offices/facility, airport, seaport or bus/train station.

Expected Expected CONFIRMED Survival

Nominated JM CHECK-IN & TIME Satellite/
Fatigue Management Additional travel information: Equipment as Off-road
Date Name Vehicle ID# Destination / Purpose Time Out check-in check-in 4x4 AVL thria phone
Coordinator (e.g., sign back in or get (e.g. required stay in area or rest periods, use of
(e.g., destination contact and number, route details, satellite/thria
per Appendix training
Y N
time time someone to sign to confirm bus service or car pool, etc.)
phone number, etc.)
number
(JMC) you have arrived/returned D
(arrival) (return) safely)

JMC Sign off