JOURNEY MANAGEMENT PLAN

IMPORTANT INFORMATION FOR TRAVELLER(PLEASE READ):

1. Primary point of contact will be Site Administration, Site Registered Manager or their Alternative - (08) 6166 5700.

2. Please ensure your supervisor approves all travel and has signed this document before submission.
3. This form provides several sets of information please fill in all spaces provided.

4. Travel safely, drive to road conditions, stay in touch with your site contact at stages - leaving Perth, Merredin and Coolgardie
providing estimated time of arrival.

Please complete and return to admin.baldhill@lithco.com.au & bhmobilisation@lithco.com.au

Driver Details Travel Date: 24/10/23
First Name: Jackson Surname:Fenwick Gender: Male
Jackson
Mobile: Home Phone: Date of Birth:27/06/1995
0484 532 203 0484 532 203
Email: Drivers Licence: Expiry Date:9/10/2024
jfenwick17@outlook.com 7367980
Secondary Contact: 2 Way Radio (specify):_____________________________________________
Number: ____________________________________ CH: 40 _____________________ (must be provided when travelling in remote areas)
Employment Details
Company Name: Company Contact Person:Charlie Muntz
Seismic Drilling Australia
Contact Number: Email Address:
0459981644 om@seismicdrilling.com.au
Vehicle Details
Make:Isuzu Model:Nps LV Identification:LV21 Colour:
White
Odometer Start:56259 First Aid Kit: Yes Prestart Completed: Yes

Passenger Details: No other passengers (tick) ✔

Names:
Luke brown
Journey Details
Departure Point:Bald hill Destination:Perth Road Conditions Checked: Yes
Perth
Departure Time:1200 Stops:4 Est Arrival Time:2100
06.00
Return Time:NA Stops:NA Est Arrival Time back to site: Ntr
NA
Additional Journey Details Map of Journey (remote areas only): N/A
Returning Driver: NA Contact No: NA Destination: NA
Vehicle Rotation Airport: Y ☐ N ☐ ✔
Vehicle Drop for service: Y ☐ N ☐ Sufficient Water (Min 4L): Yes

Comments:De mob from site

Driver Acknowledgement
☐ I certify the abovementioned information to be accurate and confirm my understanding of my responsibility to inform the
✔
nominated Journey Monitor (Site Admin) upon arrival at each destination and/or arrival at final destination within a maximum of
ONE hour. Approval for the trip is signed off below.
Signed: Jackson Fenwick Date: 24/10/23 Copy goes with Vehicle ✔
Approval
Name:
Date: Site Admin Journey Monitor
Approved by Signature:

Primary Contact Site Admin / Registered Manager or Alternate – (08) 6166 5700.

Title: JOURNEY MANAGEMENT FORM

Reference No: LITH-GE-FRM-003 Issue Date: 26/11/2021 Rev No: Revised: Libby Sudden