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Competency | Competency Requirements | Upload Requirements | Examples |
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Health & Safety.Form.Journey Management Plan
| NOTE: This JMP is required for workers who travel to site from a residential address that is greater than 80km or 1hour+ travel time to site. Site address: 1100 Wybong Rd, Muswellbrook, NSW 2333 Estimate Boundaries South from site – Branxton 2335, Milbrodale 2330, Glendon Brook 2330 North from site – Murrurundi 2338, Merriwa 2329, Murrumbo 2849
Part A: Worker to complete - Worker Details
- Name and DOB on form must match the person registered
- If medications are listed in Section 1, they must match Order 43 declaration and be sent for Site Approval (MPO Health)
2 Roster Details
3a Travel to Begin Roster - Complete if required (e.g. if you live outside the area and travel to work from a closer residence i.e. staying with family or rented room that is different to your residential address on licence)
3b Travel to Site During Roster 3c Travel to Home at the End of Roster - Complete steps 1 – 4 if required (e.g. if you live outside the area and travel home from work at the end of the roster)
- All to complete Total Travel Duration with signature and date
Part B: Worker and Supervisor to Complete 4 Fatigue Risk Evaluation - All to complete
- If “High Risk” is ticked – must be referred to site for Approval (MPO Health)
5 Discussion and comments 6 Control - All to provided at least 3 Controls (can circle relevant control from those provided).
Part C: Review and Approval 7 Acknowledgement - Must be signed by person registered
- Supervisor / Manager must acknowledge and sign
8 Health, Safety and Environment Review - To be left blank for Thiess Rep to complete.
| - Issue Date = as listed
- Expiry Date = as listed
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