Journey Management Plan

Has Employee been informed of driving Life Saving Rules (seatbelt use, no speeding / cell phone use while driving, no alcohol / drugs while on company time)

Following this JM plan?
Yes No
Trip Description:
Employee Name:
Department:
Origin:
If "other" origin please specify::
Destination:
Departure Date:
Departure Time:
Return Date:
Return Time:
Business Purpose:
Vehicle Type:
Vehicle Owner:
List Passengers:
Route - briefly describe route (hwy, airport, etc.):
Return Trip:
Expected travel time (hours):
Expected road conditions / other known hazards:
Defensive driving training complete?:
Is vehicle equipped with a monitoring system (IVMS):
Driver's cell number:
Phone number at destination:
Driver's Emergency contact number: