Competency	Competency Requirements	Upload Requirements	Examples
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 Must be on Thiess Journey Management Form. 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 Must be completed 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 To be completed 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 Complete if required 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 = 12 Months from issue date

Competency

Competency Requirements

Upload Requirements

Examples

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

Must be on Thiess Journey Management Form.

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

Must be completed

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

To be completed

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

Complete if required

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 = 12 Months from issue date

Browser not supported