Lone Worker Journey Management Plan Form

Plan for documenting remote travel route, expected arrival, check-in points, and emergency contacts for technicians working alone.

Traveler and Trip Details

• Traveler name
• Job title or role
• Department or team
• Journey date
• Purpose of travel
• Primary travel mode

Route and Schedule

• Starting location
• Destination site
• Planned route summary
  Include major roads, landmarks, or route notes that would help locate you if needed.
• Expected departure time
• Expected arrival time
• Planned stops or check-in points
  Add any planned stops, fuel breaks, site gates, or checkpoints along the route.

Check-In Plan

• Check-in frequency
• Preferred check-in method
• When should escalation begin?
• Will you notify someone if the route changes?
• How will route changes be reported?

Emergency Contacts and Vehicle Information

• Primary emergency contact name
• Relationship to traveler
• Primary emergency contact phone
• Backup emergency contact phone
• Vehicle information
  Provide vehicle details only if relevant to the journey.

Safety Acknowledgement

• I am fit to travel and able to complete this journey safely
• I understand the required check-in schedule and escalation process
• I will report route changes, delays, or emergencies as soon as practicable
• Additional notes or safety concerns