Individual Travel Assessment Worksheet at a glance
What it is: INDIVIDUAL TRAVEL ASSESSMENT WORKSHEET This individual travel assessment is designed for use when TRiPS is not available.
Who signs: SIGNATURES Soldier Planning Trip: Name/Rank/Signature: DATE Supervisor: Name/Rank/Signature: DATE
A filled-in Individual Travel Assessment Worksheet example: a Soldier plans a drive

How to fill out Individual Travel Assessment Worksheet, box by box
Point of Origin to Destination

PRE-TRIP CHECKLIST FOR LEADERS Use this checklist when trips are planned. Apply risk management controls if needed. Identify hazards, risk, and controls in right column. Point of Origin to Destination Point of origin Destination Planned rest stops/breaks Anticipated weather conditions Travel distance one way Mode of travel If driving POV: # of licensed drivers Name Unit Name Unit Name Unit Will you wear your seatbelt at all times? How much sleep will you have in the 12 hrs prior to starting your trip? Are you currently taking any over-the-counter or prescribed medications? Have you checked to make sure the medication will not affect driving? Will the majority of your trip take place during day or night? Planned rest stops/breaks Point of origin departure date and time Expected destination arrival time Return from Destination to Point of Origin Mode of travel Planned rest stops/breaks Anticipated weather conditions If driving POV: # of licensed drivers Name Unit Name Unit Name Unit Will you wear your seatbelt at all times? How much sleep will you have in the 12 hrs prior to starting your trip? Will the majority of your trip take place during day or night? Destination departure date and time Expected arrival time at point of origin VEHICLE CONDITION: OLD NEW Vehicle Inspected? INSURANCE: Is Soldier's car insurance coverage up to date/current? DRIVER'S LICENSE: Does Soldier possess a valid driver's license?
Sources
[1] Individual Travel Assessment Worksheet (no issuer file published) (the Official source link on this page).
