Travel Assessment Worksheet PDF Details

The Travel Assessment Worksheet form serves as an essential tool for ensuring safety and preparedness for individuals, particularly soldiers, embarking on journeys when TRiPS (Travel Risk Planning System) is unavailable. Crafted meticulously, this form emphasizes the necessity for thorough planning and discussion with leaders before travel, aiming to mitigate risks effectively. It encompasses a pre-trip checklist for leaders, focusing on identifying hazards, risks, and controls related to the journey from the point of origin to the destination and back. Detailed sections require information on travel mode, number of licensed drivers, seatbelt usage, sleep hours before the trip, medication intake, travel timing (day or night), rest stops, anticipated weather conditions, vehicle condition, insurance status, and driver's license validity. Furthermore, it incorporates planning for return travel with similar granularity, ensuring comprehensive risk assessment. The form also mandates the recording of vehicle inspection status (old or new) and up-to-date insurance coverage, concluding with spaces for the signatures of the soldier planning the trip and their supervisor, alongside discussions on hazards, risk, and controls, exemplifying the form's thorough approach to promoting travel safety and readiness.

QuestionAnswer
Form NameTravel Assessment Worksheet
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesarmy travel worksheet, army individual assessment, army travel trips, travel worksheet trip

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INDIVIDUAL TRAVEL ASSESSMENT WORKSHEET

This individual travel assessment is designed for use when TRiPS is not available. Soldiers should complete this worksheet and discuss with their leaders prior to travel in order to mitigate risk.

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?

SIGNATURES

 

 

 

Soldier Planning Trip:

 

 

 

Name/Rank/Signature:_________________________

DATE_______________

Supervisor:

 

 

 

Name/Rank/Signature:_________________________

DATE_______________

Discuss Hazards, Risk, &

Controls

Hotel

Name______________________

City________________________

Date Check-In________________

Hotel

Name______________________

City________________________

Date Check-In________________

Yes No

Yes No

Yes No

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To fill in the template, provide the information the program will request you to for each of the next segments:

fillable army fields to complete

You need to type in the required details in the Return from Destination to Point, Mode of travel, Planned rest stopsbreaks, Anticipated weather conditions, If driving POV of licensed drivers, NameUnit, NameUnit, NameUnit, Will you wear your seatbelt at all, How much sleep will you have in, Hotel Name, Will the majority of your trip, City, Destination departure date and time, and Date CheckIn area.

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