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Record all trips, fuel and rest breaks for the day
PAGE 1 OF 2
Trip Log
Record each trip as it occurs. Mark purpose as B (Business) or P (Personal).
| # | Depart | Destination | Arrive | Purpose B/P | End Odometer | Km |
|---|---|---|---|---|---|---|
| 1 | ||||||
| 2 | ||||||
| 3 | ||||||
| 4 | ||||||
| 5 | ||||||
| 6 | ||||||
| 7 | ||||||
| 8 | ||||||
| 9 | ||||||
| 10 |
Fuel Purchases
| Time | Station / Location | Litres | Cost ($) |
|---|---|---|---|
Trip Log (continued)
| # | Depart | Destination | Arrive | Purpose B/P | End Odometer | Km |
|---|---|---|---|---|---|---|
| 11 | ||||||
| 12 | ||||||
| 13 | ||||||
| 14 | ||||||
| 15 |
Rest Breaks
| Start Time | End Time | Duration | Location |
|---|---|---|---|
Incidents / Notes
Fatigue Declaration
I confirm I have taken adequate rest breaks and am fit to drive. I have accurately recorded all trips, fuel purchases and rest breaks for the day and reported any incidents or vehicle defects to my supervisor.