CONNEXTIONS CALL CENTRE: SECURITY TRACKING FORM FOR UNIVERSITY OF TASMANIA

(Warning If Connextions call you or your designated contact it will appear as a private or blocked number)

Name :( Field Leader) Click here to enter text. / School /Section: Click here to enter text.
Project Name: Click here to enter text. / Site Location: Click here to enter text. / Date Lodged: Click here to enter a date.
Contact Details / Mobile: Click here to enter text. / Other Phone, Home: Click here to enter text.
Work: Click here to enter text. / Satellite Phone: Click here to enter text.
Vehicle Registration and Model: Click here to enter text. / Spot Tracker Shared Link if applicable:
Click here to enter text. / Area Contact No:
(Land owner, Ranger) Click here to enter text.
Field Group Members / 1.
Name: Click here to enter text.
Phone: Click here to enter text. / 2.
Name: Click here to enter text.
Phone: Click here to enter text. / 3.
Name: Click here to enter text.
Phone: Click here to enter text.
4.
Name: Click here to enter text.
Phone: Click here to enter text. / 5.
Name: Click here to enter text.
Phone: Click here to enter text. / 6.
Name: Click here to enter text.
Phone: Click here to enter text.
Notes & Comments:
E.G. Safety equipment taken, special circumstances, potential change in plans, GPS coordinates, extra personnel Click here to enter text.
Date / Start Location / End Location / Via (Route taken) / Your Contact Number(s) / Agreed Call-In Time
Click here to enter a date. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
Click here to enter a date. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
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Attach new page if required.

Escalation sequence / Designated contact / Name / Mobile / Office / Home Phone
Primary Contact / Project/student supervisor / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
Second Contact / Co-supervisor / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
Third Contact / Field Officer or On Call personnel
Fourth Contact / Deputy Head of School
Head of School
Fifth Contact / Police Radio Room - Critical Call-In + 2 hour for Tasmania
Police Assistance Line for Interstate locations / 03 6230 2111 for Tasmania
131 444 for Interstate locations

Next of Kin

Please nominate a contact that can be called by your supervisor before escalating the process if you fail to check in.

E.g. Partner, spouse, family, flatmate, friend or someone that you are in regular contact with.

This person should be informed that you are planning a field trip before departing.

Name: ……………………………...

Number: ……………………………

☐Emailed to Connextions
☐ Emailed to Supervisor
☐……………………..
☐Emailed to
☐Emailed to / Date Click here to enter a date. And time:Click here to enter text. / Signed: Click here to enter text.
Complete form and email to AND your Supervisor, cc Head of School
Connextions call centre check in number: (03) 6235 4104 (Number called when checking in)
(Warning If Connextions call you or your designated contact it will appear as a private or blocked number)