Trip Planning Form AWS

Instructions: A trip plan form helps establish the objectives of the outing, and helps prepare for emergencies by aiding in the organization of rescue efforts if they are required. 1. Carry this trip plan with you in the field and make sure all members of your party have a copy and know what to do in case of emergency. 2. Leave a copy of your trip plan with a responsible person (at home) that will initiate the plan if you are overdue or call for help.

Trip Planning Form Name:

Group Information Level of Training:

Activity:

Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item.

Choose an item. Choose an item. Choose an item. Choose an item. Choose an item. Choose an item.

Itinerary Departure:

Turnaround:

Date: Click here to enter a date. Time: Check-in Schedule:

Date: Click here to enter a date. Time: If there is no contact by

Health Concerns:

Return:

Emergency Contact:

Alternate Contact:

Vehicle(s):

Date: Click here to enter a date. Description: Time: License: (time) on (date), then try the phone numbers above first, then call 911.

Trip Information Option:

Trip/Area Name:

Access From:

Egress:

Rescue Resource Name:

1st Phone/Freq.

2nd Phone/Freq.

1. 2. 3.

Communications Cell/Sat. Phone:

Phone Number:

Radio

Freq. Monitored:

PLB (yes/no):

1. 2.

Equipment Checklist (check all that apply) Transceiver, probe, shovel ☐ Cell/Sat. phone Helmet ☐ PLB Skis/board/skins ☐ Radio Snowshoes ☐ GPS/map/compass

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Food/water Fire starter Sun protection Signalling device

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Extra clothes Flashlight/headlamp First aid kit Repair kit (knife)

Version 2. Fillable digital form. © Avalanche Canada. 2015

Avalanche Skills Training 1

Copyright Avalanche Canada 2015

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