Project Brief and General Approval Form NameEmailRequestingApprovalActionFYIAuthority LevelGeneral ManagerCEOHealing Country ManagerCultural Heritage ManagerWhat is this request relating to? General Project #1 Outline Request#1 Start Date DD slash MM slash YYYY #1 End Date DD slash MM slash YYYY #1 Priority Level Low Medium High #1 Considerations (Select primary) Time Financial Reputational Physical #1 Other Considerations Time Financial Reputational Physical #1 Explain considerations below#1 Physical (choose 1) OHS Rare/endangered species flora/fauna CH Implications LUAA Other #1 Using the HSE Risk Matric Table below, please calculate the likelihood of risk if this action is not approved#1 Insurance Required? Yes No #1 Does this request relate to an expense or income stream? Expense Income #1 Is this request related to funding? If yes, please name#1 What is the budget line?#1 What is the value of this expense? 0-1k 1-5k 5-10k 10-50k 50k+ #1 Is this expense within budget or in excess? Within Budget In Excess (add how much in 'other' below) Other #1 What is the purchase method? Credit card Purchase order #1 Using the HSE Risk Matric Table below, please calculate the likelihood of risk if this action is approved#1 Does this request/form align with TLaWC's strategic plan?#2 Project name#2 Project code#2 Start date DD slash MM slash YYYY #2 End date DD slash MM slash YYYY #2 Project Officer#2 Project area Reading Country Healing Country Cultural Heritage #2 CHMP Number (or is this non-CHMP field work?)#2 Funding grant number (if applicable)#2 Heritage advisor (name, organisation, contact)#2 Project type DEECA Parks Vic Developer-led CHMP Internal-led project Other Government (add below) Other #2 Project description#2 Outline request#2 Priority Level Low Medium High #2 Considerations (Select primary) Time Financial Reputational Physical #2 Other Considerations Time Financial Reputational Physical #2 Explain considerations below#2 Physical description OHS Rare/endangered species flora/fauna CH Implications LUAA Other Other #2 Using the HSE Matrix below, please calculate the risk level prior to implementing a management strategy#2 Using the HSE Matrix below, please calculate the risk level after implementing a management strategy#2 Insurance required? Yes No #2 Does this request relate to an expense or income stream? Expense Income #2 Project Value 0-5k 5-10k 10-50k 50k+ #2 What is the value of the expense? 0-1k 1-5k 5-10k 10-50k 50k+ #2 Is this expense within budget or in excess? Within In excess (add how much below) Other #2 What is the purchase method? Credit card Purchase order #2 Project location (address and longitude/latitude)#2 Attach mapAccepted file types: jpg, jpeg, png, gif.#2 Does this request/form align with TLaWC's strategic plan?Itinerary and Communications Plan (Dates, Times, Descriptions and Comms)Note: In the description include departure time and place, route of travel, any expected stops along the route, destination and expected arrival time.
