Required Forms & Handouts – Prodicle

FORM	COMPLETED BY	WHEN	FILED WITH	PURPOSE
Form 1: Health & Safety Policy, IIPP Orientation, and Safety Guidelines Acknowledgement	Each member of cast & crew	Upon hire	Prod. Office Coordinator	These serve as an intro to the IIPP production safety and responsibilities of each employee. A signature is required of each employee.
Form 2: Production Safety Compliance Report	1st AD or SM	One report per film or tape day	Prod. Office Coordinator	This form offers the 1st AD or SM a mechanism to document and summarize safety conditions, meetings, alerts, special equipment or other safety actions.
Form 3: Construction, Pre-Rigging, Strike Safety Compliance Report	Construction Coordinator, Special Effects Coordinator, Key Grip, Rigging Gaffer	This report is filed daily when construction, pre-rig and/or strike is ongoing	Prod. Office Coordinator	This form offers the construction coordinator or key HODs a mechanism to document and summarize safety conditions, meetings, alerts, equipment or other safety actions.
Form 4: Location Hazard Assessment Checklist	Location Manager	Once per filming location, prior to filming	Prod. Office Coordiantor	When on location, this form serves to identify and document location specific safety concerns.
Production Report	2nd AD or SM	Safety meetings are held	Prod. Office Coordiantor	Safety meetings are held to inform cast & crew of anticipated safety concerns. These meetings are documented on the production report.
Call Sheet	2nd AD or SM	Safety concerns are anticipated; planned safety meetings	Prod. Office Coordiantor	When safety concerns are anticipated by a production, cast & crew shall be informed ahead of time via the call sheet.
Form 5: Incident / Accident Investigation Report	Employee's direct supervisor or production medic with assistance from Employee's supervisor	After an incident / injury which requires medical assistance away from the location or studio.	Prod. Office Coordinator and Production Safety Consultant	The completion of this document is required to document the incident. It will be integral to any official investigation and also helpful in identifying the cause and future prevention of similar injuries.
Form 6: Employee Notice of Violation	This will be issued by the employee's supervisor. This form may be requested by production management or the production safety consultant.	When an employee has failed to follow any of the following safety compliance measures. Employee safety guidelines codes of safe practices, safety bulletins, call sheet, or safety meeting advisories, or failed to perform their job as common sense or job knowledge would dictate.	Employee notices of violation are issued by the employee's supervisor. This form should be filed by the production office & forwarded to the prod. safety consultant.	This notice becomes a record for possible future disciplinary action. Copies may be forwarded to labor relations if deemed necessary.
Form 7: Notice of Unsafe Condition and Action Plan	1st AD or SM with assistance from personnel knowledgeable in the area of concern	When an unsafe condition or a safety hazard exists and the situation cannot be corrected immediately	Prod. Office Coordinator and the Production Safety Consultant	When an unsafe condition is identified, two actions should always occur. 1) Notify all concerned employees (document on production report) and 2) determine a corrective plan of action (document with notice of unsafe condition & action plan).
Form 8: Stunt Safety Inspection Checklist	Stunt Coordinator	At least 3 days prior to any major stunt	Prod. Office Coordinator and the Production Safety Consultant	This form offers the stunt coordinator a mechanism to document the procedures put into place to ensure the safety of the stunt performers and all cast and crew during major stunt sequences.
Form 9: Special Effects Safety Inspection Checklist	Special Effects Coordinator	At least 3 days prior to any major special effects sequence	Prod. Office Coordinator and the Production Safety Consultant	This form offers the special effects coordinator a mechanism to document the procedures put into place to ensure the safety of the stunt performers and all cast and crew during major special effects sequences.
Form 10: PPE Hazard Assessment	UPM, 1st AD or Stage Manager; Key, HOD, Best Boy or Foreman	When personal protective equipment is necessary	Prod. Office Coordinator and the Production Safety Consultant	This form offers key production personnel a mechanism to document PPE selection and use.
Form 11: Operator's Daily Inspection	Forklift, Telehandler and Aerial Lift Operators	Every day for every forklift, telehandler, and aerial lift.	Prod. Office Coordinator	This form should be used to document the daily lift inspections by the operators of all forklifts, telehandlers and aerial lifts.

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