LOCATION CHECKLIST & SAFETY REPORT

This checklist is completed by the member of our group attending the filming of our video for each location by doing a site reccy before production starts. If
you tick NO to any question or have identified any hazards, you need to describe how/when this issue will be
resolved in the Hazard Description Table. The completed survey will form part of your assessment for this
subject and must be submitted before the indemnity/insurance forms can be signed.
When asking yourself the following questions bear in mind the hazards and risks to people and equipment.
Additional surveys must be completed for stunts and special effects and may be disallowed.
STUDENT NAME: ___________________________________________________________________
STUDENT NUMBER: _________________________________________________________________
PHONE: _________________________________EMAIL:_____________________________________
SUBJECT: __________________________________________________________________________
PRODUCTION TITLE: ________________________________________________________________
SYNOPSIS OF PRODUCTION: ________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
LOCATION DETAILS: (If more than one location, use a separate form for each, and submit them all together).
___________________________________________________________________________
____________________________________________________________________________________
SCHEDULE SHOOTING DATES: ______________________________________________________



This is to insure that everything is put back in order and nothing gets lost. It is also a good way to keep track of your shooting schedules and happenings