Productions Site Evaluations

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Location

• How will the site be used (ie as a set, for stunts, parking, etc)?

• What type of site is it? Is it a building, field, ship, etc.

• What is the building constructed of?

• How many floors is the building, including sub-levels?

  Select N/A 1 2 3 4 5 6 7 8 9 10-19 20-29 more than 30

  • N/A
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10-19
  • 20-29
  • more than 30

• What was or is the building used for?

• Rate the cleanliness of the building

• What is the topography of the site?

• Are any areas of the site off limits for any reason?

• Is the building structurally sound?

  Yes

  No

  N/A

• Draw the site including buildings and items of note.

  Drawing

Fire Protection

• Is there a sprinkler system in place?

  Yes

  No

  N/A

• Is the sprinkler system operational?

  Yes

  No

  N/A

• Are there fire extinguishers on site?

  Yes

  No

  N/A

• Are the fire extinguishers inspected and current?

  Yes

  No

  N/A

• Is there a standpipe system?

  Yes

  No

  N/A

• Is the standpipe operational?

  Yes

  No

  N/A

• How far away is the nearest fire hydrant from the entrance to the site?

  Less than 50 feet

  50 to 100 feet

  100 to 500 feet

  more than 500 feet

  no hydrant visible

• How far away is the nearest Fire House?

Security

• Is there on site security?

  Yes

  No

  N/A

• Is the site fenced in?

  Yes

  No

  N/A

• Are there any security concerns?

  Yes

  No

  N/A

Hazards

• Are there any potential asbestos containing materials? If yes, describe.

  Yes

  No

  N/A

• Is there any paint that is potentially lead containing? If, describe.

  Yes

  No

  N/A

• Is the paint chipped or cracked?

  Yes

  No

  N/A

• Are there any issues with animal feces? If so, what kind of animals or birds.

  Yes

  No

  N/A

• Are there any strange or unusual odors?

  Yes

  No

  N/A

• Are there any work locations over 4 feet high that do not have standard railings?

  Yes

  No

  N/A

• Are there any fall protection issues that do not involve railings?

  Yes

  No

  N/A

• Are there any slip, trip or fall issues?

  Yes

  No

  N/A

• Are there any access concerns related to stairs, ramps, etc?

  Yes

  No

  N/A

• Are there any height restrictions?

  Yes

  No

  N/A

• Is a body of water present?

  Yes

  No

  N/A

• Are there any concerns with the proximity of the water?

  Yes

  No

  N/A

• Are there any chemicals on site that pose concerns?

  Yes

  No

  N/A

• Are there any medical waste concerns?

  Yes

  No

  N/A

• Are there any biological concerns?

  Yes

  No

  N/A

• Are there any radiological concerns?

  Yes

  No

  N/A

Recommendations

• Security

• Fire Protection

• Chemicals

• Biological and Medical

• Radiological

• Hazardous Building Materials

• General Safety