Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Electrical

  • Damaged or untagged electrical leads or equipment?

  • Water near electrical equipment?

  • Poor Management of portable cable runs?

  • Overload of electrical circuits?

  • Other Hazards?

Slips, Trips, Falls

  • Can anyone be injured by Slips, Trips or Falls?

Working at Heights

  • Is there a requirement to work at heights of more then 2 meters?

  • Hazards?

Manual Handling

  • Can anyone be injured due to hazards associated with manual handling?

  • Have people been inducted into safe handling practices?

Acess and Egress

  • Are all emgerency and disabled exits clear, lit and free of obstruction?

Fire and Flame

  • Are all fire extinguishers, hydrants and hoses clear and accessible?

  • Are any flammable material used in this event?

Noise

  • Are noise levels related to the event (including bump in and out) excessive?

  • Notes

Entanglement

  • Can anyone's hair, clothing, costume or other materials become entangled with moving parts of the stage equipment whilst in motion?

  • Notes?

Crushing

  • Can anyone be crushed due to: Falling Materials?

  • Normal or unexpected movement of any stage equipment?

  • Inability to slow or stop stage equipment?

  • Stage equipment tripping or falling over?

  • Stafe equipment collapsing?

  • Coming into contact with moving parts or being thrown off stage equipment?

  • Being trapped between stage equipment?

Cut, Stab or Puncture

  • Due to becoming in contact with sharps or flying objects?

  • Due to coming in contact with moving parts or moving stage equipment?

Amputaation

  • Can anybody's arm become amputeted between two parts of stage equipment or become a part of stage equipment and a fixed point or structure?

  • Notes?

Friction

  • Can anybody be burnt due to contact with moving parts or surfaces of the stage equipment?

Strike Impact

  • Can anyone be struck by moving objects due to uncontrolled or unexpected or uncontrolled movement of stage equipment, scenery , props, flys etc?

Explosion

  • Can anyone be inured by an explosion of any substance or by theatrical type effects (e.g. Pyrotechnics<br>)?

Ergonomic

  • Can none be injured due to poorly designed seating, repetitive movement, poor lighting, poor lighting, poor body posture and the need for excessive effort?

Asphixiation and/or Suffocation

  • Can anyone be asphyxiated and/or suffocated due to luck of oxygen or atmospheric contamination?

Hydraulics and compressed aired

  • Can anyone come in contact with compressed air or hydrolics due to staging elements or equipment failure or misuse.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.