General Health & Safety Checklist

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1 General Health & Safety Checklist Theatre: Address: Telephone: Fax: Contact Person: Venue: Address: Telephone: Fax: Contact Person: Dressing Rooms: How many? Capacity Shower Toilet Lights Mirrors Rm A Rm B Rm C Rm D Rm E Rm F Green Room (if any): How often is the Green Room cleaned / serviced? Seating available? Yes No Potable water? Yes No Equity cot? Yes No Kitchen facilities? Yes No Kettle? Yes No Temperature control? Yes No Programme sound? Yes No Separate facilites for men/women? Storage for personal effects? Temperature control? Programme sound? Secure lock up for valuables? How often are dressing rooms cleaned / serviced? Signs of vermin? Adequate ventilation for showers? Is there air conditioning? Are there any fans?

2 Safety: Documented evacuation policy for emergencies Is there one? Is the procedure adequate? Is it posted? Where? Who supervises the evacuation? Fire Extinguishers Where are they located? Date last serviced? / / Fire Drill Procedure. Is there one? Is it posted? Where? Who supervises? Is there an appropriate level First Aid Kit? Where is it located? Who is the First Aid Attendant? Ice packs available? Yes No Cold / Chemical / Both (circle) STAGE/ BACKSTAGE: Potable water available? Yes No Are all pathways clearly marked? Yes No Padding on hazards Yes No Is glow tape and reflective tape used under both work light and performance lighting conditions? Yes No Is there adequate lighting offstage? Yes No Temperature control? Yes No Is there a fly system? Yes No Is it being used? Yes No Is the fly floor safe and clean? Yes No Appropriate surface for the activity? Yes No Adequate ventilation? Yes No Is there a place for artists to warm up? Yes No Is there a barre for dancers? Yes No Additional notes & comments? Telephone available for emergency? How often is the venue cleaned / maintained? Additional notes and comments:

3 COMMUNICATION SYSTEMS: Is there a headset system available? Does it work? Is there a paging system to the lobby? Is there a paging system to the dressing rooms? Is there a paging system to the Green Room? Is there programme sound? REHEARSAL SPACE: Temperature Control? Potable water? Bathrooms? How often is the rehearsal space cleaned / serviced? Is there a barre available for dancers? Is the floor safe and clean? Appropriate surface for the activity? Signed by: Date:

4 Production Specific Health & Safety Appendix Name of Production: Dates of Production: Theatre/ Dance/ Opera: DRESSING ROOMS: (see general checklist) Is there adequate room for the number of artists in the production? Is body makeup used? Is there a shower? GREEN ROOM: (see general checklist) Is there adequate room for the number of artists in the production? Is there a barre available for dancers? STAGE/ BACKSTAGE: General stage configuration (prosc., thrust, etc.) Raked stages: Is there a raked surface? Is there access to a level or counter-raked area? What is the rake? deg. or rise over run Dance flooring: What is the floor surface? (e.g. Marlee) Stage and Set: General description of the set (basic house interior, freeform, etc.) Are there multiple playing levels? Yes No Edges Marked? Yes No Safety Railings? Yes No Describe the levels (number, size, heights, etc.) Does the set include stairs or ladders? Yes No What is angle of the stairs? rise over run Hand Railings? Yes No Are there any traps used? Yes No Is there adequate lighting? Yes No Are there any ramps? Yes No Traction? Yes No Are there any rough edges/ surfaces? Yes No Scenery: Sharp edges? Yes No Doors move freely? Yes No Cables / cords secured? Yes No Furniture stable? Yes No Does scenery move with artists aboard/nearby? Is scenic automation used? What is the subfloor? (is it sprung?)

5 Pyrotechnics: What Kind? Has use been reviewed with Fire Dept.?? Set pieces treated with retardant? Costumes treated with retardant? Masking treated with retardant? Onstage fire extinguisher? Date last serviced? / / Offstage fire extinguisher? Date last serviced? / / Fire curtain? Does it work? Other Special Effects: Describe (fog, strobes, gunshots, artists being flown, etc) Artist Concerns: If the Artists involved in the production have expressed any particular concerns, provide details here. Note any steps taken to minimise or eliminate hazards. Note any unresolved issues. Signed by: Date

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