Film Set Equipment Safety Inspection Form
Complete this form to document the safety inspection of equipment on the film set.
Inspector Full Name
*
First Name
Last Name
Inspector Email Address
*
example@example.com
Inspector Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Inspection
*
Equipment Category
*
Please Select
Lighting Equipment
Camera Equipment
Grip & Rigging
Sound Equipment
Electrical Cables & Power
Other
Equipment Inspection Table
*
Rows
Equipment Name
Condition (Good/Needs Repair/Replace)
Safety Compliance (Yes/No)
Comments
1
Good
Needs Repair
Replace
Yes
No
2
Good
Needs Repair
Replace
Yes
No
3
Good
Needs Repair
Replace
Yes
No
4
Good
Needs Repair
Replace
Yes
No
5
Good
Needs Repair
Replace
Yes
No
Are all safety guards, labels, and instructions in place and legible?
*
Yes
No
Are any corrective actions required?
*
Yes
No
If corrective actions are required, please describe them
Additional Comments
Inspector Signature
*
Submit Inspection
Submit Inspection
Should be Empty: