• Aerial Performance Safety Checklist Form

    Complete this checklist before an aerial performance to verify equipment, rigging, environment, and final readiness.

  • Performance Details

  • Performance Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Equipment and Rigging Safety

  • Aerial apparatus condition is safe and serviceable*
  • Rigging hardware condition is safe and serviceable*
  • Anchor point inspection completed and approved*
  • Safety mat or net is correctly placed and secured*
  • Required safety gear is available and in use*

  • Final Readiness

  • Is the performance approved to proceed?*
  • Should be Empty:
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