Film Production Hazard Training Acknowledgement Form
Please complete this form to acknowledge your participation in the required hazard training for film production crew.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Production Name
*
Role/Position on Crew
*
Please Select
Director
Producer
Camera Operator
Sound
Grip/Electric
Art Department
Wardrobe
Makeup & Hair
Production Assistant
Other
Department
*
Please Select
Camera
Sound
Lighting
Art
Wardrobe
Makeup & Hair
Production
Other
Training Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Trainer's Name
*
Location of Training
*
Key Hazards and Safety Topics Covered
*
Electrical Safety
Working at Heights
Fire Safety
Hazardous Materials
Personal Protective Equipment (PPE)
Equipment Operation
Emergency Procedures
Other
Signature
*
Acknowledge Training
Acknowledge Training
Should be Empty: