Overview

The Hazard Notification form may be used by any crew member who has a concern about a potential hazard during production. The form allows the crew member to describe the hazard and identify any steps they believe may be needed to address it.

This process is important because safety responsibility does not belong only to producers, department heads, and shop stewards. Giving any crew member a clear way to report hazards helps productions identify risks earlier, respond more responsibly, and reinforce a culture where safety concerns are taken seriously.

Instructions

The Hazard Notification form may be used by any crew member who has a concern about a potential hazard. Use the form to describe the hazard and to describe any corrective actions that have been taken (or could be taken). Please be as precise, objective, and factual as possible, describing only what you’ve observed first-hand.

Sample Form

Here’s a sample of what the completed form should look like: