Department:
Document:
The University of Maine Safety and Environmental Management Department
Theatre Production Process Design Review Sheet
Page 1 of 1
MF15521, 04/07/09, Rev 3
Theatre Production Process Design Review Sheet
Name of Production:
Anticipated Date of Production:
Review Requested by: (please print)
Brief Description of Production:
Please check all that apply.
Initial Review
equipment hazards
fall safety hazards
elevated
structures/platforms
load ratings
machine guarding
safety SOPs
moving parts
chemicals
safety controls/hazards
Review Sequence
Director of Production
Design Involves
equipment hazards
fall safety hazards
elevated
structures/platforms
load ratings
machine guarding
safety SOPs
documentation
specification review
safety controls/hazards
Print Name
Choreographer
Scenic Designer
Technical Director
SEM
List of Supplied Documentation
Design Change Requires
equipment hazards review
fall safety hazards review
elevated
structures/platforms review
load ratings review
machine guarding review
safety SOP review
documentation review
specification review
safety controls/hazards rev
Signature
Date
Drawings
Equipment Specifications
Other
List Other Potential Safety Concerns:
Note: Attach all related sketches, diagrams, plans, specifications, list of materials for construction, machinery and
equipment needed (rental or owned) for the production. Check all that apply and submit details if needed, on a separate
sheet.