Injury and Illness Prevention Program (IIPP) Cover Sheet
Show:
*
Do not include season number
Working Title:
If different from Production Title
Production Office Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Production Office Phone:
*
-
Area Code
Phone Number
Unit Production Manager/PM
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
AUPM / Production Supervisor
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Production Coordinator
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
1st AD - Evens
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
1st AD - Odds
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
2nd AD
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Emergency Telephone Numbers
After Hours Emergency Call List
UPM/Line Producer
First Name
Last Name
-
Area Code
Phone Number
Production Executive
First Name
Last Name
-
Area Code
Phone Number
Production Attorney
First Name
Last Name
-
Area Code
Phone Number
Production Safety Representative
First Name
Last Name
-
Area Code
Phone Number
Departmental Safety Representatives
Not all positions below apply to all shows
Supervising Producer:
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Art Director:
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Construction Coordinator:
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Gaffer:
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Key Grip:
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Location Manager:
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Key Hair:
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Key Make-up:
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Production Teacher:
First Name
Last Name
Phone Number
-
Area Code
Phone Number
SPFX Supervisor:
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Stage Manager:
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Stunt Coordinator:
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Transportation Coordinator
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Wardrobe Supervisor:
First Name
Last Name
Phone Number
-
Area Code
Phone Number
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