On Location Checklist Form 03: On Location Checklist This form is used to help the production correct possible hazards while shooting on location. This checklist should be completed by the Location Manager, or his/her designee, and any deficiencies should be corrected immediately. Production Name Date MM slash DD slash YYYY Location Name Location Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Completed By First Last PhoneEmail Hazardous Materials and WastesThere are hazardous materials at this location. Yes No N/A Hazardous materials are properly stored, labeled and/or disposed of properly. Yes No N/A Safety Data Sheets (SDS) are available for all hazardous materials stored at the site. Yes No N/A If disposing of hazardous waste, the FOX EHS Representative has been contacted for assistance and coordination. Yes No N/A Fire and Life SafetyLocal Fire Department has been briefed on the proposed activity and, if required, permits have been obtained. Yes No N/A What is the maximum load limit for floor loads and other elevated surfaces. Exits are functional and properly marked. Yes No N/A The location is a building or some other permanent structure. Yes No N/A Building is equipped with adequate lighting. Yes No N/A Building is equipped with a functional fire sprinkler system. Yes No N/A Fire extinguishers are available and tagged with the date of the last inspection. Yes No N/A Fire lanes are kept clear (20 feet), and fire hydrants are not blocked. Yes No N/A No vehicles is parked within 20 feet of tents. Yes No N/A Hazard signs such as Danger, Warning, Caution, Keep Out, etc. posted if needed (including "No Smoking" or "No Guns" signs). Yes No N/A Any issues concerning streets, highways, traffic patterns, train tracks, flight paths and patterns, facility access, fire lanes and parking considerations, power lines, etc. have been addressed. Yes No N/A Special HazardsHandrails, guardrails, lifelines and/or other forms of fall protection are available if needed for roofs, elevated platforms, cliffs, etc. Yes No N/A Generators are being used. Yes No N/A Generators are placed in a way where the exhaust gas does not blow into any work areas. Yes No N/A There are designated areas for refueling and water tenders. Yes No N/A All housekeeping issues have been addressed to minimize slip, trip and fall hazards. Yes No N/A Comments/CorrectiveActions/Notes: (Use this space to indicate any other conditions that may require special attention.)Comments/CorrectiveActions/Notes: (Use this space to indicate any other conditions that may require special attention.)FileMax. file size: 20 MB.FileMax. file size: 20 MB.FileMax. file size: 20 MB.FileMax. file size: 20 MB. Δ Online Form – TP Form 03B – On Location EHS Checklist Web Form Builder