• Iconic Productions / Iconic Performances Pty Limited

    Inventory Stock List Damage or Low Stock for Props Equipment or Wardrobe Form

    This form is to be completed by the employee/contractor/volunteer who either damaged the item or noticed the item damaged. This form must be lodged immediately upon the noticing the damaged item or where not possible, within 60 minutes to the company. If you have any queries, please speak with your channel/department supervisor. You need to complete a form for each individual item.
  •  / /
  •  :

  • DETAILS OF THE PROP / EQUIPMENT / WARDROBE


  • 0/500
  • Upload Photo Close Up
    Cancelof
  • Upload Photo Close Up
    Cancelof
  • Upload Photo Close Up
    Cancelof

  • LEVEL OF RESPONSIBILITY

    Answer questions based at / during the incident

  • Per company policy, you are required to inform your department or channel supervisor for any incident relating to a prop, company equipment or wardrobe/costume.

    Please contact your department or channel supervisor on slack or in-person and inform them of the incident before you can continue with the form.

  • WITNESSES

    Answer questions based at / during the accident

  • Acknowledgement and Declaration

    The Questions and Form Fields in this Damage or Low Stock for Props Equipment or Wardrobe Form requesting information is required to ascertain safety issues, incidents and level of responsibility. You are requested to provide this information simply to assist with initial administration of the incident investigation process. It is important that you do not attempt to lay blame or fault to any other person, unless you are responsible for the incident and have done the honourable thing in taking responsibility for your actions in any of your answers to this accident and that you answer with truth and honesty from the information you know.

    Any information provided on this form as to fault is indicative only and cannot constitute an admission of fault or wrongdoing by any person for legal purposes. Under section 327 of the Crimes Crimes Act 1900 No 40 providing false or misleading information is a criminal offence and will be prosecuted. 

    Personal information (including sensitive information) collected in this form and throughout the course of any subsequent insurance claim will be collected and handled for the purpose of managing, assessing and investigating any such claim, to handle associated complaints and disputes, associated business activities and detecting fraud. 

    By completing this form you consent to your personal information being collected and handled for the purposes above, in accordance with the laws of the ACT and this privacy statement and as otherwise authorised or required by law. Your consent also covers the collection of personal information (including sensitive information) from you and as otherwise required or authorised by law.

    Where required the personal information entered herein may be disclosed between the insurers, the CTPI Regulator, the Nominal Defendant, other approved insurers, and other government agencies and third parties involved in the assessment of any claim related to the incident described in this form (including those described in the Authority on this form), and as otherwise authorised or required by law.

    Each of these parties will collect and handle this information (including all personal information and sensitive information) for the same purposes set out above.

    Where the information is provided to an insurance company, the privacy policy of each approved insurer contains information about how you may access the personal information the insurer holds about you, how you may complain about a breach of the Australian Privacy Principles by the insurer and how they will handle a complaint. The name and contact details for privacy enquiries for each insurer who provides insurance in the state and country jurisdiction of the Head Office of the Company is set out on each insurers website.

  •  / / :
  • Should be Empty: