Crucible Safety Media - Pricing Worksheet

Submit this Form
CUSTOM VIDEO AND DVD WORKSHEET
Name:
Organization:
Phone Number:
Email Address:

1. What results do you want to achieve with your custom safety DVD/video?
2. What are the most important ideas or concepts that you want your employees to remember after viewing your custom safety DVD/video?
3. What actions or behaviors do you want to change, reinforce, or introduce?
4. Are there any specific injuries and/or incidents you especially want to prevent?
5. Briefly describe your organization’s culture, or a core set of values that you want to emphasize in your Safety DVD/video?
6. Do you have a written outline or script already prepared?
7. Do you have a written company policy or other materials assembled that we can use to base your Safety DVD/video script? Would you like Crucible to help you develop the script?

1. Briefly describe the target audience for your Safety DVD/video. Experience levels, languages spoken, trade, etc.
2. What narration voice-over languages do you want your final version to contain?
3.To portray the ideas in your script, do you want realistic scenarios, incident recreations, and actual equipment operations? Please describe any specific ideas or requests.
4. Do you want your employees to be in the DVD/video? Do you prefer a lead character or actor and/or a combination of actors and employees?
5. If your employees are to be used in the video, what are their typical work hours per shift? Can they work more than 8 hours on actual video shoot day if necessary?
6. Can you provide a capable representative to assist on production days and coordinate on the job sites?

1. How many employees will be viewing your Safety Orientation DVD/video per year? (Cost benefit analysis).
2. How many minutes do you want your Safety Orientation DVD/video to run?
3. When do you want to start production?
4. When do you want your Safety DVD/video project completed?
5. Do you have a budget for your custom Safety DVD/video project?
6. Is the project approved? If not, how can we help you in the approval process?
7. Where would the video shoot take place? Please list the geographical areas / locations you would want to use for your DVD/video?
8. In what format do you want your custom video delivered? DVD, VHS, other?
9. How many copies of your finished Safety Orientation DVD/video do you want?