Dangerous Filming & SPFX Application

Complete this form to apply for dangerous filming activities or special effects (SPFX). Please review the City of Port Colborne’s Filming Policy before submitting your application. For questions or assistance with the form, please contact Customer Service at 905-835-2900.

Date of Application

Applicant Name & Title

Email

Phone

Production Title

Production Type

If other, please specify.

Production Company

Preparation Dates & Times

Filming Dates & Times

Wrap Dates & Times

Dangerous Filming & SPFX

Location

Date and Time

FX Location Representative:

Representative’s Cell Number:

FX Supervisor Name:

Supervisor’s Cell Number:

Pyrotechnician Certificate # & Expiry:

Pyrotechnician Certificate # Class:

Description of the scene(s) during which SPFX will be used:

Please check off all that apply to your filming project.

A completed SPFX Plan—with maps, diagrams, and a detail description of the effect, including safe distances between personnel, objects and the effect—as well as a certificate of insurance will be submitted along with this application.

Yes

No

SPFX Plan

One file only.
32 MB limit.
Allowed types: txt rtf odf pdf doc docx ppt pptx xls xlsx.

Certificate of Insurance

One file only.
32 MB limit.
Allowed types: txt rtf odf pdf doc docx ppt pptx xls xlsx.

A completed Fire Safety Plan will be submitted along with this application.

Yes

No

Fire Safety Plan

One file only.
32 MB limit.
Allowed types: txt rtf odf pdf doc docx ppt pptx xls xlsx.

Pyrotechnics

Set-up date:

Projected initiation times:

Detonating cord inclusions:

Yes

No

Materials to be used, including quantities:

Safety Measures – Describe the place and method of pyrotechnics storage on-site, as well as the use of extinguishers on set as a safety measure:

Do you intend to have the fire protection equipment disconnected from this effect?

Yes

No

Squibs

Will squibs be used with anything else (i.e., black powder)?

Yes

No

Will fuses or detonators be used?

Yes

No

Set-up date:

Projected initiation times:

Planned number of resets:

Firearms, Guns, or Gunfire

Firearms Handler Name:

Firearms Handler Cell Number:

PAL # for Firearms Handler:

Firearms Business License #:

Set-up date:

Projected initiation times:

Planned number of rounds:

What is being fired at?

Vehicle

Prop

Person

Other

If other, please specify.

Will an air capsule gun (e.g., Sweeney) be used?

Yes

No

Describe what the air capsule gun rounds contain:

Types of firearms on set, including quantities:

Safety Measures – Describe the place and method of firearms storage on-site (Note: Prop or replica firearms must be secured in the same way as actual firearms):

A copy of the on-set Firearms Handler’s PAL will be submitted along with this application:

Yes

No

Firearms Handler's PAL

One file only.
32 MB limit.
Allowed types: txt rtf odf pdf doc docx ppt pptx xls xlsx.

A copy of the Firearms Business License will be submitted along with application:

Yes

No

Firearms Business License

One file only.
32 MB limit.
Allowed types: txt rtf odf pdf doc docx ppt pptx xls xlsx.

Niagara Regional Police Service will be notified and a Paid Duty Officer will be requested (if required):

Yes

No

The completed application and all required attachments will be emailed to both the City of Port Colborne and Niagara Regional Police Service at least 10 business days in advance of filming:

Yes

No