Mandeville Auditorium Manager's Performance Report

Manager's Event Report for Mandeville Auditorium.
To be completed at the END of each performance residency.

EVENT TITLE
PRODUCING ORGANIZATION
Staff Manager Name Staff Manager Name First Last
Manager's Email Address
DATE RANGE (Start)
1st Date of Residency DATE RANGE (Start)
1st Date of Residency / MM / DD YYYY
DATE RANGE (End)
Last Date of Residency DATE RANGE (End)
Last Date of Residency / MM / DD YYYY
EVENT DATE (1st / only)
If multiple, please indicate all performance dates and times in notes EVENT DATE (1st / only)
If multiple, please indicate all performance dates and times in notes / MM / DD YYYY
Approximate Attendance
TIMES
Time Client Entered the Building Time Client Entered the Building : HH MM AM/PM
Event START Time Event START Time : HH MM AM/PM
Event END time Event END time : HH MM AM/PM
Time CLIENT Exited the Building Time CLIENT Exited the Building : HH MM AM/PM
AUDIO EQUIPMENT
Microphones Used (Wired) [#]
Microphones Used (Wireless) [#]
Speaker Towers Used (of 2) [#]
Speakers Used (Monitors) [#]
CD/DVD Player (or Playback Computer Used) [#]
Mixer Used [#]
PROJECTION EQUIPMENT

Projection Equipment Used
Projection Equipment Used	Yes	No
Video Projector	Video ProjectorYes	Video ProjectorNo
Projection Screen / Cyc	Projection Screen / CycYes	Projection Screen / CycNo
Other	OtherYes	OtherNo

EQUIPMENT, STAGE / GENERAL
Chairs (other than House loose seats) [#]
Tables [#]
Music Stands [#]
Music Stand Lights [#]
PLATFORMS
Total NUMBER of platforms used:

Where the following items used:
Where the following items used:	Yes	No
Orchestra Shell	Orchestra ShellYes	Orchestra ShellNo
Lectern	LecternYes	LecternNo
Conductor's Podium	Conductor's PodiumYes	Conductor's PodiumNo
Dance Floor	Dance FloorYes	Dance FloorNo
Piano	PianoYes	PianoNo

Total Number of DAYS the Equipment listed above was used:
Total Number of PERFORMANCE DAYS in the venue:
ADDITONAL SERVICES

Please list additional event detail including: additional services and rentals (facilities management, media services, lighting rental, equipment rentals, audio rental, rigging services, piano tuning, etc.)

Were any of the following (additional) services or rentals utilized?
	Yes	No
Show Call Event Productions (Load-In)	Show Call Event Productions (Load-In)Yes	Show Call Event Productions (Load-In)No
Show Call Event Productions (Load-Out)	Show Call Event Productions (Load-Out)Yes	Show Call Event Productions (Load-Out)No
Media Services Rental (Campus)	Media Services Rental (Campus)Yes	Media Services Rental (Campus)No
Lighting Equipment Rental	Lighting Equipment RentalYes	Lighting Equipment RentalNo
Equipment Rental (Staging, motors)	Equipment Rental (Staging, motors)Yes	Equipment Rental (Staging, motors)No
Audio Rental	Audio RentalYes	Audio RentalNo
(Additional) Projector or Camera Rental	(Additional) Projector or Camera RentalYes	(Additional) Projector or Camera RentalNo
Piano Tuning	Piano TuningYes	Piano TuningNo
Security Services (UC San Diego Police)	Security Services (UC San Diego Police)Yes	Security Services (UC San Diego Police)No
Security Services (Allied Universal or similar)	Security Services (Allied Universal or similar)Yes	Security Services (Allied Universal or similar)No

Please list additional equipment used.
SAFETY
Please report any safety concerns or issues here.
Please report all injuries and accidents to your supervisor - immediately.
GENERAL NOTES
Please list any other notes or observations regarding this performance / residency.
***WHAT TO DO IF YOU (OR A CREW MEMBER) ARE INJURED ON THE JOB***

https://blink.ucsd.edu/safety/occupational/reporting.html

#1 - Come to a safe stopping point.
#2 - Report the incident to your Event Manager, ASAP.
#3 - Seek medical attention, if needed.

You will be asked to complete the following:
Employees: https://blink.ucsd.edu/safety/occupational/reporting.html
- This report is to be completed by UCSD employees when an occupational (work-related) illness or incident occurs. Submittal of an Occupational Incident Report is not filing a claim for workers' compensation benefits.
- The UCSD Workers' Compensation Office will provide the employee with a California State Workers' Compensation Claim Form (DWC-1), if the work-related injury incident requires medical treatment beyond first aid or lost work days prescribed by a physician. Submittal of a completed DWC-1 claim form to the UCSD Workers' Compensation office activates a workers' compensation claim file.
- If the entire Occupational Incident Report (Employee page and Supervisor page) cannot be completed at the time of initial submittal, complete as many fields as possible. The information with * below is required for initial submittal.
- If the employee is unable to complete an Occupational Incident Report, the supervisor must report the Incident on their behalf.
- If you have any questions, please call your Workers' Compensation representative at: (858) 534-4785 or 822-2979.

Supervisors: https://blink.ucsd.edu/safety/occupational/reporting.html
Supervisor of injured UC San Diego employee must complete and submit this report to the Workers' Compensation Office in conjunction with either of the two reporting options utilized by the injured employee.
- Option A: Employee reported incident via online Employee Occupational Incident Report, or
- Option B: Employee reported incident via a reporting line: (877) 6UC-RPRT (877) 682-7778.

Incident Report for Students and Visitors:
https://blink.ucsd.edu/safety/occupational/reporting.html
INCIDENT REPORT

Report a work-related injury, illness, or hazardous material exposure
https://blink.ucsd.edu/safety/occupational/reporting.html
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Mandeville Auditorium Manager's Performance Report

Mandeville Auditorium Manager's Performance Report

TIMES

AUDIO EQUIPMENT

PROJECTION EQUIPMENT

EQUIPMENT, STAGE / GENERAL

ADDITONAL SERVICES

SAFETY

GENERAL NOTES

***WHAT TO DO IF YOU (OR A CREW MEMBER) ARE INJURED ON THE JOB***

INCIDENT REPORT

WHAT TO DO IF YOU (OR A CREW MEMBER) ARE INJURED ON THE JOB