Info Page-no Questions to answer - Page 1
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Introduction
Hello, thanks for wanting to create art at Burning Man. It should take you about 15-30 minutes to fill
out this questionnaire.
If your artwork involves Open Flame, Flame Effects, Pyrotechnics or Fuel and Hazardous Materials
Storage, we strongly recommend downloading this PDF version of the questionnaire, printing it and
gathering information before filling it out online.
Please be aware that you must submit a diagram, drawing, or plan for each project, which can be as
simple or complex as you need it to be, must be sent to us within 2 weeks of submitting the ques-
tionnaire. The diagram is the complement to the description of your project, what ever it takes for the
Art team to understand fully what you are wanting to create this year. This information is essential
for us to facilitate your art installation.
Once we receive your drawing, someone from the Art Department will contact you.
Questions can be sent to installations@burningman.com.
If you are having problems submitting this questionnaire, please mail or fax it to us. Contact
information is provided later in the questionnaire.

Page 2
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Project Type
1.
Theme Related? (Required)
Is your art installation relevant to the 2004 SThe Vault of Heaven theme?
Yes
2.
Art Installation / Project Name (Required)
What is your art installation/project called?
Pagoda of Infinite Reflection
3.
Listed On Public Map? (Required)
Would you like your project to be listed in the SWhat, Where, When , a public map that participants
receive during the event?
Yes
4.
Website Description of Art Installation
Please write a description of your Art Installation as you wish it to appear on the Burning Man website.
Write the description below. Please keep your description to 150 words or less. Deadline for information
is August 1, 2004.
The Pagoda is a study in repetition and, like a giant wooden diffraction grating, the structure's repetitive symmetry interacts with sunlight and moonlight to generate a myriad of alternating bright lines and dark shadows on the playa surface. A collaborative project, the Pogoda plays host to several pieces of art, the largest of which continues the repetetive theme.

Inside, the Vault of Infinity--an elaborote infinite mirror--invites reflection on the infinitiess within us. On Wednesday night after a city-wide processional, the upper tower of the Pagoda will be fired into heaven in a blaze of color, consuming the entire structure in flame.

5.
Date Of Arrival (Required)
What day do you anticipate arriving on the playa?
Before Saturday 08.28.2004

Page 3
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
6.
Associated With Theme Camp? (Required)
Is your art installation associated with a theme camp?
No
7.
Theme Camp Association
If so, which theme camp is your art installation associated with?
n/a
Visual Details
1.
Physical Description of Art Installation (Required)
Please describe as clearly as you can, in as much detail as you need, what your project is about. What
is the visual impact of your project, the dimensions, and how will Burning Man participants interact with
it? (If you are utilizing fire in any way, we will be asking for more details related to the flames later in this
questionnnare.)
This art installation is a group effort conceived and executed by over two-dozen Silicon Valley burners, including experienced playa artists, new playa artists, and first-time burners. The installation is about creating culture and community through the process of making art, about achieving a large ceremonial fire on the playa early in the week, and about giving a gift to those who build our city. It is about leaving no trace except the change that comes from reflection by all who participate in its creation, existence, and destruction.

The structure itself is a large (24wide x24long x31tall) repetitive wooden structure composed of 2x6 beams and plywood gussets constructed in an open, airy Lincoln log style. The shape is five truncated pyramids. Four of these rest on the ground in a square pattern inverted onto their pointy tips, while the fifth is mounted right-side-up on top of the other four and centered. The structure itself may invite climbing and could withstand a reasonable climbing load, but we will discourage it with signage and near full-time guardians during its short life. It is about light, not gravity.

The largely open inner space defined by the Pagoda structure will house the Vault of Infinite Reflection, an interactive mirror artwork designed to twist the visual sense and create special effects using simple optical science tricks and battery/solar lighting rather than advanced technology. Our goal is to help participants fall into the sky. Each element of the mirror artwork will interact continuously with other mirrors, the sun, the moon, the wind, lights, the hundreds of slats in the Pagoda structure, and the human participants to create an endlessly changing variety of intense and immersive visual effects that will be enhanced using wind chimes, incense, and interactively moved lighting.

On Wednesday afternoon prior to a processional through town leading to the burn, we intend to remove the artistic elements from the structure. We will then be adding several chords of wood. On wednesday night a processional lead by costumed and flaming Street Barkers, Belly Dancers, & Gypsies starting from the outer reaches of our city will march toward the Esplande to entice our neighbors to the Pagoda. (and much merriment was had by all...)

The Vault of Infinite Reflection will rise from the ashes at the Pagodas original location on Thursday afternoon after the burn clean-up.

2.
Project Structures
Which structures does your project include? (Please check all that apply)
Scaffolding
Structure over 15 feet high
Holes dug in the playa

Page 4
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
3.
Interference with nearby art?
Are there any aspects or components to your installation or project which could possibly interfere with
other nearby art, such as bright lights, in need of a quieter area?
Yes
4.
Interference Detail
If yes, please describe:
This structure will be burned wednight/thursday morning. Anything sesitive to fire should be placed well away.
5.
Illumination Details (Required)
How will your project be illuminated at night? Reflectors / Blinking lights?
The structure will be lit, at a minimum, within each of the four corners. This lighting is referred to as the foundation lighting, and provides the visual distinction necessary to identify the pagoda as such during nightfall in clear conditions. The foundation lighting is 12v dc powered spot, suspended at 2/3 or higher from the base in such a manner as to encourage participation in moving the lights up and down or sided to side. The movement contributes to the overall interactive element and shadowing effect.

Foundation lighting is wired using appropriate gauge stranded and shielded copper wire. All connections will be properly terminated and not exposed.

Spot lighting will be in the four corner legs of the pagoda directed toward the playa. Each leg is in the shape of a V and constructed of staggered vertical 2x6, which will allow light to escape for external visibility. Each leg will contain one uniquely colored spot.

The center and lone top piece, which is in the shape of an inverted V, will at a minimum be illuminated by an additional spot. It is predicted that additional lighting will be included in the top tier, such as a beacon, blinkies, class 3 laser, el wire, or other low voltage / battery operated lighting. This is an evolving part of the project.

Additional discussion has included the illumination of the top propeller with el wire, which would trace the outline of the propeller itself. This too is a part of the project still in gestation.

The primary intention and focus of the lighting team is to provide illumination which will not only guide participants to the art but to enhance the geometry of the piece. Lighting within the pagoda will be interplayed with the infinite mirrors and is designed to create illusionary kaleidoscope-like effects.

6.
Project Footprint
Please estimate the physical dimensions of your piece (width X breadth X height).
Main structure & Burn protection pads: 24' square.
The perimeter will be a circle of garden lights about 50' in diameter centered on the Pagoda.

Page 5
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
7.
Plan Submission Method (Required)
A diagram, drawing, or plan for each project, which can be as simple or complex as you need it to be,
must be sent to us within 2 weeks of submitting this form. The diagram is the complement to the de-
scription of your project, what ever it takes for the Art team to understand fully what you are wanting to
create this year. This information is essential for starting a dialogue. Please specify the manner in which
you would like to submit your plan:
Email: installations@burningman.com
URL (see next question)
Fax: 415-865-3820 - Attn: Art Installations
Mail:
Attn: Art Installations
Burning Man
P O Box 884688
San Francisco, CA 94188-4688
NOTE: We are asking that you submit to us a digital image or print photo of your installation POST-
EVENT so that we may illustrate your listing in the 2003 art installation archives on our website. Please
be sure to photograph your work on the playa. Please send this information in one of the ways listed
above.
8.
Project Plan URL
If you are submitting your project plan via the web and your plan is ready for submission, please include
the URL to your plan here.
http://wizzard.com/bm2004/plan.html
9.
Additional Information
Please list any other information you feel is vital for the completion of your project:

Page 6
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Special Needs
1.
Building A Stage? (Required)
Are you building a stage? Please read about sound limitations.
Yes
No
2.
Stage Placement
If so, where will the stage be located in relation to your project?
N/A
3.
Sound Amplification? (Required)
Will your project have sound amplification?
Yes
No
4.
Number Of Generators
How many (if any) generators will you bring?
0
1
2
3
4 or more
5.
Amount Of Fuel
How much fuel will you be storing?
0-20 Gal.
21-more Gal.

Page 7
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Leave No Trace
1.
Leave No Trace Plan (Required)
Whether you plan to burn your project or not, please describe your plan IN DETAIL to Leave No Trace
whatsoever of your project(s) - including burn scars:
Our overall plan is to use the same practices as other large burns, like David Best's temples. We are coordinating with Crimson, Hazmatt, and Coyote to make sure we get it right. Our playa protection coordinator is Larry Breed, an Earth Guardian with advanced LNT training.

LNT prior to the burn will consist of securing lightweight materials and de-mooping the area as needed.

Prior to construction we will lay down a burn mat (kevlar or fiberglass) with 2 inches of DG, covering the footprint and a few feet outside. The installation will house a variety of art elements before the burn. All of these will be removed before our burn, except for those intended (and non-hazardous) for burning.

Our burn is scheduled for Wednesday night, midweek. The construction will include structural elements to prevent burning materials from falling outward, so nearly all burning materials will be concentrated on the protected area. Fire attendants with appropriate tools (rakes) will be at the periphery, so that if any burning material falls on the unprotected playa it can be promptly moved onto the burn mat.

We will contract with Willie Courtney to use his front-loader and truck the day after the burn, to remove ashes, cinders, DG, and the burn mat. Our group will use brooms or other appropriate tools to remove any residual material. Following cleanup, we expect to re-erect some art structures and continue to use the space for the duration of the event. We will de-moop as needed. All materials will be removed, and the area gridded, before departure.

Burning Questions
Answering yes to any of the following questions requires you read and sign the associated agreements
found at the end of this form.
1.
Open Flame (Required)
Will your project include the use of an OPEN FLAME (this includes items such as candles, torches, fire
barrels, or any art that is to be set on fire)?
Yes
No
2.
Flame Effects (Required)
Will your project include the use of FLAME EFFECTS (This includes all flames that are automated,
switched, pressurized or having any other action than simply being lit on fire; as well as projects using
propane or liquid fuels)?
Yes
No

Page 8
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
3.
Pyrotechnics (Required)
Does your project contain PYROTECHNIC MATERIALS? (Burning Man !"s definition of pyrotechnics
includes any explosives, projectiles or fireworks. ALL PYROTECHNIC SPECIAL EFFECTS MATERIAL
USED IN ANY ART INSTALLATION OR PERFORMANCE MUST BE OF CLASS C !" OR LESS.
ABSOLUTELY NO FIREWORKS OF CLASS B !" OR HIGHER WILL BE PERMITTED AT THE EVENT.
Yes
No
4.
Combustibles (Required)
WIll you be STORING HAZARDOUS FLAMMABLES or any potentially dangerous combustibles? Will
your project include the use of an OPEN FLAME (this includes items such as candles, torches, fire
barrels, or any art that is to be set on fire)? (This information is for fire prevention only and is confiden-
tial.)
Yes
No

Info Page-no Questions to answer - Page 9
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Fire Safety Agreement: Open Flame
This information is designed to promote the safe execution of Open Flame at Burning Man, whether
you create a regularly repeated event or a single fire.
Fire art with open flame typically ranges between two extremes. Some is as simple as candles set on
the playa, torches staked into the ground, or a small-to-medium-sized container raised off the playa
floor, etc. At the other extreme, some artwork is fully engulfed in flames and produces a tremendous
amount of heat.
For any open flame, we encourage you to use these safety rules as a guide.
PLAYA PROTECTION and BURN SCAR PREVENTION
Burn scars are patches of discolored, hardened playa sediment caused by the heat and smoke of
carelessly constructed bonfires. These wounds in the earth are difficult to clean up and take years to
recover.
Burning Man participants, especially people building and burning art installations, have a number of
options available to prevent burn scars. With some clever thinking, preparation, and intelligent use of
materials, precautions can fit in with the aesthetics of an installation.
Artists proposing projects with open flame must include plans for burn scar protection and clearly
demonstrate the ability to follow through with those plans. The burn platforms they construct must be
inspected before burning can take place to ensure three effects:
1. Preventing the heat of the fire from baking the playa surface
2. Preventing smoke, ashes, and residue from permeating the playa surface
3. Allowing the quickest possible clean up after the burn, with removal of all materials and debris
from the playa proper disposal.
Leaving No Trace
The Burning Man is a good example of a sculpture with good protection against burn scars. Most of
the ignition and the hottest part of the burn is elevated well above the ground. Since 2000 the location
of the Burning Man has been protected by heat-resistant silica fabric covered with at least 2 inches of
sand.
Similarly, others should elevate burning art completely on posts or legs at least 1 foot above the playa
surface, containing the burn within a heavy steel container with a metal pan underneath. Supports must
be made of steel pipe or wood posts with the bases wrapped with metal foil. Protection still is needed
on the ground to catch any falling pieces.

Info Page-no Questions to answer - Page 10
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Other options to keep burning are from contact with the playa surface include:
Hang the art from cables strung between poles.
Fabricate panels with steel frames and flat or corrugated sheet steel attached to both sides,
elevated at least 4 to 6 inches above the playa surface.
Lay down sheet metal covered with 2 inches of sand, gravel, or cobblestones.
Lay brick, concrete pavers, or rock on a thin sand bed over sheet metal, with sand swept into
the cracks.
If a sculpture can be moved or dismantled, it could be burned either at the site of the Man or after the
Man has been set on fire at one of the public burn platforms along the Esplanade, depending on the
most favorable schedule.
Typical burn scar prevention measures use many fire-resistant materials.
Possible sources:
Sand and Gravel
granite quarry at Spanish Springs, Route 445 north of Reno
Heat-Proof Woven Silica Blanket
available from suppliers of fabric for welding shops and foundries, in temperature grades from
1000 to over 2000` F (CAUTION: Silica or fiberglass cloth is not fireproof under sustained heat,
and must be covered with sand.)
Sheet Steel, Corrugated Steel
steel recycling yards, used building materials outlets, construction or demolition sites
Heavy Steel Plate & Pipe
Brick, Heavy Tile, Concrete Pavers, Concrete Blocks
masonry yards, brick plants, used building materials outlets, building demolition sites
Spacers Under Steel or Panels
any suitable scrap steel works, such as tire rims, pipe sections, steel cabinets or lockers, brick,
concrete blocks, or large rocks.
Fire Pan
any suitable scrap steel, such as auto/truck body parts, tanks, or drums. Steel garbage cans or
drums are also needed to dispose of ash and debris.
Remove or burn paint off metal before bringing it to the playa. Corrugated steel needs supports 2 feet
apart to resist impact of walkers or heavy objects. Note also that aluminum exposed to moderately high
heat will melt, so cover it with sand or use it away from high heat.
Avoid burning plastics and synthetics. You can use nails, screws, or other steel fasteners in art to be
burned, just clean them up.
Clean up quickly, as soon as the fire cools, before others pile garbage on your burn.

Info Page-no Questions to answer - Page 11
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Artists and other participants should remove all their ashes, other debris, and all components of burn
scar protection systems from the playa, and clean-up should include a wide sweep around the site to
pick up cinders and other debris.
Steel drums, garbage cans, or large buckets are safer than plastic for removing ashes and debris. A re-
source list will be available after you have finished the questionnaire. If you have any questions, please
email flame-effects@burningman.com.
I Have Read And Understand The Above Information And Accept Its Conditions

Info Page-no Questions to answer - Page 12
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Fire Safety Agreement: Flame Effects
Assisting You To Create Dangerous Art Safely
This information is designed to promote the safe use of Flame Effects at Burning Man. This category
includes all flames that are automated, switched, or pressurized, and those with any action other than
simply burning after being lit on fire. Examples are projects using propane or liquid fuels. We encourage
you to use these safety rules as a guide.
Performance Safety Team
Burning Man has developed a Performance Safety Team to assist you in the safe execution of art or
performance with Flame Effects. Take advantage of this teams help to create dangerous art in a safe
way. For public safety reasons, the Performance Safety Team and outside authorities retain jurisdiction
over all flame effects at Burning Man, and they can override, stop, alter, or cancel any artwork or perfor-
mance with just cause. They have access to all areas of the artwork or performance at all times.
Because of the dangerous nature of flame effects no one may display, exhibit, or discharge any flames
that are automated, switched, or pressurized, or produce art or performance with any action other than
simply burning after being lit on fire, without the authorization of the Performance Safety Team. This
limitation specifically includes all projects using propane or liquid fuels.
In order for us to perform this function, the team requires conformance with the following guidelines.
Safety Responsibilities
All performers and their crews are responsible for their own art. Responsibility includes verification
by testing that an art installation or performance will not endanger the audience, the performers, or
members of the Performance Safety Team.
Safety Guidelines
A knowledgeable representative of your art installation or performance crew shall serve as a liaison
to the Performance Safety Team to inform them of any changes in the art or performance, for emer-
gency communications, and for anything that goes amiss during the use of flame effects. Performances
include both regularly scheduled events and one-time activities.
Flame Effects Performance Liaison must attend a playa meeting for a technical walk-through the day
prior to any use. A knowledgeable representative of the art installation or performance crew must attend
this meeting in order to receive approval to use flame effects. If pre-meeting is missed by Liaison, Artist
will not be allowed to operate Flame Effect art.
Any artist and their crew using flame effects must develop an emergency plan of action. If an art
installation or performance is scheduled, this emergency plan of action shall be submitted to the
Performance Safety Team prior to the performance.

Info Page-no Questions to answer - Page 13
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
First Aid
A basic first aid kit should be available consisting of the following items: Non-petroleum-based burn
cream or aloe vera gel, several rolls of 100% cotton gauze, and some large gauze pads gallon, as well
as a jug of water for flushing fuel.
Severe burns should be treated by Emergency Medical Services. Medical teams are available in Center
Camp or at the plazas located at 3 and 9 oclock in our city.
All safety concerns shall be considered and addressed by artists or performers and the Performance
Safety Team to ensure a safe show.
Material Safety Data Sheets (MSDS) must be supplied for any hazardous chemicals used.
No open flame or flame effects shall be used within the city or camping areas.
Common sense dictates that all fuel tanks on the open playa must be protected from vehicle traffic and
be well lit at night.
An appropriate audience safety perimeter and performer !"s safety zone shall be set well in advance of
the performance and approved by the Performance Safety Team:
4 feet: Finger fire, handheld finger props
15 feet: Chains, staves, torches, or smaller props. Chains and fire tools must come no closer than 5
feet to lights or overhead structures
25 feet: All scenery and decorations, other than those that are flame retardant (unless intended to
combust)
50 or more feet: Sparklers, fountains, firecrackers (consumer fireworks) or as approved by the
Performance Safety Team
All Special Effects operators and assistants must be 21 years of age or older and be trained in the use
of fire extinguishers.
Operators and assistants shall wear fire resistant clothing during the performances.
Only people familiar with the safety considerations and hazards involved are permitted to do fuel
loading. Wearing personal safety gear (glasses, gloves, etc.) during fuel loading is required.
A safety sweep shall be performed before any performance starts and after the show is over to identify
hazards.

Info Page-no Questions to answer - Page 14
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Never start a performance until all performers, safety team members, and audience members are in
place and ready. Also, approval must be given by the Performance Safety Team.
No carelessness, negligence, or unsafe conditions with flame effects shall be tolerated.
Do not drink, take drugs, or smoke when working with flame effects.
The art or performance team will clean up the performance site after the show. The area should be as
clean as when you found it: LEAVE NO TRACE!
All fuel and flammable materials shall be secured in approved containers and stored in a safe, secure
area located a minimum of 50 feet from an open flame.
Fuel containers shall be labeled with your name, as well as the material and quantity of material in the
containers.
Material to clean up spills (like a shovel, rake, metal garbage can, etc.) will be available on site for re-
sponses to accidental spillage of fuel.
Examples of Flammable Materials
Combustibles: Wood, bamboo, straw, hay, cloth, etc.
Flammable Liquids: Gasoline, kerosene, etc.
Compressed Gasses: Propane, oxygen, etc.
Pyrotechnics: Consumer fireworks
Fire Fighting
A fire extinguisher rated for the specific fuel in use will remain available at the site of art or performance
with flame effects for response to accidental fire. A wet blanket or towel must be available for response
to accidental burn to a person (e.g., smothering the fire on the face of a fire breather) or to extinguish a
prop.
In case of fire, on a persons body or clothing, remember this rule: Stop, Drop & Roll! Many people have
saved their own lives by dropping and rolling when their clothes caught fire.
SSTOP Stop where you are DO NOT RUN!
SDROP Drop to the ground or to the floor and cover your face with your hands.
SROLL Roll to put out the flames.
Cool a burn right away with water, and obtain medical help.

Info Page-no Questions to answer - Page 15
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
If you are near someone whose clothing catches on fire, be sure to stop him or her from running and
make them STOP, DROP and ROLL!
Fire Extinguisher Notes
Not all fire extinguishers work for fighting all fires.
Water fire extinguishers are useful for can put out fires involving wood, paper, fabric, and performers !"
bodies. These extinguishers must never be used on liquid fuel fires, as they will spread the fire. Also
water is a good conductor of electricity, so these extinguishers are a poor choice for electric fires.
CO2 (Carbon Dioxide) extinguishers are good responses to problems with fire props and electric fires.
They leave no residue and can be used repeatedly until they run out. But they work for small fires only.
Dry chemical extinguishers are required where fuel is stored, as they provide the best way to put out
a fuel fire. They do make messes that must be cleaned up after use. Also, dry chemical extinguishers
start to lose charge after a single discharge and must be serviced and refilled.
If you have any questions, please email flame-effects@burningman.com
I Have Read And Understand The Above Information And Accept Its Conditions

Info Page-no Questions to answer - Page 16
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Fire Safety Agreement: Pyrotechnics
Assisting You To Create Dangerous Art Safely:
This information is designed to promote the safe use of Pyrotechnic effects at Burning Man. The defini-
tion of pyrotechnics includes any explosives, projectiles, or fireworks. We encourage you to use these
safety rules as a guide.
Performance Safety Team
Burning Man has developed a Performance Safety Team that will assist you in the safe execution of
your art or performance using fire, flame effects, and/or pyrotechnics. This team is here to help you
create dangerous art in a safe way. For public safety reasons, the Performance Safety Team and
outside authorities with appropriate jurisdiction can override, stop, alter, or cancel any show or part of
a show or artwork with just cause. They shall have access to all areas of the art installation or perfor-
mance at all times.
Because of the dangerous nature of pyrotechnics, no one may display, exhibit, or discharge any pyro-
technic special effect without authorization from the Performance Safety Team.
In order for us to perform our oversight function, we request conformance with the following guidelines:
Safety Responsibilities:
All artists and their crew are responsible for their own art. This means that you know, by testing, that
the performance that you will be giving, or the art installation you will be creating, will not endanger the
audience, the performers, or members of the Performance Safety Team that is there to assist you.
Safety Guidelines
A knowledgeable representative of any art installation performance crew shall serve as a liaison to the
Performance Safety Team. This person shall inform the Performance Safety Team of any changes in
the performance, any emergency communications, and anything that goes amiss during a performance.
The word performance applies to both repeated events and one-time events.
A playa meeting and technical walk-through will take place the day prior to any performance with pyro-
technic effects. A knowledgeable representative of the art installation or performance crew must attend
this meeting in order to receive approval to proceed.
Every artist and their crew using pyrotechnics shall develop an emergency plan of action. If an art
installation or performance is scheduled, this emergency plan of action shall be submitted to the
Performance Safety Team prior to the performance.

Info Page-no Questions to answer - Page 17
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
All safety concerns raised by the Performance Safety Team shall be considered and addressed by all
artists and performers to ensure a safe show.
Material Safety Data Sheets (MSDS) must be supplied to the team for any hazardous chemicals. All
pyrotechnic special effects materials used in any art installation or performance must consist of con-
sumer fireworks [1.4G, Class C, UN0336 or a lower grade].
Absolutely no display of professional fireworks [1.3G, Class B, UN0335] or higher grade] will be per-
mitted at any art installation or performance site.
No smoking or open flames will be permitted within 25 feet of any Point Of Assembly Area containing
any pyrotechnic material.
No smoking or open flames will be permitted within 25 feet of any location of fuel, flammable liquids,
hazardous materials, or any potentially dangerous material, other than normal camping gear.
Home made fireworks will not be allowed.
No pyrotechnics shall be used within the populated areas of the city or camping area.
No pyrotechnics, flame or spark will be permitted to cross, enter, go over, under, on, or around the audi-
ence.
An appropriate audience safety perimeter and performer !"s safety zone shall be set well in advance of
the performance and approved by the Performance Safety Team.
4 feet - Finger fire, handheld finger props
15 feet - Chains, staves, torches, or smaller props. Chains and fire tools must come no closer than 5
feet to lights or overhead structures.
25 feet - All scenery and decorations (other than those that are flame retardant, unless they are in-
tended to combust)
50 or more feet - Sparklers, fountains, firecrackers (consumer fireworks) or as approved by the
Performance Safety Team
All pyrotechnic special effects operators and assistants must be 21 years of age or older and be trained
in the use of fire extinguishers. Operators and assistants shall wear fire-resistant clothing during any
performance or art display involving pyrotechnics.
Only people familiar with the safety considerations and hazards involved are permitted to do fuel
loading. Wearing personal safety gear (glasses, gloves, etc.) during fuel loading is required.

Info Page-no Questions to answer - Page 18
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
A safety sweep shall be performed before the show starts and after the show is over to identify hazards
or un-detonated pyrotechnics.
No performance will start until all performers, safety people, and audience members are in place and
ready and the Performance Safety Team has granted approval.
No carelessness, negligence, or unsafe conditions with pyrotechnics shall be tolerated.
Do not drink alcohol, take drugs, or smoke when working with pyrotechnics.
The art or performance team will clean up the performance site after the show. The area should be as
clean when you leave as when you found it: LEAVE NO TRACE.
All fuel, flammable materials, and pyrotechnic materials shall be secured in approved containers, stored
in a safe and secure area located a minimum of 100 feet from any open flame until used.
During setup and performance all fuel, flammables, and pyrotechnic materials shall be secured in
ready boxes and protected by the pyrotechnic operator and/or assistants.
Ready boxes will comply with the definition from NFPA 1124 standards: A Ready Box/Magazine (day
box) shall be a portable structure that is fire-resistant, theft-resistant, and weather-resistant, and shall
comply with the following provisions.
a. Ready Box/Magazine shall be equipped with a padlock.
b. Ready Boxes/Magazines constructed of wood shall have sides, bottoms, and covers or doors
of 4-in. (101.6-mm) hardwood, well-braced at the corners. They shall be covered with sheet
metal of not less than 26 gauge. Nails exposed to the interior of the magazine shall be
countersunk.
Ready boxes shall be placed at least 25 feet from any ignition source.
If you have questions regarding storage requirements for pyrotechnics, you can contact the
Performance Safety Team.
Fuel containers and pyrotechnic containers shall be labeled with the owners name, the material con-
tained, and quantity of material in the containers.
Material to clean up spills (like a shovel, rake, metal garbage can, etc.) will be available on site for re-
sponses to accidental spillage of fuel.

Info Page-no Questions to answer - Page 19
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Examples of Flammable Materials
Combustibles: Wood, bamboo, straw, hay, cloth, etc.
Flammable Liquids: Gasoline, kerosene, etc.
Compressed Gasses: Propane, oxygen, etc. [*ed.: Nitrogen is inert.*]
Pyrotechnics: Consumer fireworks
Fire Fighting
A fire extinguisher rated for the specific fuel in use will remain available at the site of art or performance
with flame effects for response to accidental fire. A wet blanket or towel must be available for response
to accidental burn to a person (e.g., smothering the fire on the face of a fire breather) or to extinguish a
prop.
In case of fire, on a persons body or clothing, remember this rule: Stop, Drop & Roll! Many people have
saved their own lives by dropping and rolling when their clothes caught fire.
STOP Stop where you are DO NOT RUN!
DROP Drop to the ground or to the floor and cover your face with your hands.
ROLL Roll to put out the flames.
Cool a burn right away with water, and obtain medical help. If you are near someone whose clothing
catches on fire, be sure to stop him or her from running and make them STOP, DROP and ROLL!
Fire Extinguisher Notes
Not all fire extinguishers work for fighting all fires.
SWater fire extinguishers are useful for can put out fires involving wood, paper, fabric, and performers
bodies. These extinguishers must never be used on liquid fuel fires, as they will spread the fire. Also
water is a good conductor of electricity, so these extinguishers are a poor choice for electric fires.
SCO2 (Carbon Dioxide) extinguishers are good responses to problems with fire props and electric
fires. They leave no residue and can be used repeatedly until they run out. But they work for small fires
only.
Dry chemical extinguishers are required where fuel is stored, as they provide the best way to put out
a fuel fire. They do make messes that must be cleaned up after use. Also, dry chemical extinguishers
start to lose charge after a single discharge and must be serviced and refilled.
First Aid
A basic first aid kit should be available consisting of the following items: Non-petroleum-based burn
cream or aloe-vera gel, several rolls of 100% cotton gauze, and some large gauze pads gallon, as well
as a jug of water for flushing fuel.

Info Page-no Questions to answer - Page 20
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Severe burns should be treated by Emergency Medical Services. Medical teams are available in Center
Camp or at the plazas located at 3 and 9 oclock in our city.
If you have any questions, please email pyro@burningman.com.
I Have Read And Understand The Above Information And Accept Its Conditions

Info Page-no Questions to answer - Page 21
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Fire Safety Agreement: Fuel and Hazardous Materials Storage
All participants using combustible fuels in an art installation (or for other purposes) at Burning Man must
educate themselves about and comply with appropriate practices for storing and handling these materi-
als.
Compressed and Liquefied Gasses
All gas cylinders must be stored in an upright position and secured to prevent tipping.
Main shut off valve (Key Valve) must be marked.
The Black Rock City Fire Department (BRCFD) must be notified of the presence on the playa and
locations of acetylene cylinders of any size.
Propane cylinders of 100 gallons or more are not permitted within the city limits.
Signage, SFlammable Fuel must be easily seen.
Liquid Fuels
Any collection of 20 gallons or more of flammable liquid must be kept within a secondary containment
area. The containment method can be as simple as a petroleum resistant tarplin rolled up to provide a
berm.
A supply of cat litter or fuel absorbant should be kept on hand near any spills basin.
All containers for liquid fuels must be clearly labeled identifying contents and hazards. Original labels
are preferred.
A safety perimeter of 30 feet must be maintained between liquid fuel containers and any camping
area, and clear access must be provided for the BRCFD in case of fire.
A sufficient amount of dry chemical fire extinguishers must be kept visible and available near the
storage location of any liquid fuel.
Note: A petroleum fire burns at the surface of the material, as it is vaporized by the fires heat. Applying
water merely spreads the flaming liquid over a wider area, where it vaporizes more rapidly, intensifying
the fire. The best way to put out such a fire is to cut off its air supply. The smothering agents commonly
used for petroleum fires are carbon dioxide (CO2) and dry chemical powder extinguishers. Both are
equally effective, but dry chemical is better for outdoor use because its not subject to wind. For good
all-around fire protection, use an ABC or all-class fire extinguisher.
Safety Reminders
Store fuel away from any running generator.
Do not fill the tank on a generator that is running.
When transferring fuel, use a pump. Never try to start a siphon using your mouth. A mouth full of gas
or diesel could be fatal to you. Wash hands after fueling.
Keep all equipment used for petroleum storage and handling in good condition. Watch for leaks, dete-
rioration, or damage.

Info Page-no Questions to answer - Page 22
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
If fuel is spilled on your clothing, move away from any ignition source, and allow the clothing to dry.
Use waterless soap for hands. If fuel should splash in eyes, use water to flush.
Be aware of static electricity that can build up on you and or a container. Any spark can ignite gasoline
vapors. Always fill containers on the ground, not in vehicles When submitting your art questionnaire
please prepare 2 diagrams showing where any fuels will be stored in relation to the art and/or within
your camps (a diagram is required for each fuel location). This information will help the Black Rock City
Fire Department plan for emergencies.
I Have Read And Understand The Above Information And Accept Its Conditions

Page 23
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Fire Questionnaire
Contact Info
1.
Fire Safety Liaison Name (Required)
Please give the name of the person who is assuming responsibility for the safety of this artwork.
2.
Fire Safety Liaison Phone Number (Required)
Please provide a phone number at which the Fire Safety Liaison can be reached.
3.
Fire Safety Liaison Email Address (Required)
Please provide an email address for the Fire Safety Liaison.
4.
Fire Safety Assistants
Please provide the names of any fire safety assistants, one per line. All assistants must be 21 years of
age or older and trained in fire safety and suppression.
5.
Pyrotechnics Operator
If you will be using pyrotechnics, please provide the name of the primary pyrotechnics operator.
6.
Qualifications Of Pyrotechnics Operator
If you will be using pyrotechnics, please describe the qualifications of the primary pyrotechnics opera-
tor.

Page 24
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Scenario
1. Remove art Load with cord wood
After pre-fire entertainment, add deisel fuel to upper pagoda, hang deisel soaked fuse rope
Light and step back.
Crowd to be kept at least 50' away in all directions until towers collapse.
no flame effects or pyrotechnics
Scenario (Required)
To better assist you with your artwork we need to know, in great detail, everything about your project.
Be as clear and concise as possible, even though you may have described your project in an earlier
question. Please answer the questions which apply to your art:
Open Flame - How will the fuels and materials be used?
Flame Effects - How will the fuels and materials used be supplied to your project? Please include
details regarding hoses, pumps, pressures, wicking, etc...
Pyrotechnics - What types of pyrotechnics will be used and how will they be employed.
Diagram/Schematics
The next series of questions are mandatory and must be sent to the Art Team (directions for delivery of
information is at the bottom of this questionnaire).
BASE CAMP SETUP
If your art is Open Flame Art or Flame Effects Art:
Please incude the locations of fuel, flammable liquids, hazardous materials or anything potentially
dangerous other than camping gear.
If your art incorporates Pyrotechnics in any way, please include the following in your diagram:
Storage Ready Boxes (which must be made of appropriate materials as outlined by NFPA.)

Page 25
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Point Of Assembly of all pyrotechnic materials (No smoking or open flames within 25 feet of the
area.)
Location of Fuel, flammable liquids, hazardous materials or anything potentially dangerous other
than camping gear. (No smoking or open flames within 25 feet of the area.)
INSTALLATION / PERFORMANCE AREA
Prepare a diagram showing the following areas within the art installation / performance area:
Burn Platform: Please prepare a diagram that shows all aspects, details and materials used.
Perimeter Safety Zones: Show where the artwork stands in relationship to where participants/au-
dience will be (and if performers are involved). And how were these distances determined?
Fire Extinguishers: Types and locations
IF YOUR INSTALLATION INCORPORATES FLAME EFFECTS:
Fuel Location & Supply: Location of artwork in relationship to fuel tanks, showing fuel lines and
how the tank(s) will be shielded from vehicle traffic and illuminated at night.
IF YOUR INSTALLATION INCORPORATES PYRO EFFECTS:
Where will pyro and fuel be used in your art installation / performance
Location of fuel storage
Preparation area
Please submit all Diagrams in one of the following ways:
Via the Web
Type the URL of your online diagrams here

Page 26
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Email:
Open Flame: installations@burningman.com
Flame Effects: flame-effects@burningman.com
Pyrotechnics: pyro@burningman.com
Fax:
415-865-3820
Attention to one of the following: Open Flame, Flame Effects or Pyro
Mail:
Burning Man
Attn: Open Flame, Flame Effects OR Pyro
PO Box 884688
San Francisco, CA 94188-4688
Safety Plan
1.
Safety Plan (Required)
Please describe your safety plan for your art piece, performance, demonstration, or display. This should
include:
Fire extinguishers and or Fire suppression that will be kept on hand and used if needed?
What kind of First-Aid will you supply?
What kind of safety and/or fire training have your performers, yourself or your assistants had?

The pagoda looks much like a big ladder and will be tempting to climb. We are gathering pagoda guardians to provide nearly 24hour protection to keep people from climbing.

Spectators will be kept away from the pagoda as it it packed with cord wood and prepared for the fire.

During the burn, spectators will be kept well away from the fire-a cordon at least 50' from the pagoda will be maintained by the pagoda team until the towers collapse.

We will be positioning small fire extinguishers around the perimeter, and want to discuss what other fire supression may be required, such as fire department trucks or other

We will have several first Aid Kits on hand. We will offer safety training to all of the members of our group and expect to have many skills represented in those on the perimeter cordon.
Page 27

2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Leave No Trace
1.
Burn Scar Protection Plan / Burn Platform
Please describe how your project will be situated in relation to the platform. Be sure to think about how
your project will fall or collapse, and make sure your platform will cover ample ground to protect the
playa even as your piece falls.
Our overall plan is to use the same practices as other large burns, like David Best's temples. We are coordinating with Crimson, Hazmatt, and Coyote to make sure we get it right. Our playa protection coordinator is Larry Breed, an Earth Guardian with advanced LNT training. LNT prior to the burn will consist of securing lightweight materials and de-mooping the area as needed.

Prior to construction we will lay down a burn mat (kevlar or fiberglass) with 2 inches of DG, covering the footprint and a few feet outside. The installation will house a variety of art elements before the burn. All of these will be removed before our burn, except for those intended (and non-hazardous) for burning.

Our burn is scheduled for Wednesday night, midweek. The construction will include structural elements to prevent burning materials from falling outward, so nearly all burning materials will be concentrated on the protected area. Fire attendants with appropriate tools (rakes) will be at the periphery, so that if any burning material falls on the unprotected playa it can be promptly moved onto the burn mat.

We will contract with Willie Courtney to use his front-loader and truck the day after the burn, to remove ashes, cinders, DG, and the burn mat. Our group will use brooms or other appropriate tools to remove any residual material. Following cleanup, we expect to re-erect some art structures and continue to use the space for the duration of the event. We will de-moop as needed. All materials will be removed, and the area gridded, before departure.

2.
Leave No Trace (Required)
Please explain IN DETAIL your Burn Clean-up Plan. Remember the Burning Man Leave No Trace
Philosophy. Please submit diagrams, schematics and/or drawings that relate to your particular Fire
Effect.
See plan url for diagrams.
We will contract with Willie Courtney to use his front-loader and truck the day after the burn, to remove ashes, cinders, DG, and the burn mat. Our group will use brooms or other appropriate tools to remove any residual material. Following cleanup, we expect to re-erect some art structures and continue to use the space for the duration of the event. We will de-moop as needed. All materials will be removed, and the area gridded, before departure.

Page 28
2004 Art Installation Questionnaire
Do not mail this form in! You must complete it online at: http://forms.burningman.com/
Pyrotechnics
Please list all pyrotechnic special effects material being used. Be prepared to supply Material Data
Sheets (MSDS !"s) for hazardous chemicals used. Use pyro-at-burningman-dot-com for all correspon-
dence regarding this section of the form.
1.
Pyrotechnic Supplies
Type of pyrotechnic supplies. Please include the names of the firework items that you will be using (e.g.
Black Cat firecrackers, Masters of Orion cakes, etc.), one per line, and the quantity of each item.
N/A
2.
Pyrotechnic Special Effects Materials
Please list all pyrotechnic special effects materials that you will be using (e.g. rubber cement, smoke
cloth, etc.), one per line, and the quantity of each item.
N/A