September 20, 2014

APPENDIX 8 AAUS Request for Diving Reciprocity Form Verification of Diver Training and Experience

The host campus has the right to approve or deny this request and may require, at a minimum, a checkout dive with the Diving Safety Officer (DSO) or designee of the host organization. If the request is denied, the host campus should notify the DSO of the visiting diver the reason for the denial. The DSO for the visiting scientific diver has confirmed the following information:

___________ Written scientific diving examination
___________ Last diving medical examination
___________ Most recent checkout dive
___________ Scuba regulator/equipment service/test
___________ CPR training (Agency) ___________________
___________ Oxygen administration (Agency) _______________________
___________ First aid for diving (Agency) _______________________
___________ Date of last dive
Number of dives completed within previous 12 months?__________________________
Depth certification____________ Ft.
Any restrictions? (Y/N)________ if yes, explain:
_____________________________________________________________ _________________


Please check any pertinent specialty certifications:

______ Dry suit ______ Rescue ______ Blue water
______ Dive Computer ______ Divemaster ______ Altitude
______ Nitrox ______ Instructor ______ Ice/Polar
______ Mixed gas ______ EMT ______ Cave
______ Closed circuit ______ Dive Accident Management ______ Night
______ Saturation ______ Chamber operator Other ___________________
______ Decompression ______ Lifesaving


Name of diver: _________________________________________________
Emergency Information: (To notify in an emergency)
Telephone: (work)_________________________ (home)__________________________

This is to verify that the above individual is currently a certified scientific diver at: (Name of AAUS Organizational Member)_____________________________________________

Diving Safety Officer: (Signature)_____________________________________ (Date) _________________

(Print Name)________________________ (Telephone)___________________ (FAX)___________________
(E-mail)___________________ (Other) ___________________


Certified divers and Divers-In-Training should be able to demonstrate proficiency in the following skills during checkout dives or training evaluation dives with the Dive Safety Officer or designee:

___ Knowledge of MBL diving standards and regulations
___ Pre-dive planning, briefing, site orientation, and buddy check
___ Use of dive tables and/or dive computer
___ Equipment familiarity
___ Underwater signs and signals
___ Proper buddy contact
___ Monitor cylinder pressure, depth, bottom time
___ Swim skills:
___ Surface dive to 10 ft. without scuba gear
___ Demonstrate watermanshp and snorkel skills
___ Surface swim without swim aids (400 yd. <12min)
___ Underwater swim without swim aids (25 yd. without surfacing)
___ Tread water without swim aids (10 min.), or without use of hands (2 min.)
___ Transport another swimmer without swim aids (25yd)
___ Entry and exit (pool, boat, shore)
___ Mask removal and clearing
___ Regulator removal and clearing
___ Surface swim with scuba; alternate between snorkel and regulator (400 yd.)
___ Neutral buoyancy (hover motionless in midwater)
___ Proper descent and ascent with B.C.
___ Remove and replace weight belt while submerged
___ Remove and replace scuba cylinder while submerged
___ Alternate air source breathing with and without mask (donor/receiver)
___ Buddy breathing with and without mask (donor/receiver)
___ Simulated emergency swimming ascent
___ Compass and underwater navigation
___ Simulated decompression and safety stop
___ Rescue:
___ Self rescue techniques
___ Tows of conscious and unconscious victim
___ Simulated in-water rescue breathing
___ Rescue of submerged non-breathing diver (including equipment removal, simulated rescue breathing, towing, and recovery to boat or shore)
___ Use of emergency oxygen on breathing and non-breathing victim
___ Accident management and evacuation procedures

Additional Training (optional)
___ Compressor/ Fill station orientation and usage
___ Small boat handling
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