Form 16 (Fieldwork) Field Dive Log

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EMERGENCY NUMBERS:
DES: 1800 088 200
Form 16 (FIELDWORK)
Fremantle Hyperbaric: 9431 2233 or 9431 3333
FIELD DIVE LOG
Project:
Divers Name:
Boat:
Dive
Location
Date
Dive
Air
Air
Time
Time
Depth
Dive
Bottom
Effective
Deco. stops
Rep
Surface
Rep
* Nitrox O2%,
No.
Buddy
In
Out
In
Out
(m)
Time
Time
bottom
e.g.
Grp
Interval
Factor
EAD (m), PO2, % exp
3 min @ 5 m
per
(mins)
(mins)
time
(mins)
day
*EANx (Nitrox) divers must ensure PO
does not exceed 100% in 24 hr period unless approved by the University Dive Officer
2
Diver’s Initials: (1)
(2)
(3)
(4)
(5)
(6)
(7)
Fieldwork Supervisor/Dive
Print Name:
Date:
Team Leader Signature:
> > > > > > >
RECORD THIS DIVE RECORD IN THE WEB-BASED UWA DIVE REGISTER THEN FORWARD THIS FORM TO THE DBSO
< < < < < < <
Field Dive Log
Published:
October 2011
Version 1.1
Authorised by University Diving and Boating Safety Working Group
Review:
October 2016
Page 1 of 1
This document is uncontrolled when printed. The current version is available on the Safety and Health website

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