appendix e1 open-circuit scuba equipment evaluation forms
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APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS Recreational Diving Fatalities Workshop Proceedings • 1
APPENDIX E1
Open-Circuit Scuba Equipment Evaluation Forms
Jeffrey E. BozanicNext Generation Services
P.O. Box 3448Huntington Beach, CA 92605-3448 USA
David M. CarverEmergency Services Detail
Los Angeles County Sheriff ’s Department1060 North Eastern AvenueLos Angeles, CA 90063 USA
2 • Recreational Diving Fatalities Workshop Proceedings APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS
Forms in Appendix E:
• Divecomputers
• Cylinders
• Valves
• Deco,ponyorbailoutcylinders
• Buoyancycompensators/alternateairsources
• Regulators
• Wetsuits
• Drysuits
• Watches,bottomtimers,SPGs,compasses,depthgauges,capillarygauges,temperaturegauges
• Masks
• Snorkels
• Fins
• Cameraandvideoequipment
• Slates
• Goodiebags
• Liftbags
• Reels
• Knives/cuttingtools
• Divelights
• Jonlines
• Speargunsandslings
• Diverpropulsionunits
APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS Recreational Diving Fatalities Workshop Proceedings • 3
DIVE COMPUTER (Complete one form per computer.)
Manufacturer:______________________________________ Model:_________________________________________
Serial#:___________________________________________ Condition:PoorFairGoodExcellent
Batterystatus:____________________Computersettothecorrecttime?YesNo
Computerstatus: Working Notworking Nobattery
Locationofthecomputer: Wristmount ConsoleonHPhose
AttachedtoBC Attachedtohose Mask
Other:_____________________________________________
Decedent’scomputer Divepartner’scomputer
Typeofdivecomputer: Basicaironly Basicnitrox Technicalgas
Airintegrated Diveprofilerecorder
Downloadable:YesNo
Programmable:YesNo
Program/modeused: Gaugemode Airmode Nitroxmode
Trimixmode Helioxmode Notworking
Opencircuit Closedcircuit
Gas(es)programmedintocomputer:%O2______%He______Inuseattime
Gas#_____%He_____%O2_____OC/CC Gas#_____%He_____%O2_____OC/CC
Gas#_____%He_____%O2_____OC/CC Gas#_____%He_____%O2_____OC/CC
Gas#_____%He_____%O2_____OC/CC Gas#_____%He_____%O2_____OC/CC
Gas#_____%He_____%O2_____OC/CC Gas#_____%He_____%O2_____OC/CC
Gas#_____%He_____%O2_____OC/CC Gas#_____%He_____%O2_____OC/CC
Listthecomputer’sstatusatthefollowingtimes:
Whenfirstlocated: On Off DiveMode ViolationModeSIMode
Atthesurface: On Off DiveMode ViolationModeSIMode
Duringevaluation: On Off DiveMode ViolationModeSIMode
Doescomputerautomaticallygointodivemodewhensubmersed?Yes No
AtwhatdepthdoescomputergointoSurfaceMode(SI)?___________________
Ifthecomputerinformationhasbeenrecorded,downloadtheinformationassoonaspossibleandprinthardcopiesofallrelevantprofilesanddivedetails.Maintainacomputerfileofthedatathatwasdownloaded.Thecomputer’smanufacturermightneedtobecontactedtoassistinthisprocess.ChamberdirectorslikeKarlHugginshavealsoproventobeavaluable
4 • Recreational Diving Fatalities Workshop Proceedings APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS
resourcewhenassistanceisneededindownloadingfromoldercomputers.Ifthecomputerdatacannotbedownloaded,takephotographsofthedifferentscreensshowinganyrelevantinformation.Afterallimportantinformationhasbeengathered,thecomputershouldbetestedtoensurethecomputerwas/isfunctioningcorrectly.
Computerinformationdownloaded? Yes No
Downloadedby:________________________ Date/time:_________________________
Computerrecordsdepth/timeevery______seconds
Computershowsgasconsumptionrates?YesNo
Depth testing of the computer
Depth Computerdepth Depth Computerdepth
0fsw ______fsw 130fsw ______fsw
10fsw ______fsw 120fsw ______fsw
20fsw ______fsw 110fsw ______fsw
30fsw ______fsw 100fsw ______fsw
40fsw ______fsw 90fsw ______fsw
50fsw ______fsw 80fsw ______fsw
60fsw ______fsw 70fsw ______fsw
70fsw ______fsw 60fsw ______fsw
80fsw ______fsw 50fsw ______fsw
90fsw ______fsw 40fsw ______fsw
100fsw ______fsw 30fsw ______fsw
110fsw ______fsw 20fsw ______fsw
120fsw ______fsw 10fsw ______fsw
130fsw ______fsw 0fsw ______fsw
Completeacopyofthisformforeachdivecomputerwornbythedecedent.Ifpossible,completethisformforeachdivecomputerwornbythedecedent’sdivepartner,includingalldownloadableinformation.
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS Recreational Diving Fatalities Workshop Proceedings • 5
CYLINDER (Complete one form per cylinder.)
Manufacturer:______________________________________ Model:_________________________________________
Workingpressure:___________________________________ Serial#:________________________________________
Pressurewhenrecovered: _____________________________
Type: Single Sidemount Doubles Bailout Deco Staged Pony
Gastype: Air Nitrox Trimix Heliox O2Clean
CylinderCondition: Poor Fair Good Excellent
Type: Steel HPorLP Aluminum Composite
Size:______________________________________________ Color:_________________________________________
Boot:YesNo Cylinderwrap:YesNo
VIPdate:__________________________________________ Where: ________________________________________
Hydrodate:________________________________________ Where: ________________________________________
Initialfillpressure,ifknown:___________________________________________________________________________
Wherethecylinderwaslastfilled:_______________________________________________________________________
Compressorownerandaddress:________________________________________________________________________
Currentcompressorgasanalysisonfile: Yes No (Attach copy of analysis.)
Lastcompressorfilterchange:__________________________________________________________________________
Oxygencleancompressor:YesNo
Wholastfilledthecylinder?___________________________________________________________________________
Datethecylinderwasfilled: ___________________________________________________________________________
Gaslabelsattachedtocylinder:NitroxTrimixOther:_________________
Reportedgasmixused: Air Nitrox______
Heliox/trimix O2______He______
Wasdecedenttrainedintheuseofthegas? Yes No Certification:______
Wasthecylinderanalyzedbeforethedive? Yes No Unknown
Whoanalyzedthecylinder? ___________________________________________________________________________
Investigatoranalysis
Pressureincylinderwhentested:_______________________________________________________________________
Manufacturer,modelandserial#ofanalyzer:______________________________________________________________
Testresultsofportableanalyzer:O2______He______
Nameofpersonwhotestedportableanalyzer:_____________________________________________________________
Date/timeanalyzerwastested: _________________________________________________________________________
6 • Recreational Diving Fatalities Workshop Proceedings APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS
Outside Gas Analysis Information
Cylindersentforoutsideanalysis:YesNo
Wherewascylindersent: AQMDLab PrivateLab CrimeLab
Nameofthelab: ____________________________________________________________________________________
Addresstothelab:___________________________________________________________________________________
Cylindergivento(name):_____________________________________________________________________________
Date/timecylinderwasdelivered:_______________________________________________________________________
Cylinderpressureatdelivery:__________________________________________________________________________
Date/timecylinderwasreturned:_______________________________________________________________________
Cylinderpressurewhenreturned:_______________________________________________________________________
Cylinderanalyzedby:________________________________________________________________________________
Results:MeetsGradeEScubaAir O2______He______N2______
Failedforthefollowingreason:________________________________________________________________
In-House Gas Analysis Information
Cylindergasanalyzedby:_____________________________________________________________________________
Wherecylinderwasanalyzed:__________________________________________________________________________
Date/timeofanalysis: ________________________________________________________________________________
Cylinderpressurewhenanalyzed:_______________________________________________________________________
Cylinderpressurewhendone:__________________________________________________________________________
Testinganalyzermanufacturer:_______________________Model:__________________Serial#: ___________________
Datetheanalyzerwaslasttested/calibrated:_______________________________________________________________
Gaugemanufacturer/model/serial#:_____________________________________________________________________
Gaugelastcalibrated: ________________________________________________________________________________
Results:O2_____He_____
APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS Recreational Diving Fatalities Workshop Proceedings • 7
Visual Inspection Information
VIPconductedby:___________________________________________________________________________________
Companyname/address:______________________________________________________________________________
Date/timeVIPwasconducted:_________________________________________________________________________
Results:PassFailFailReasons:_________________________________________________________________
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Acompletegasanalysisofallcylindersusedduringdivingfatalitiesshouldbeconductedbyanaccreditedlabtoensurethegasmeetsscubastandards.
Usecalibratedstand-alonegaugesforcylinderpressure.
Completeacopyofthisformforeachcylinderusedbythedecedent.Thisincludesapartner’scylinderifthedecedentuseditduringthediveorifthepartnerreportedproblemsthatmaypossiblyberelatedtobadgasinthecylinder.
8 • Recreational Diving Fatalities Workshop Proceedings APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS
VALVES (Complete one form per valve.)
Manufacturer:______________________________________ Model:_________________________________________
Serial#:___________________________________________ Condition:PoorFairGoodExcellent
Serialnumberofthecylindertowhichthevalvewasattached:________________________________________________
Type: Yoke O-ringinplace:YesNo O-ringcondition:PFGE
DIN Yokeinsert: YesNo O-ringcondition:PFGE
Manifold:YokeDINN/A
Wasthevalveoxygencleaned? Yes No Unknown
Howwasregulatorattachedtothevalve?_________________________________________________________________
DidO-ringorvalveleakduringunderwatertest? Yes No
Positionofthevalveattimeoffatality:___________________________________________________________________
Positionofthevalveatstartoftesting:___________________________________________________________________
Wasvalvemanipulatedduringrescue/recovery? Yes No Unknown
Numberofturnsfromopentoclose: ____________________________________________________________________
Difficultyinturningthevalveonoroff: Easy ModerateDifficult
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS Recreational Diving Fatalities Workshop Proceedings • 9
DECO, PONY OR BAILOUT CYLINDER(S) (Complete one form per cylinder.)
Manufacturer:______________________________________ Model:_________________________________________
Workingpressure:___________________________________ Serial#:________________________________________
Pressurewhenrecovered: _____________________________
Type: Bailout Deco Staged Spareair
Gastype: Air Nitrox Trimix Heliox O2clean
Cylindercondition: Poor Fair Good Excellent
Type: Steel HPorLP Aluminum Composite
Size:______________________________________________ Color:_________________________________________
VIPdate:__________________________________________ Where:________________________________________
Hydrodate:________________________________________ Where:________________________________________
Howwasthecylindercarried? _________________________________________________________________________
Howwasregulatorsecuredtothecylinder?BandClipOther:_________________________________________
Coulddecedentreach2ndstage? Yes No Unknown
Coulddecedentreachvalve? Yes No Unknown
Initialfillpressure,ifknown:___________________________________________________________________________
Wherethecylinderwaslastfilled:_______________________________________________________________________
Compressorownerandaddress:________________________________________________________________________
Currentcompressorgasanalysisonfile? Yes No (Attach copy of analysis.)
Lastcompressorfilterchange:__________________________________________________________________________
Oxygencleancompressor? Yes No
Wholastfilledthecylinder?___________________________________________________________________________
Datethecylinderwasfilled:___________________________________________________________________________
Gaslabelsattachedtocylinder: Nitrox Trimix Other:________
Reportedgasmixused: Air Nitrox________
TrimixO2_______He_______
HelioxO2_______He_______
Wasdecedenttrainedintheuseofthegas:?YesNoCertification:______________________________________
Wasthecylinderanalyzedbeforethedive?YesNoUnknown
Whoanalyzedthecylinder? ___________________________________________________________________________
10 • Recreational Diving Fatalities Workshop Proceedings APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS
Investigator Analysis
Manufacturer,modelandserial#ofanalyzer:______________________________________________________________
Pressureincylinderattimeoftesting: ___________________________________________________________________
Testresultsofportableanalyzer:O2______He______
Nameofpersonwhotestedportableanalyzer:_____________________________________________________________
Date/timeanalyzerwastested: _________________________________________________________________________
Outside Gas Analysis Information
Cylindersentforoutsideanalysis?YesNo
Wherewascylindersent: AQMDLab PrivateLab CrimeLab
Nameofthelab: ____________________________________________________________________________________
Addresstothelab:___________________________________________________________________________________
Cylindergivento(name):_____________________________________________________________________________
Date/timecylinderwasdelivered:_______________________________________________________________________
Cylinderpressureatdelivery:__________________________________________________________________________
Date/timecylinderwasreturned:_______________________________________________________________________
Cylinderpressurewhenreturned:_______________________________________________________________________
Cylinderanalyzedby:________________________________________________________________________________
Results:MeetsGradeEScubaAir O2______He______N2______
Failedforthefollowingreason:________________________________________________________________
In-House Gas Analysis Information
Cylindergasanalyzedby:_____________________________________________________________________________
Wherecylinderwasanalyzed:__________________________________________________________________________
Date/timeofanalysis: ________________________________________________________________________________
Cylinderpressurewhenanalyzed:_______________________________________________________________________
Cylinderpressurewhendone:__________________________________________________________________________
Testinganalyzermanufacturer:_______________________Model:__________________Serial#: ___________________
Datetheanalyzerwaslasttested/calibrated:_______________________________________________________________
Gaugemanufacturer/model/serial#:_____________________________________________________________________
Gaugelastcalibrated: ________________________________________________________________________________
Results:O2_____He_____
APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS Recreational Diving Fatalities Workshop Proceedings • 11
Visual Inspection Information
VIPconductedby:___________________________________________________________________________________
Companyname/address:______________________________________________________________________________
Date/timeVIPwasconducted:_________________________________________________________________________
Results:PassFailFailReasons:_________________________________________________________________
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Completeacopyofthisformforeachcylinderusedbythedecedent.Thisincludesapartner’scylinderifthedecedentuseditduringthediveorifthepartnerreportedproblemsthatmaypossiblyberelatedtobadgasinthecylinder.
12 • Recreational Diving Fatalities Workshop Proceedings APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS
BUOYANCY COMPENSATOR
Manufacturer:______________________________________ Model:_________________________________________
Serial#:___________________________________________ Condition:PoorFairGoodExcellent
Size:XSSMLXLXXL Volume:________________ Color:________________
Type: JacketStyle HorseCollar Jacket/Wing
BackPlate: Steel Composite Aluminum Plastic Other:________________
Wing: Banded Non-Banded
WingVolume:_________
BCsizeappropriateforthediver? Yes No
BCattachedtocylinder(s)properly? Yes No
Crotchstrap? Yes No
Crotchstrapinterferewithweightditching? Yes No Unknown
WeightintegratedBC? Yes No
Weightintegrationtype:VelcroSnapbuckleRipcordpullOther:___________________________________
Weightperintegratedpocket: Left:___________ Right:___________
Trimpockets? Yes No
Trimpocketlocations:________________________________________________________________________________
Weightcontainedinthetrimpockets: Left:___________ Right:___________
Integratedweightsabletobeditchedeasily: Yes No
AmountofgasintheBC:__________cc’s
AmountofwaterintheBC:__________cc’s Fresh Salt
Powerinflatorattachedcorrectly? Yes No
Doespowerinflatorworkcorrectly? Yes No
Doesmanualinflationworkcorrectly? Yes No
Locationofthedumpvalves: Upperright Upperleft
Lowerright Lowerleft
Doallthedumpvalveswork? Yes No Notes:________________________________________
DoestheBCholdair? Yes No Notes:________________________________________
Anyleaksdetected? Yes No
Ifyes,whereweretheleaks?___________________________________________________________________________
APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS Recreational Diving Fatalities Workshop Proceedings • 13
In-watertestingofpowerinflator/dumpvalves:Workedasdesigned Didnotworkasdesigned
Anytypeofin-watermalfunction?______________________________________________________________________
AnydivermodificationstotheBCorweightsystem? Yes No
Describeindetail:___________________________________________________________________________________
(Isthereanythingthatpreventsweightpocketsfrombeingdumpedasdesigned?)
DotheregulatorhosesinterferewithBCoperation? Yes No
AuxiliarygearattachedtoBC: Knife Light GoodieBag
Reel LiftBag Camera
AudibleSignalDevice Other:____________________________________
Alternate air source connected to the BC
Manufacturer:______________________________________ Model:_________________________________________
Serial#:___________________________________________ Color:_________________________________________
Condition: Poor Fair Good Excellent
LPhoseconnectedproperlytoairsource? Yes No
Airsourcesecondstageworksasdesigned? Yes No
In-watertestingworkedasdesigned? Yes No
Inhalationeffort:____________________________________ Exhalationeffort: ________________________________
Cylinderpressurewhentested(shouldmatchcylinderpressureattimeoffatality):________________________________
IPpressure:________________________________________ Crackingpressure: _______________________________
Magnahelicpressure:_________________________________
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
14 • Recreational Diving Fatalities Workshop Proceedings APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS
REGULATORS (Complete one form per regulator.)
Manufacturer:______________________________________ Model:_________________________________________
Serial#:___________________________________________ IPpressure:_____________________________________
Type: Piston Diaphragm Yoke DIN
Conditionoffirststage: Poor Fair Good Excellent
SinterScreencondition: Poor Fair Good Excellent
Howmanyhigh-pressureports?________________________ Howmanylow-pressureports?_____________________
Howmanyhigh-pressurehosesareattachedtothefirststage?_________________________________________________
HP#1: Brand:___________________Color:_____________Length:_______Use:___________________________
HP#2:Brand:___________________Color:_____________Length:_______Use:___________________________
Howmanylow-pressurehosesareattachedtothefirststage? _________________________________________________
LP#1: Brand:___________________Color:_____________Length:_______Use:___________________________
LP#2: Brand:___________________Color:_____________Length:_______Use:___________________________
LP#3: Brand:___________________Color:_____________Length:_______Use:___________________________
LP#4: Brand:___________________Color:_____________Length:_______Use:___________________________
LP#5: Brand:___________________Color:_____________Length:_______Use:___________________________
Wasfirststageattachedcorrectlytovalve? Yes No Unknown
ConditionoftheO-ringconnectingaDINfirststagetothecylindervalve?
Poor Fair Good Excellent Missing
Second Stage of the Regulator
Manufacturer:______________________________________ Model:_________________________________________
Serial#:___________________________________________ Color:_________________________________________
Conditionof2ndstage: Poor Fair Good Excellent
Conditionofthemouthpiece: Poor Fair Good Excellent Missing
Anyholesorbitemarksnotedonthemouthpiece? No Yes Where?______________________
Typeofmouthpiece: Standard Orthodontic Heatmolded
Brand,type,lengthandcolorofthehose:_________________________________________________________________
Positionofdivercontrolknob(noteifnone):______________________________________________________________
Positionofventureknob(noteifnone):__________________________________________________________________
Inhalationeffort:______________________ Exhalationeffort: _____________________ PSItested:________________
Crackingpressure:_____________________ Magnahelicpressure: __________________ PSItested:________________
APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS Recreational Diving Fatalities Workshop Proceedings • 15
ANSTItestresults: Workedasdesigned FailedtheANSTItest
Workedunderwaterasdesigned? Yes No
Regulator (Alternate 2nd Stage)
Manufacturer:______________________________________ Model:_________________________________________
Serial#:___________________________________________ Color:_________________________________________
Conditionofalternate2ndstage: Poor Fair Good Excellent
Conditionofthemouthpiece: Poor Fair Good Excellent Missing
Anyholesorbitemarksnotedonthemouthpiece: No Yes Where?______________________
Typeofmouthpiece: Standard Orthodontic Heatmolded
Brand,type,lengthandcolorofthehose:_________________________________________________________________
Positionofdivercontrolknob(noteifnone):______________________________________________________________
Positionofventureknob(noteifnone):__________________________________________________________________
Howwasthedecedentwearingthealternate2ndstage?______________________________________________________
Inhalationeffort:______________________ Exhalationeffort: _____________________ PSItested:________________
Crackingpressure:_____________________ Magnahelicpressure: __________________ PSItested:________________
ANSTItestresults: Workedasdesigned FailedtheANSTItest
Workedunderwaterasdesigned? Yes No
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
16 • Recreational Diving Fatalities Workshop Proceedings APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS
WETSUITS
Manufacturer:______________________________________ Model:_________________________________________
Serial#:___________________________________________ Color:_________________________________________
Conditionofthesuit: Poor Fair Good Excellent Cutoff
Wetsuit: Bodysize:_____________ Thickness:_________mm
Bodytype: Frontzip Sidezip Rearzip Hoodedvest
Attachedhood Onepiece Twopiece
Other:______________________________________________________________
Gloves: Handsize:_________ Thickness:_________mm Type:_____________
Vest: Vestsize:_________ Thickness:_________mm Type:_____________
Hood: Headsize:_________ Thickness:_________mm Type:_____________
Booties: Bootsize:__________ Thickness:_________mm Type:_____________
Lycrasuit: Size:______________ Thickness:_________mm Type:_____________
Doesthesuithaveanyholes? Yes No Location:_______________________
Dothegloveshaveanyholes? Yes No Location:_______________________
Doesthevesthaveanyholes? Yes No Location:_______________________
Doesthehoodhaveanyholes? Yes No Location:_______________________
Dothebootieshaveanyholes? Yes No Location:_______________________
Doesthewetsuithaveanydamagethatisconsistentwithtrauma? Yes No
Wasthediverexperiencedinthewetsuit? Yes No
Wasthediverusedtodivingincoldwater? Yes No
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS Recreational Diving Fatalities Workshop Proceedings • 17
DRYSUITS
Manufacturer:______________________________________ Model:_________________________________________
Serial#:___________________________________________ Color:_________________________________________
Conditionofthesuit: Poor Fair Good Excellent Cut
Conditionoftheseals: Poor Fair Good ExcellentCut
Conditionofthezipper: Poor Fair Good ExcellentCut
Conditionofreliefzipper: Poor Fair Good ExcellentCut
Drysuit: BodySize:_________ Type:_________________
Bodytype: Frontzip Sidezip Rearzip Latexseals
Attachedhood Drygloves Attachedboots Neopreneseals
Gloves: Handsize:_________ Thickness:_________mm Type:_____________
Hood: Headsize:_________ Thickness:_________mm Type:_____________
Pocketlocations:____________________________________________________________________________________
Pockettype: Velcro Zipper Neoprene
Contentsofthepockets: ______________________________________________________________________________
LPhoseconnectedtothedrysuitvalve? Yes No Unknown
BrandandconditionoftheLPhose:_____________________________________________________________________
Doesthedrysuitvalvefunction? Yes No Unknown
Locationoftheexhaustvalveonthesuit:_________________________________________________________________
Doestheexhaustvalvefunctionproperly?________________________________________________________________
Anydebrislocatedintheexhaustvalve? Yes No
Didundergarmentgetstuckinexhaustvalve? Yes No Unknown
Inwhatpositionwastheexhaustvalvedial?_______________________________________________________________
Didthedrysuitflood? Yes No Unknown
Typeofinsulationwornunderthedrysuit:________________________________________________________________
Wasvictimcertifiedortrainedindrysuituse? Yes No
Levelofexperienceinadrysuit:NoneNovice(1-10dives)Intermediate(11-50dives)Experienced(>50dives)
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
18 • Recreational Diving Fatalities Workshop Proceedings APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS
WATCH, BOTTOM TIMER, SPG, COMPASS, DEPTH GAUGE, CAPILLARY GAUGE, TEMPERATURE GAUGE (Complete one form per instrument.)
Manufacturer:______________________________________ Model:_________________________________________
Serial#:___________________________________________ Color:_________________________________________
Typeofgauge:______________________________________________________________________________________
Conditionofthegauge: Poor Fair Good Excellent
Isthetimecorrectontimingdevices? Yes No
Istemperaturecorrectonallthermometerdevices? Yes No
Depth Testing of the Depth Gauge (Descent/Ascent)
TestGaugeDepth ComputerDepth TestGaugeDepth ComputerDepth
0fsw ______fsw 130fsw ______fsw
10fsw ______fsw 120fsw ______fsw
20fsw ______fsw 110fsw ______fsw
30fsw ______fsw 100fsw ______fsw
40fsw ______fsw 90fsw ______fsw
50fsw ______fsw 80fsw ______fsw
60fsw ______fsw 70fsw ______fsw
70fsw ______fsw 60fsw ______fsw
80fsw ______fsw 50fsw ______fsw
90fsw ______fsw 40fsw ______fsw
100fsw ______fsw 30fsw ______fsw
110fsw ______fsw 20fsw ______fsw
120fsw ______fsw 10fsw ______fsw
130fsw ______fsw 0fsw ______fsw
APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS Recreational Diving Fatalities Workshop Proceedings • 19
Testing of the SPG (Pressurization/Depressurization Cycle)
TestGaugePressure SPGPressure TestGaugePressure SPGPressure
0psi ______psi 3500psi ______psi
500psi ______psi 3000psi ______psi
1000psi ______psi 2500psi ______psi
1500psi ______psi 2000psi ______psi
2000psi ______psi 1500psi ______psi
2500psi ______psi 1000psi ______psi
3000psi ______psi 500psi ______psi
3500psi ______psi 0psi ______psi
20 • Recreational Diving Fatalities Workshop Proceedings APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS
MASKS (Complete one form per mask.)
Manufacturer:______________________________________ Model:_________________________________________
Serial#:___________________________________________ Color:_________________________________________
Data-typemask? Yes No
Conditionofthemask: Poor Fair Good Excellent Missing
Skirtintact? Yes No Strapintact? Yes No
Maskfoundondecedent? Yes No Maskonface Maskonforehead
Didthedecedenthaveanyproblemsequalizingorclearingthemask? Yes No Unknown
Wasthemaskfloodedorpartiallyfloodedbeforefatalityoccurred? Yes No Unknown
Correctivelenses? Yes No
Decedent’svisionwithoutcorrectivelenses:_______________________________________________________________
Wasdecedentwearingcontactsduringthedive? Yes No Unknown
Magnifyinginserts: Yes No
LCDdisplay: Yes No Functioningproperly? Yes No
Didthemaskhaveapurgevalve? Yes No Functioningproperly? Yes No
Anybloodorforeignobjectsinsidethemask? Yes No
Detail: ____________________________________________________________________________________________
DataMaskFunctionTest
Diddatamaskfunctionproperly? Yes No
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS Recreational Diving Fatalities Workshop Proceedings • 21
SNORKELS
Manufacturer:________________________ Model:_____________________________ Color: ___________________
Conditionofthesnorkel: Poor Fair Good Excellent Missing
Mouthpiececondition: Poor Fair Good Excellent Missing
Bitetabsintact? Yes No
Notes: ____________________________________________________________________________________________
Doesthesnorkelhaveapurgevalve? Yes No Functioningproperly? Yes No
Anybloodorforeignobjectsinsidethesnorkel? Yes No
Detail: ____________________________________________________________________________________________
Wherewasthesnorkelattached? Rightside Leftside
Other(describe):____________________________________________________________________________________
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
22 • Recreational Diving Fatalities Workshop Proceedings APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS
FINS
Manufacturer:________________________ Model:_____________________________ Color: ___________________
Conditionofthefins: Poor Fair Good Excellent Missing
Finsizes: XS S M L XL XXL
Other:______________
Typeoffins: Openheel Fullfoot
Splitfins Freedivingfins
Werethefinsfoundonthedecedent? Yes No Unknown
Typeofstrapsusedwiththefins: Straps Springs
Didthefinstrapshaveaquick-disconnectfeature? Yes No
Werethefinstrapquick-disconnectsattached? Yes No Unknown
Didthefinsfitthedecedent? Yes No
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS Recreational Diving Fatalities Workshop Proceedings • 23
CAMERA OR VIDEO EQUIPMENT (Complete one form per camera.)
Manufacturer:______________________________________ Model:_________________________________________
Serial#:___________________________________________ Color:_________________________________________
Cameratype: Digital Still/video Mediatype:_____________________________
Film Still/movie Filmtype:______________________________
Lensmanufacturer:__________________________________ Type:__________________________________________
Serial#:___________________________________________ Filter: _________________________________________
Housingmanufacturer:_______________________________ Model:_________________________________________
Serial#:____________________________________________ Color:_________________________________________
Lensporttype:______________________________________
Camerafunctional? Yes No Housingflooded? Yes No
Decedent’scamera? Yes No Partner’scamera? Yes No
Strobe#1manufacturer:______________________________ Model:_________________________________________
Serial#:___________________________________________ Color:_________________________________________
Strobefunctional? Yes No Batteryflooded? Yes No
Strobe#2manufacturer:______________________________ Model:_________________________________________
Serial#:___________________________________________ Color:_________________________________________
Strobefunctional? Yes No Batteryflooded? Yes No
Lightmanufacturer: _________________________________ Model:_________________________________________
Serial#:____________________________________________ Color:_________________________________________
Lightfunctional? Yes No Flooded? Yes No
Typeofcliporattachmentusedtosecureequipmenttothediver:______________________________________________
Howwasequipmentconnectedtothediver?______________________________________________________________
Didlocationofequipmentaffectincident? Yes No
Didtheclip,lineorattachmentbecomeentangled? Yes No
Wastheequipmentnegativeorpositivelybuoyant? Negative Positive
Hownegativeorpositivelybuoyant?_____________________________________________________________________
24 • Recreational Diving Fatalities Workshop Proceedings APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS
Didthebuoyancyorlackofbuoyancyaffectincident? ______________________________________________________
Howexperiencedwasthedecedentwiththeequipment?_____________________________________________________
Nameofpersonwhodownloadedphotographs/video: ______________________________________________________
Date/timephotographs/videodownloaded:_______________________________________________________________
Name/dateofpersonwhomadeduplicateofvideotape:______________________________________________________
Downloaddigitalphotographsandvideotoatleasttwodifferentdrivesorstoragedevices,andmaintainhardcopiesofallrelevantphotographsforthecasefile.Ifvideotapewasusedinthecamera,aduplicatecopyofthetapeshouldbemade.
Doesfilmorslidesneedtobedeveloped? Yes No
Nameofthelabhiredtodevelopfilm/slides: ______________________________________________________________
Date/timefilm/slidessenttothelab:_____________________________________________________________________
Datethenegatives,printsorslideswerereceived:___________________________________________________________
Maintainnegatives,copyofprintsorslidesinthecasefile.
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS Recreational Diving Fatalities Workshop Proceedings • 25
SLATE (Complete one form per slate.)
Manufacturer:______________________________________ Sizeofslate:_____________________________________
Typeofslate: Whiteboard Sketchtype Other:____________________________________
Howslatecarried: Onarm Onleg OnBC Onconsole
Clippedtodiver/where:___________________________________
Inapocket/where:_______________________________________
Slateattachedtoliftbag:__________________________________
Waspencilattached? Yes No Howwaspencilattached?_________________________________
Didpencilorslatelinecreateentanglementissue? Yes No Unknown
Didthediveplanontheslatematchdiveprofilefromthecomputer? Yes No
Whattypeofdeviationfromtheplanwasmade?___________________________________________________________
Makeaphotocopyofanyslatesusedbythedecedentordivepartner.Trytogetslatetranslationfrompartnerifslateinformationisinshorthand.
Transcribeallnotesfromslateontothisform.
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Drawingsorsketchesfromslate:
26 • Recreational Diving Fatalities Workshop Proceedings APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS
GOODIE BAG (Complete one form per bag.)
Manufacturer:______________________________________ Model:_________________________________________
Size: XS S M L XL Color:_________________________________________
Type:_____________________________________________ Numberofbags:_________________________________
Anyitemsattachedtothebag?GamemeasuringdevicesOther:_________________________________________
Listcontents:Empty____________________________________________________________________________
Weightofcontents:None ________________________________________________________________________
Didtheextraweightordragcauseanyissues? Yes No Unknown
Howwasthebagacarried?____________________________________________________________________________
Didthemannerinwhichthebagwasattachedcauseanyissues? Yes No Unknown
Wasthebagditched? Yes No
Whoditched? Victim Partner Rescuer
Wastheditchedbagrecovered? Yes No
Whereandwhorecovered?____________________________________________________________________________
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS Recreational Diving Fatalities Workshop Proceedings • 27
LIFT BAG OR SURFACE MARKER BUOY (SMB) (Complete one form per lift bag/SMB.)
Manufacturer:______________________________________ Model:_________________________________________
Typeofbag:________________________________________ Color:_________________________________________
Liftbagcapacity:____________poundsLiftbagmarkings:______________________________________________
Wherewastheliftbagcarried?_________________________________________________________________________
Wastheliftbagusedduringthedive? Yes No
Whywastheliftbagused? PartofPlan EmergencyUse LiftingObject
Howwasthebaginflated? Orally Regulator LPHose Other_______________________
Howwasthebagdeflated? Openbottom Manualdump Other_______________________
Duringtesting,anyleaksfoundinliftbag? Yes No Where:______________________
Afteruse,wasthebagstowed,foundinthewaterorlocatedonthesurface?
Stowed IntheWater Foundonthesurface
Diverexperiencelevelwiththebag: None Novice Intermediate Experienced
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
28 • Recreational Diving Fatalities Workshop Proceedings APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS
REEL (Complete one form per reel.)
Manufacturer:______________________________________ Model:_________________________________________
Typeofreel: Open Closed Other:__________________ Color:_______________________
Typeofline:Material________________________ Twisted/BraidedSize___________Color:_______________
Howmuchlineonthereel?____________________________________________________________________________
Waslinemarkedinincrements? Yes No Howmarked:______________________________
Handletype: Standard Goodwin Other:____________________________________
Wherewasreellocated? Inpocket BCD-ring Harness Crotchstrap
Weightbelt Other:_________________________________________________
Didthewayinwhichthereelwascarriedcontributetothefatality? Yes No Unknown
Wasreelusedduringthedive? Yes No
Whywasthereelusedduringthedive? __________________________________________________________________
Ifused,didthereeleverjamordidthelinebecomeentangled? _______________________________________________
Typeofdrag/lockingmechanismonreel:_________________________________________________________________
Duringtesting,anyproblemsnoted?No Yes Describe:_________________________________
Cuttingdeviceonreel? Yes No
Diverexperiencelevelwithreel: None NoviceIntermediate Experienced
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS Recreational Diving Fatalities Workshop Proceedings • 29
KNIVES OR CUTTING DEVICES (Complete one form per knife/cutting device.)
Manufacturer:______________________________________ Model:_________________________________________
Typeoftool: Knife(fixedorfolding) Paramedicshears
Linecutters Other:_____________________________________________________
Notypeoftoolcarriedbydecedent
Toolmaterial: Titanium Stainless Non-stainlesssteel Other:___________________________
Sheath: Open Locking Other_______________________________ None
Wherewasthetoolcarried? Calf: Right Left Inner Outer
Thigh: Right Left Inner Outer
Arm: Right Left Inner Outer
Waist: Right Left Front Side
Harness: Right Left Front Side
Pocket: Right Left Front Side
Wetsuitsheath(describewhere):_________________________________________
Other:______________________________________________________________
Wasthetoolinapositionitcouldbeused? Yes No Unknown
Duringtestingcouldtoolberemovedeasily? Yes No
Ifno,notewhythetoolcouldnotberemoved: Rust Sand Other:______________________
Wastoolremovedduringthedive? Yes No Unknown
Whywastoolremoved: Emergency Non-Emergency
Wasthetoolplacedbackintocarryingdevice? Yes No Unknown
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
30 • Recreational Diving Fatalities Workshop Proceedings APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS
DIVE LIGHTS (Complete additional forms as needed.)
Primary Light
Manufacturer:______________________________________ Model:_________________________________________
Serial#:___________________________________________ Color:_________________________________________
Batterytype: _______________________________________ Numberofbatteries:______________________________
Bulbtype: IncandescentHID LED Xenon Other:______________________
Lightfunctional? Yes No Flooded? Yes No
Howwasthelightcarriedorattachedtothediver? _________________________________________________________
Detachedlighthead(canisterlight)? Yes No
Ifyes,describehowlightheadcablestowed: ______________________________________________________________
Didlightcontributetotheaccident?: Yes No Unknown
Duringtesting,didlightandswitchfunctionproperly? Yes No Describe:____________________
Second Light
Manufacturer:______________________________________ Model:_________________________________________
Serial#:___________________________________________ Color:_________________________________________
Batterytype: _______________________________________ Numberofbatteries:______________________________
Bulbtype: IncandescentHID LED Xenon Other:______________________
Lightfunctional? Yes No Flooded? Yes No
Howwasthelightcarriedorattachedtothediver? _________________________________________________________
Duringtesting,didlightandswitchfunctionproperly? Yes No Describe:____________________
Third Light
Manufacturer:______________________________________ Model:_________________________________________
Serial#:___________________________________________ Color:_________________________________________
Batterytype: _______________________________________ Numberofbatteries:______________________________
Bulbtype: IncandescentHID LED Xenon Other:______________________
Lightfunctional? Yes No Flooded? Yes No
Howwasthelightcarriedorattachedtothediver? _________________________________________________________
Duringtesting,didlightandswitchfunctionproperly? Yes No Describe:____________________
APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS Recreational Diving Fatalities Workshop Proceedings • 31
Fourth Light
Manufacturer:______________________________________ Model:_________________________________________
Serial#:___________________________________________ Color:_________________________________________
Batterytype: _______________________________________ Numberofbatteries:______________________________
Bulbtype: IncandescentHID LED Xenon Other:______________________
Lightfunctional? Yes No Flooded? Yes No
Howwasthelightcarriedorattachedtothediver? _________________________________________________________
Duringtesting,didlightandswitchfunctionproperly? Yes No Describe:____________________
Fifth Light
Manufacturer:______________________________________ Model:_________________________________________
Serial#:___________________________________________ Color:_________________________________________
Batterytype: _______________________________________ Numberofbatteries:______________________________
Bulbtype: IncandescentHID LED Xenon Other:______________________
Lightfunctional? Yes No Flooded? Yes No
Howwasthelightcarriedorattachedtothediver? _________________________________________________________
Duringtesting,didlightandswitchfunctionproperly? Yes No Describe:____________________
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
32 • Recreational Diving Fatalities Workshop Proceedings APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS
JON LINE (Complete one form per jon line.)
Manufacturer:______________________________________ Model:_________________________________________
Type:_______________________________ Length:_____________________________ Color: ___________________
Wherewasthelinecarried? Waist: Right Left Front Side
Harness: Right Left Front Side
Pocket: Right Left Front Side
Other(describe):_____________________________________________________
Wasthejonlineinapositionitcouldbeused? Yes No Unknown
Duringtestingcouldthelineberemovedeasily? Yes No
Ifno,notewhythejonlinecouldnotberemoved: Rust Sand Other:______________________
Wasjonlineremovedduringthedive? Yes No Unknown
Whywasjonlineremoved? Non-emergency Emergency
Wasthejonlineplacedbackintocarryingdevice? Yes No Unknown
Jonlinelength:___________________feet/inches
Whattypeofclipwasattachedtothediver’ssideofthejonline?_______________________________________________
Whattypeofclipwasattachedtothenondiverendofthejonline? ____________________________________________
Ifdeployed,didthejonlinebecomeentangled? Yes No Unknown
Didthejonlinecontributetothefatality? Yes No Unknown
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS Recreational Diving Fatalities Workshop Proceedings • 33
SPEAR GUN AND SLINGS (Complete one form per spear gun.)
Manufacturer:______________________________________ Model:_________________________________________
Type: Pneumatic Banded Polespear HawaiianslingOther:____________________
Lengthofgun:______________________________________ Color:_________________________________________
Howmanybands? 1234
Materialmadefrom: Wood Metal Other:_________________________________________________
Doesthegunhaveanattachedreel? Yes No Unknown
Doesthegunhaveanattachedbuoyancydevice? Yes No Unknown
Howmuchlineisonthereel? _________________feet
Istherea“safety”onthegun? Yes No
Ifyes,doesitfunctionproperly? Yes No Describe:____________________
Buoyancyofgun: Negative Positive Buoyantforce:_____________lbs
Wasthegunusedduringthedive? Yes No Unknown
Wastheuseofthegunafactorintheincident? Yes No Unknown
Wasthegunattachedtothediver? Yes No Unknown
Howwasthegunattachedtothediver?__________________________________________________________________
Didtheguncontributetothefatality? Yes No Unknown
Wasanygameattachedtothediver? Yes No Unknown
Ifyes,describetypes,number,sizes,andhowattached:______________________________________________________
__________________________________________________________________________________________________
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
34 • Recreational Diving Fatalities Workshop Proceedings APPENDIX E1: OPEN-CIRCUIT SCUBA EQUIPMENT EVALUATION FORMS
DIVER PROPULSION VEHICLES (DPV)
Manufacturer:______________________________________ Model:_________________________________________
Type:_____________________________________________ Color:_________________________________________
DPVactivationmechanism:___________________________________________________________________________
Wasthedivertrainedtousetheunit? Yes No Unknown
Howexperiencedwasthediverwiththeunit? Novice Intermediate Experienced
Howwastheunitattachedtothediver?__________________________________________________________________
NumberofdiversusingtheDPVatthetimeoftheincident:__________________________________________________
NumberofdiverswithDPVsindiveteam:________________________________________________________________
Wasthediverusingtheunitwhentheincidentoccurred? Yes No Unknown
WastheDPVfunctionalattimeoftheincident? Yes No Unknown
Wastheunitnegativelyorpositivelybuoyant? Negative Positive
Hownegativeorpositivelybuoyantwastheunit? _____________pounds
TrimweightsaddedtoDPV? Yes No Unknown _____________pounds
DPVflooded? Yes No Unknown
AnymodificationsmadetoDPV?_______________________________________________________________________
DidtheDPVcontributetotheaccident? Yes No Unknown
Notetestresultsbelow.
Notes: ____________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
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