Canada Oil and Gas Diving Regulations (SOR/88-600)

Name of craft or installation: Operator:

Supervisor: Diving contractor:

Persons involved: Date:

Type of dive:

Purpose of dive:

Personal diving equipment used:

Diving plant and equipment used:

Dive profile: Depth: Bottom time:

Time left surface: Tables used:

Ascent method:

Ascent rate & time: Time returned to surface:

Name of specialized diving doctor or medical attendant who treated diver or pilot:

Treatment: Name of diver or pilot treated: Treatment table used:

Diver’s or pilot’s medical condition after treatment:

Number of dives made by diver or pilot in the 24 hours preceding accident/incident:

Gas mixture(s) used: (in dive)(in treatment)

Air temperature: Wind speed: Sea state:

Type of sea bed: Visibility:

Condition of personal equipment after accident/incident:

Personal equipment examined at: (Location and date) By: (Name of examiner)

Summary of accident/incident: (Use additional sheets as necessary)

Signature of operator or operator’s representative

Signature of supervisor