Dive Operation Safety Plan Form
Complete this form to ensure all safety protocols and planning steps are addressed before your dive operation.
Operation Leader Name
*
First Name
Last Name
Date and Time of Dive Operation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Dive Location
*
Dive Objective / Purpose
*
Team Members (List names or roles)
*
Emergency Contact Information
*
Pre-Dive Equipment Check Completed?
*
Yes
No
Partial (see notes)
Weather and Tide Conditions
*
Communication Plan (e.g. radios, signals, procedures)
*
Additional Notes or Final Review
Submit Safety Plan
Should be Empty: