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Indiana University Program

ACADEMIC DIVING MANUAL

June 2016 Revised Edition Indiana University Academic Diving Manual Revised June 2016

FOREWARD Indiana University is actively committed to preserving the health and safety of its students, employees, and visitors and to protecting the environment in which they participate in and activities. It is the responsibility of the Diving Control Board and University Environmental Health and Safety to direct and ensure that all snorkeling and scuba diving activities that occur under Indiana University auspices are conducted in a manner designed to minimize accidental injury and illness. This direction occurs through the Diving Safety Program, housed within University Environmental Health and Safety. This manual - the Indiana University Academic Diving Manual - is written to formalize snorkeling and scuba diving standards and procedures as they relate to University activities. The standards and procedures are based on accepted scientific, recreational, and standards, as applied to institutional diving programs, and is the result of six revisions of standards and policy by the Indiana University Diving Control Board. This manual describes Indiana University’s general diving policy, , certification criteria, equipment requirements, medical standards, and emergency procedures to assure diver safety under appropriate diving conditions. Major institutional diving programs manuals were used as models for this manual. These included, but are not limited to the following organizations: Smithsonian Institute, Johns Hopkins University, University of California Santa Cruz, American Academy of Underwater Sciences, Scripps Institution of , Florida State University, University of Michigan, Buffalo State College, and United Nations Educational Scientific and Cultural Organization (UNESCO), and National Oceanic Atmospheric Administration (NOAA). This manual is not copyrighted. Institutions are encouraged to review this manual for application to their specific institutional diving requirements.

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TABLE OF CONTENTS 1 SECTION ONE: GENERAL POLICY ...... 1 1.1 PURPOSE ...... 1 1.1.1 DIVING SAFETY PROGRAM ...... 1 1.1.2 ACADEMIC DIVING MANUAL ...... 1 1.2 SCOPE ...... 1 1.2.1 UNIVERSITY AUSPICES ...... 1 1.2.2 TRAINING AND CERTIFICATION ...... 2 1.2.3 EQUIPMENT ...... 2 1.2.4 DIVING REGULATIONS ...... 2 1.3 ORGANIZATION ...... 2 1.3.1 DIVING CONTROL BOARD ...... 2 1.3.1.1 COMPOSITION ...... 3 1.3.1.2 APPOINTMENT ...... 3 1.3.1.3 RESPONSIBILITIES ...... 3 1.3.2 ...... 4 1.3.2.1 RESPONSIBILITIES ...... 4 1.3.3 UNIVERSITY PARTICIPANTS ...... 5 1.3.3.1 RIGHTS ...... 5 1.3.3.2 RESPONSIBILITIES ...... 5 2 SECTION TWO: DIVING REGULATIONS ...... 7 2.1 CERTIFICATION REQUIREMENTS AND DEPTH LIMITATIONS ...... 7 2.1.1 CERTIFICATION REQUIREMENTS ...... 7 2.1.2 DEPTH LIMITATIONS (IN STEPS DEFINED AS: 60 FEET, 100 FEET, OVER 190 FEET) ...... 7 2.2 ...... 7 2.2.1 SAFE PRACTICES MANUAL ...... 7 2.2.2 PRE-DIVE PROCEDURES ...... 8 2.2.2.1 DIVING FLAG ...... 8 2.2.2.2 FLOTATION DEVICE ...... 8 2.2.2.3 EMERGENCY AID INFORMATION ...... 8 2.2.2.4 SUPPLIES ...... 8 2.2.2.5 STANDBY DIVER ...... 8 2.2.2.6 PERSON-IN-CHARGE ...... 8 2.2.2.7 RECOMPRESSION CHAMBER ...... 9 2.2.2.8 EMERGENCY PROCEDURES ...... 9 2.2.3 DIVE ...... 9 2.2.3.1 PARTNER DISTANCE RANGE ...... 9 2.2.3.2 DEEP AND REPETITIVE DIVES ...... 9 2.2.3.3 DIVES ...... 9 2.2.3.4 ENTRANCE AND EXIT ...... 10 2.2.3.5 DIVE TERMINATION ...... 10 2.2.3.6 DEPTH TIME PROFILE ...... 10 2.2.4 POST-DIVE ...... 10 2.2.5 FLYING AFTER DIVING OR ASCENDING TO ALTITUDE (OVER 1000 FEET) 10 2.3 AND SCUBA DIVING REPORTING AND RECORDS MANAGEMENT ...... 11 2.3.1 MEDICAL RECORDS ...... 11

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2.3.2 DIVE PLAN ACTIVITY OR PROJECT REQUEST) ...... 11 2.3.3 DIVER LOG ...... 11 2.3.4 AFTER ACTION REPORTING ...... 12 2.3.5 INCIDENT REPORTING ...... 12 2.3.6 RECORDS MANAGEMENT ...... 12 2.4 DIVE ENVIRONMENTS ...... 13 2.4.1 DIVING IN HAZARDOUS ENVIRONMENTAL CONDITIONS ...... 13 2.4.2 DIVING IN OVERHEAD ENVIRONMENTS (CAVERN, ICE, SHIPWRECK PENETRATION, CAVE) ...... 13 2.4.2.1 CAVERN DIVING ...... 14 2.4.2.2 ...... 14 3 SECTION THREE: SCIENTIFIC SCUBA DIVING ...... 15 3.1 ELIGIBILITY ...... 15 3.2 TYPES OF UNIVERSITY CERTIFICATIONS ...... 15 3.2.1 SCIENTIFIC DIVER-IN-TRAINING ...... 15 3.2.2 CERTIFICATION ...... 15 3.2.3 TEMPORARY SCIENTIFIC DIVING CERTIFICATION FOR VISITORS ...... 15 3.2.4 RECIPROCITY CERTIFICATION ...... 15 3.3 OBTAINING UNIVERSITY CERTIFICATION ...... 16 3.3.1 SCIENTIFIC DIVING REQUIREMENTS ...... 16 3.3.2 WAIVER OF REQUIREMENTS ...... 17 3.3.3 DENIAL OF CERTIFICATION ...... 17 3.4 MAINTENANCE OF CERTIFICATION ...... 18 3.4.1 MINIMUM REQUIREMENTS ...... 18 3.4.2 MEDICAL EXAMINATION ...... 18 3.4.3 RE-CERTIFICATION ...... 19 3.4.4 REVOCATION OR RESTRICTION OF CERTIFICATION ...... 19 3.5 DEPTH AND ENVIRONMENTAL AUTHORIZATION ...... 19 3.5.1 AUTHORIZATION FOR DEPTH RANGE OF 0–60 FEET (LEVEL I SCIENTIFIC DIVER) ...... 19 3.5.2 AUTHORIZATION FOR DEPTH RANGE OF 60-100 FEET (LEVEL II SCIENTIFIC DIVER) ...... 19 3.5.3 AUTHORIZATION FOR DEPTH RANGE OF 100-130 FEET (LEVEL III SCIENTIFIC DIVER) ...... 19 3.5.4 AUTHORIZATION FOR DEPTHS OVER 130 FEET ...... 20 3.5.5 ENVIRONMENTAL CONDITIONS ...... 20 4 SECTION FOUR: RECREATIONAL SNORKELING AND SCUBA DIVING ...... 21 4.1 ELIGIBILITY ...... 21 4.2 TYPES OF UNIVERSITY RECREATIONAL SNORKELING AND DIVING ..... 21 4.2.1 SNORKELER ...... 21 4.2.2 RECREATIONAL DIVER-IN-TRAINING ...... 21 4.2.3 CERTIFIED RECREATIONAL DIVER ...... 21 4.2.4 RECREATIONAL SUPERVISOR / INSTRUCTOR ...... 21 4.3 OBTAINING UNIVERSITY RECREATIONAL SNORKELING AND DIVING PERMISSION ...... 22 4.3.1 SNORKELING PERMISSIONS ...... 22 4.3.2 RECREATIONAL DIVER-IN-TRAINING ...... 22 4.3.3 REQUIREMENTS ...... 22 4.3.4 RECREATIONAL SUPERVISOR / INSTRUCTOR IN THE ACT OF TEACHING OR DIVE SUPERVISION ...... 22 iv Indiana University Academic Diving Manual Revised June 2016

4.3.5 REVOCATION OR DENIAL OF PERMISSION ...... 23 4.4 DEPTH AND ENVIRONMENTAL AUTHORIZATION ...... 23 4.4.1 DEPTH AUTHORIZATIONS ...... 23 4.4.2 ENVIRONMENTAL CONDITIONS ...... 23 4.5 RECREATIONAL DIVING RECOMMENDATIONS ...... 24 5 SECTION FIVE: EQUIPMENT AND AIR STANDARDS ...... 26 5.1 GENERAL EQUIPMENT STANDARDS ...... 26 5.1.1 SCUBA REGULATORS ...... 26 5.1.2 BREATHING MASKS ...... 26 5.1.3 CYLINDERS ...... 26 5.1.4 HARNESS AND BELTS ...... 26 5.1.5 DEPTH GAUGES ...... 27 5.1.6 FLOTATION EQUIPMENT ...... 27 5.1.7 DIVE COMPUTERS ...... 27 5.2 COMPRESSOR SYSTEMS AND BREATHING AIR STANDARDS ...... 27 5.2.1 AIR COMPRESSORS ...... 27 5.2.2 BREATHING AIR STANDARDS ...... 28 6 SECTION SIX: MEDICAL STANDARD ...... 29 6.1 GENERAL ...... 29 6.2 CONDITIONS OF RESTRICTION FROM SCUBA DIVING ...... 29 6.2.1 ABSOLUTE MEDICAL CONTRAINDICATIONS TO SCUBA DIVING ...... 29 6.2.2 TEMPORARY AND/OR RELATIVE CONTRAINDICATIONS TO SCUBA DIVING ...... 31 6.3 FREQUENCY OF MEDICAL EVALUATIONS ...... 32 6.4 CONTENT OF MEDICAL EVALUATIONS ...... 32 6.5 INFORMATION PROVIDED TO THE EXAMINING PHYSICIAN ...... 32 6.6 PHYSICIAN'S EVALUATION SUBMISSION AND RECOMMENDATION ...... 33 7 SECTION SEVEN: EMERGENCY PROCEDURES ...... 34 7.1 RESPONSIBILITY ...... 34 7.2 GENERAL PROCEDURES ...... 34 7.3 PREREQUISITES FOR UNIVERSITY EMPLOYEES ...... 34 7.4 PREREQUISITES FOR UNIVERSITY PARTICIPANTS ...... 34 7.5 FIRST AID EQUIPMENT AND LOCATION STANDARDS ...... 35 7.6 UNIVERSITY EMERGENCY PERSONNEL ...... 35 7.7 ROLES OF A FIRST RESPONDER ...... 36 7.7.1 SUPPORT ...... 36 APPENDIX 1: DEFINITION OF TERMS ...... 37 APPENDIX 2: ASSUMPTION OF RISK AND RELEASE FROM LIABILITY – SNORKELING AND SCUBA DIVING ...... 32 APPENDIX 3: ASSUMPTION OF RISK AND RELEASE FROM LIABILITY – SNORKELING AND SCUBA DIVING FOR MINORS ...... 35 APPENDIX 4: UNIVERSITY MEDICAL STATEMENT, MEDICAL EXAMANITION FORM, AND PHYSICIAN GUIDELINES ...... 41 APPENDIX 5: INFORMATION REQUEST FORM FOR SNORKELING OR SCUBA DIVING ACTIVITIES ...... 49 APPENDIX 6: SNORKELING AND SCUBA DIVING AFTER ACTION REPORT ...... 52

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APPENDIX 7: SNORKELING AND SCUBA DIVING INCIDENT REPORT FORM ...... 55 APPENDIX 8: DIVER LOG ...... 61 APPENDIX 9: SCIENTIFIC DIVER APPLICATION ...... 63 APPENDIX 10: DIVING CONTROL BOARD STANDARD OPERATING PROCEDURES ...... 68

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1 SECTION ONE: GENERAL POLICY

1.1 PURPOSE The purpose of the standards here within are to ensure the safety of Indiana University (University) students, employees, and guests when involved in snorkeling and scuba diving activities and the handling and use of associated equipment while under University auspices. Fulfillment of this purpose shall remain consistent with the advancements of research and safety defined by federal, state, and local regulations, as well as industry standards.

1.1.1 Diving Safety Program The University Diving Safety Program (DSP) provides a platform for administration over safe instructional, scientific, recreational, and commercial snorkeling and scuba diving occurring under University auspices. The DSP supports and encourages the use of snorkeling and breathing compressed gases, where appropriate, by trained individuals and to ensure that all snorkeling and scuba diving carried out is conducted in a manner to minimize accidental injury and illness to participants.

1.1.2 Academic Diving Manual The University Academic Diving Manual (ADM) sets forth basic underwater snorkeling and scuba diving safety policies, regulations, and procedures for educational, recreational and research diving operations under University auspices.

1.2 SCOPE The standards here within apply to all persons that participate in instructional, scientific, recreational or commercial snorkeling or scuba diving activities under University auspices, University employees and students that use and handle breathing air compressors and associated fill stations related to scuba equipment, and persons that service University scuba . . Participants may include employees, students, guests utilizing University facilities, equipment, and services, and contracted organizations of the University.

1.2.1 University Auspices Snorkeling and scuba diving activities are classified under University auspices when one or more of the following circumstances exists: • Snorkel or scuba diving activities take place on University property; • University snorkel or scuba diving equipment is utilized; • Payment is made to the University for the provision of snorkeling or scuba diving services or utilization of space; • Payment or reimbursement is made by the University for snorkeling or scuba diving services or utilization of space; • Students participate in snorkel or scuba diving activities as part of an activity related to their educational experience; and • Employees participate in snorkel or scuba diving activities as an activity

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to further the mission of the University and are within the scope and authority of that person’s employment.

1.2.2 Training and Certification All snorkeling and scuba diving training and certification under University auspices shall conform to the federal, state, local, and industry standards in addition to the University scientific diving certification standards set forth within this manual.

1.2.3 Equipment All diving under University auspices shall be done with equipment, whether University property or privately owned, that conforms to the standards set forth within this manual. All equipment shall be regularly examined by the person using them and serviced according to manufacturer recommendations. Equipment that is subject to extreme conditions or frequent use may require additional testing and maintenance.

1.2.4 Diving Regulations Snorkeling and scuba diving regulations shall be observed at all locations, whether University owned or not, where diving occurs under University auspices. However, additional administrative requirements may be imposed to govern specific situations existing outside of the University.

1.3 ORGANIZATION The DSP is a program housed within Indiana University Environmental Health and Safety (IUEHS) under the Office of the Executive Vice President for University Academic Affairs (OEVPUAA). The DSP administers the University Snorkeling and Scuba Diving Policy and standards within this manual through the Diving Control Board (DCB) and Diving Safety Officer (DSO).

1.3.1 Diving Control Board The University DCB is an oversight body that governs the DSP with authority over all aspects of snorkeling and scuba diving conducted under the auspices of the University system. The DCB, through the DSO, ensures compliance with the minimum training standards identified within this manual for snorkeling or scuba diving occurring under University auspices. The DCB determines best practices based on and in compliance with Occupational Safety and Health Administration (OSHA) scuba diving standards and exemptions for scientific, recreational, and commercial diving; the World Recreational Scuba Training Council (WRSTC); and University scientific diving guidelines.

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1.3.1.1 Composition The DCB in comprised of experts in scientific diving, recreational diving, dive training, dive medicine and physiology, and health and safety regulations. DCB membership is inclusive of: 1. A majority of University faculty and staff. 2. A majority of University Scientific Divers. 3. No less than five voting members occupying the following positions: a. DSO, who also serves as the DCB Administrator, but cannot serve as the DCB Chair. b. Representative of IUEHS. c. Chair of the Scientific Diving Subcommittee. d. Chair of the Recreational Diving Subcommittee. e. Chair of the Subcommittee. 4. An elected Chair of the DCB, who may also occupy another position listed in (3) except for DSO (3a). 5. There may be additional DCB voting members who do not occupy any of the positions listed in (3).

1.3.1.2 Appointment Voting DCB members are appointed by the Executive Vice President for University Academic Affairs based upon recommendation by the DCB chair and voting members. DCB voting members are appointed for a three-year period and may serve an unlimited number of terms.

1.3.1.3 Responsibilities The responsibilities of the DCB include: • Exercise authority over all aspects of snorkeling and scuba diving and diving safety conducted under University auspices; • Identify changes to the University Snorkeling and Scuba Diving Policy through IUEHS; • Formalize University snorkeling and scuba diving procedures and standards by developing, reviewing, and improving this manual; • Facilitate with dive-related research, training, and recreation where possible; • Approve and monitor snorkeling and diving projects through the DSO; • Approve and monitor snorkeling and scuba-related equipment use and handling through the DSO; • Serve as a technical reference for snorkeling and scuba diving activities for the purposes of instruction, recreational, scientific, and commercial diving; • Recommend the use of new snorkeling and dive-related equipment or techniques;

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• Review snorkeling and scuba diving incidents, or dangerous accidents, and take corrective actions, with assistance from IUEHS, in the case of unsafe diving practices or in violation of this manual, inclusive of guidance, retraining, or suspension of further diving; • Serve as a board of appeals to consider snorkeling and scuba diving-related problems; and • Review the DSO’s performance.

1.3.2 Diving Safety Officer The DSO administers the DSP under the authority of the DCB through IUEHS. The DSO holds a full-time appointment and reports to the University Director of IUEHS and the DCB. The DSO shall have broad technical, scientific, and recreational expertise in diving practices. Additionally, the DSO shall be knowledgeable in both industry standards and OSHA regulations for scientific diving, recreational diving, commercial diving, and the handling and use of associated scuba-related equipment.

1.3.2.1 Responsibilities The responsibilities of the DCO include: • Ensure compliance of all University programs and activities concerning snorkeling or scuba diving and associated equipment in accordance with federal, state, local, and industry standards as well as standards within this manual; • Advise and disseminate information to academic units and diving participants on regulations, equipment standards, emergency procedures, and other necessary diving policies and procedures; • Permit and monitor University snorkeling and scuba diving projects and activities; • Designate dive site supervisors during snorkeling and scuba diving projects and activities to oversee all aspects of the diving operations affecting the safety and health of dive team members. • Maintain training and certification records, medical clearances, liability releases, dive plans, dive logs, emergency action plans, equipment logs, and incident reports for University employees, students, and guests that snorkel or scuba dive under University auspices; • Approve , depth certifications, and authorization variances for special types of diving, including decompression dives; • Suspend or restrict diving operations considered unsafe or unwise according to the DCB. • Report University snorkeling or scuba diving dangerous incidents and accidents to the DCB and the University Director of IUEHS; • Establish and/or approve facilities for the inspection, use, and maintenance of diving and associated equipment;

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• Serve as DCB administrator and on the Recreational, Scientific, and Medical DCB Subcommittees; and • Recommend to the DCB necessary changes in diving policies and procedures.

1.3.3 University Participants University participants include University departments and units, employees, students, or guests, visiting from an external agency, organization, institution, the general public, etc., that engage in snorkeling, scuba diving, or serving as a supervisor or administrator in support of such activities under University auspices. All snorkeling and scuba diving activities must conform to regulations set forth in this manual. Appropriate procedures shall be established by the administration for ensuring that all University employees and students involved in diving, whether advising or supervising, understand the full purpose and scope of the DSP and all supporting documentation.

1.3.3.1 Rights The decision to snorkel or dive is that of the individual. A University snorkeler or diver may refuse to dive, without fear of penalty, whenever if in his or her judgment, conditions are unsafe or unfavorable, or he or she would be violating the dictates of his or her training, or he or she would be violating the regulations of the manual. Furthermore, any University diver may deviate from the requirements of the ADM to the extent necessary to prevent or minimize a situation, which is likely to cause death, serious physical harm, or major environmental damage. A written report of such actions must be submitted to the DSO and the DCB explaining the circumstances and justifications, in advance if possible.

1.3.3.2 Responsibilities University individual participants snorkelers, scuba divers, and equipment handlers are responsible for: • Reviewing and adhering to University Snorkeling and Scuba Diving policy, this manual, and applicable regulations; • Ensuring they are trained and take seriously their roles in implementing the requirements of the Diving Safety Program; • Promptly reporting to the DSO as described in the ADM, where appropriate; and • Taking ultimate responsibility for his or her safety to include his or her state of health and impairment status prior to snorkeling or scuba diving activities.

University departments, supervisors, and project or activity leaders are responsible for: • Reviewing and adhering to the University Snorkeling and Scuba Diving policy, this manual, and applicable regulations; • Ensuring that all participants are trained and take seriously their roles in implementing the requirements of the Diving Safety 5 Indiana University Academic Diving Manual Revised June 2016

Program; • Communicating and registering planned snorkeling and/or scuba diving activities in a timely manner; and • Promptly reporting to the DSO as described in the ADM.

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2 SECTION TWO: DIVING REGULATIONS

2.1 CERTIFICATION REQUIREMENTS AND DEPTH LIMITATIONS 2.1.1 Certification requirements No person shall engage in scientific diving activities under University auspices unless the participant holds a and valid University Scientific to the level of the proposed activity issued by the DSO or the DCB or is a Scientific Diver-in-training or undergoing Scientific Diver recertification.

No person shall engage in recreational scuba diving activities under University auspices unless the participant holds a valid recreational scuba diving certification from a World Recreational Scuba Training Council (WRSTC), National Association of Underwater Instructors (NAUI), or a nationally recognized organization as approved by the DCB. An exception will be made for a person engaged in snorkeling, undergoing scuba diving training or retraining, or engaged in a discovery scuba diving program, in accordance with industry standards and with approval of the DSO.

The DSO and DCB may require a person to undergo scuba diving retraining if the participate has not been diving within a 12 month period or is unable to perform basic open water or equivalent certification skills as defined by the recreational diving industry.

2.1.2 Depth Limitations (In Steps defined as: 60 feet, 100 feet, over 190 feet) A diver shall not exceed a depth of authorization by more than one step. No diver shall exceed the depth of certification unless accompanied by a diver authorized to dive to a greater depth and with approval of the DSO. No diver shall supervise more than one diver who is exceeding the authorized depth. A University scientific diver must comply with the depth limitations and standards set forth by the University Scientific Diver Levels I, II, and III. A University recreational diver must comply with recreational industry standards as limited by factors of age and certification. A diver may exceed depths beyond the recommended industry standards with proof of experience and / or permission from the DSO.

2.2 DIVING PROCEDURES 2.2.1 Safe Practices Manual The NOAA Diving Manual, 5th Edition, is the current safe diving practices manual that is kept on file with the University Diving Safety Program and used as a primary reference for safe diving activities, permissions, and recommendations to snorkelers or scuba divers engaged in activities under University auspices.

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2.2.2 Pre-dive Procedures 2.2.2.1 Diving Flag A diving flag, red with a diagonal white stripe, shall be prominently displayed at the dive site whenever diving is conducted in an area where boat traffic is likely.

2.2.2.2 Flotation Device On every dive, all divers shall wear an adequate floatation device or compensator.

2.2.2.3 Emergency Aid Information An emergency aid list shall be kept at the dive location containing ways to contact: • An operational decompression chamber or Divers Alert Network, • Accessible hospitals, • Available physicians, • Available means of transportation; and • The nearest U.S. Coast Guard Rescue Center, as applicable.

2.2.2.4 First Aid Supplies First aid supplies, an administration kit, and manuals or slates prescribed by the DSO and consulting physicians, must be at the dive site.

2.2.2.5 Standby Diver An individual trained in primary and secondary care shall standby at the dive location to provide support and backup to a University diver, dive team, or surface-supplied divers.

2.2.2.6 Person-in-Charge One diver of the team, or the standby diver, shall always be designated as the lead diver or person-in-charge whose responsibilities include: 1. To plan and assess taking into consideration the following: a. Diving mode. b. Surface and underwater conditions and . c. supply (including reserves). d. Thermal protection. e. Diving equipment and systems. f. Dive team assignments and physical condition of dive team members. g. Repetitive dive designation of dive team members. h. Decompression and treatment procedures.

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i. Emergency procedures.

2. To conduct a pre- on: a. The tasks to be undertaken. b. Safety procedures for the diving mode. c. Any unusual hazards or environmental conditions likely to affect the safety of the diving operation. d. Any modification to operating procedures necessitated by the specific diving operation.

3. To inquire the current state of physical fitness of the dive team member(s), and indicate to the dive team member(s) the procedure for reporting physical problems or adverse physiological effect during and after the dive.

4. Carry a set of dive tables, approved by the DCB, available for consultation at the dive location.

2.2.2.7 Recompression Chamber Any dive exceeding 132 feet, and any decompression dives, must be made at a dive location located less than 60 minutes from a recompression chamber or with written approval of the DCB.

2.2.2.8 Emergency Procedures Each diver shall be held responsible for knowing and following the emergency procedures as prescribed by DSO.

2.2.3 Dive 2.2.3.1 Partner Distance Range The distance range separating one diver from another may vary with time, depth, and circumstances. The distance shall not exceed one- fourth the limits of visual contact or, during dives in low visibility, actual physical contact.

2.2.3.2 Deep and Repetitive Dives During all repetitive dives and dives below 60 feet, each diver shall have a timing device and a . All University Scientific Divers must have a timing device and depth gauge for every dive, regardless of depth.

2.2.3.3 Decompression Dives Decompression dives shall be prohibited without special permission from the DSO. Current U.S. Navy Standard Air Decompression Tables and Repetitive Dive Tables or approved diving computers shall be followed during all diving operations to ensure that all dives are

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within the no-decompression limits.

2.2.3.4 Entrance and Exit A means capable of supporting the diver shall be provided for entering and exiting the water from shore, a platform, or vessel with freeboard greater than 36 inches. The means for exiting the water shall extend below the water surface. A means shall be provided to assist an injured diver from the water.

2.2.3.5 Dive Termination The dive shall be terminated when the reserve breathing supply is required by the diver or dive buddy or when the diver or dive buddy requests termination.

2.2.3.6 Depth Time Profile A depth-time profile must be kept for each dive.

2.2.4 Post-dive The lead diver, or person-in-charge, shall: 1. Check the physical condition of the diver(s).

2. Instruct divers to report physical problems or adverse effects including symptoms of .

3. Advise divers of the location of emergency support equipment and the decompression chamber.

4. Advise divers on the danger of flying after diving.

5. Instruct the diver(s) to remain awake and in the general vicinity for at least one hour after the dive if engaged in decompression dives or dives that exceed 100 feet.

2.2.5 Flying After Diving or Ascending to Altitude (Over 1000 feet) Following a single no-decompression dive, University divers shall have a minimum preflight surface interval of 12 hours. Following multiple dives per day, or following multiple days of diving, University divers shall have a minimum preflight surface interval of 18 hours. Following dives requiring a safety stop, University divers shall have a minimum preflight surface interval of 24 hours. Before ascending to altitude, above 1000 feet, via land transport, University divers shall follow the appropriate guideline for preflight surface intervals unless the decompression procedure used has accounted for the increase in elevation.

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2.3 SNORKEL AND SCUBA DIVING REPORTING AND RECORDS MANAGEMENT University snorkelers and scuba divers shall follow the general paperwork guidelines set forth for University scientific and recreational snorkeling and diving participants outlined in this manual. Paperwork may include but are not limited to University legal documents, RSTC Medical Statement, and scuba industry agency training forms. Copies of University legal documents and RSTC Medical statements must be submitted to the DSO. Agency training forms may be handled and filed with a snorkeling or scuba diving University Supervisor or Instructor.

2.3.1 Medical Records University diver medical evaluation reports shall be submitted ultimately to the DSO. The DSO, upon a diver’s written request, shall provide copies of that individual's diving medical records.

2.3.2 Dive Plan Activity or Project Request) The DSO shall be notified of any new or continued snorkeling or scuba diving activity or project via submission of the University’s Information Request Form for Snorkeling or Scuba Diving Activities by the activity or project leader. The form shall be completed and submitted to the DSO 30 days prior to any snorkeling or scuba diving activity, unless a time sensitive activity or project arises. In such cases, the project or activity leader shall notify the DSO as soon as possible with the dive plan. The DSO will respond to the activity or project leader with written approval. Any snorkeling or scuba diving activity or project that will occur in remote areas or under unusual circumstances may require additional approval from the DCB.

2.3.3 Diver Log Before starting each day of diving operations, a University employee, or a non- employee assigned by the project or activity leader, or the DSO, must be designated to ensure entries are made into a diving log. The designee must understand diving and medical terminology, and proper procedures, for making correct entries in the diving log. It is required that all University employees log every dive conducted under University auspices. University students and guests must log scientific-in- training and scientific dives, or any additional dives that occur while participating in a scientific activity or project under University auspices. Diver logs must be submitted to the DSO within 30 days of diving activity and can be received in hardcopy or electronic format. Use of the Indiana University Diver Log Database or Indiana University Scuba Diving Log form is recommended.

The diver log shall include at least the following information for each diver: • Name of diver; • Name designated person-in-charge (supervisor); • Dive location; • Date; • Start time of dive; 11 Indiana University Academic Diving Manual Revised June 2016

• Dive location; • Maximum depth and bottom time; • Diving mode used; • General nature of diving performed; • Dive environment to include approximate underwater and surface conditions (visibility, water , current, etc.); and • Purpose of dive.

It is recommended that additional information is recorded to include: • Detailed report of any accident or potentially dangerous incident, including any time of diver separation; • Decompression table designation; and • Repetitive dive designation.

2.3.4 After Action Reporting The activity or project leader shall submit the Snorkeling and Scuba Diving After Action Report to the DSO no more than 30 days after the last day of snorkeling or scuba diving activities.

2.3.5 Incident Reporting Any accident or incident that requires medical attention, or that can be linked to a snorkeling or scuba diving injury or illness, shall be reported immediately by the injured diver, or his or her dive partner, to the project or activity leader and to the DSO. A formal report documenting the incident shall be completed via the Snorkeling and Scuba Diving Incident Report Form and submitted to the DSO within seven days of the incident or as soon as possible. In case of decompression sickness, this investigation shall evaluate and examine each incident of decompression based on the recorded information, consideration of the past performance of the decompression table used, and individual susceptibility. The DSO and DCB shall take appropriate actions. The DSO shall investigate any fatality or serious accident requiring hospitalization and notify the DCB and Director of IUEHS immediately. A complete report shall be filed with findings from the investigation, supplementary documents such as doctor notes, emails correspondence, etc. Any incident involving a serious malfunction of equipment or a rescue of an endangered diver shall be reported by the divers involved to the DSO who may investigate further.

2.3.6 Records Management The DSO shall maintain permanent records for each University scientific diver certified. The file shall include evidence of certification level, results of current physical examination, training records, diver logs, and other pertinent information deemed necessary.

All other records and documents shall be retained for seven years unless

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otherwise specified. Exceptions include University diver logs, certification records, project and activity logs, and ADM revisions, which shall be retained indefinitely by the DSO.

The DSO will file all University RSTC Medical Statements and similar medical records and documents in storage determined compliant by applicable federal, state, and local regulations and guidelines. Additionally, the DSO will not release any medical records for University employees, or others, without permissions and processes approved by applicable federal, state, and local regulations.

The results of scuba-related equipment inspection and tests shall be submitted and retained by the DSO in a formal log until the equipment is withdrawn from service. This log includes equipment such as breathing air compressors, compressed gas cylinders, regulators, buoyancy compensation devices, etc.

2.4 DIVE ENVIRONMENTS A University snorkeler or scuba diver must have a level of proficiency in the environmental conditions under which the snorkeler or scuba diver is expected to engage effectively. If, in the opinion of the DSO or DCB, conditions are hazardous, the snorkeler or scuba diver may have to meet additional requirements prior to participate in the activity.

2.4.1 Diving in Hazardous Environmental Conditions Participating in snorkeling or scuba dives within hazardous environmental conditions include, but are not limited to cold water, zero visibility, strong current, soft mud, no visible bottom, hazardous marine animals, deep water, blue water, and ice. These dives shall be limited for University participants at the discretion of the project or activity supervisor, DSO, or DCB. • Additionally, the DSO reserves the right to require: • Stronger than average watermanship ability of the participant; • Minimum of 50 logged scuba dives under varied conditions; • For dry-suit usage: (a) must be within size-weight range for proper fit, (b) one pool session with inverted position and scuba rescue is required, in addition to one open water dive; and • Prior snorkeling or scuba diving experience in hazardous environmental conditions.

2.4.2 Diving in Overhead Environments (Cavern, Ice, Shipwreck Penetration, Cave) University snorkelers or scuba divers shall not engage in diving operations that occur in overhead environments without authorization from the DSO, and with the DCB’s knowledge. Any dive, which does not allow a direct unobstructed vertical ascent, shall be deemed as an overhead environment. Examples include Cavern, Ice, Shipwreck Penetration, and Cave. Due to the uniqueness of individual dive locations, proposed snorkel and dive plans will be addressed on a case by case basis and additional training, certifications, specialized

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equipment, and experience may be required prior to DSO approval.

2.4.2.1 Cavern Diving A cavern is defined as an entrance and first chamber to a cave where natural sunlight from the entrance is continuously visible and where individuals may travel side by side at all times without restriction.

Therefore, cavern diving is defined as a no decompression dive that takes place partially or wholly underground and includes the defining parameters of a cavern, where: 1. Sunlight from the entrance is visible to all dive team members at all times during the dive; 2. Members of the dive team can swim side by side during the dive at all times; 3. There are no restrictions between the divers and the most expeditious exit to the surface; 4. There is minimum visibility of 40 feet; and 5. The combined linear distance from the surface does not exceed 130 feet.

Cavern diving may be permitted on a case-by-case basis, with approval of the DSO and the DCB’s knowledge.

2.4.2.2 Cave Diving A dive shall be considered a cave dive if the dive occurs partially or wholly underground and if one or more of the parameters specified in the definition of cavern diving are exceeded or otherwise not followed. University divers shall not conduct cave diving operations beyond the cavern zone without proper training, certifications, and with approval by the DSO.

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3 SECTION THREE: SCIENTIFIC SCUBA DIVING

3.1 ELIGIBILITY Only persons diving under University auspices that subscribe to University practices are eligible for University Scientific Diver Certification and permission. All diving certifications shall be verified and monitored by the DSO.

3.2 TYPES OF UNIVERSITY CERTIFICATIONS 3.2.1 Scientific Diver-In-Training This is an authorization to participate in scientific dives as a part of training for the Scientific Diver Certification under University auspices. A Scientific Diver- In-Training must hold, at a minimum, an or equivalent level certification by a World Recreational Scuba Training Council (WRSTC) recognized training organization or National Association of Underwater Instructors (NAUI).

3.2.2 Scientific Diving Certification This is an authorization to dive with the sole purpose of conducting scientific and research tasks. The diver shall provide the DSO with documentation of University-required legal forms, medical fitness, renewed certifications, specialized certifications, and dive logs. The Scientific Diver records shall further include a complete training record and the depth the diver is authorized to dive.

3.2.3 Temporary Scientific Diving Certification for Visitors This is a temporary authorization to dive with the concurrence of the DSO. The diver shall provide evidence of University-required legal forms, diving forms, diving proficiency, and medical fitness. The temporary certification shall be useable only for the period specified and with any restrictions indicated.

3.2.4 Reciprocity Certification This is an authorization for a person to dive with the concurrence of the DSO, from an organization with which the University has reciprocal recognition of training and certification. The diver shall submit his credentials to the DSO and provide evidence of University-required legal forms, dive proficiency, and medical fitness. The non-University diver may be required to perform an open water evaluation dive, and pass a knowledge exam.

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3.3 OBTAINING UNIVERSITY CERTIFICATION 3.3.1 Scientific Diving Requirements A person may qualify to obtain a University Scientific Diver certification by completing requirements 1 through eleven 11. Before training begins, documentation of requirements 1 through 4 must be provided to the DSO for review. The DSO must receive documentation for each additional requirement to provide final certification approval. 1. Indiana University Scientific Diver Application.

2. Recreational Standards Training Council (RSTC) Medical Statement with physician’s examination and signature, finding no medical conditions to be considered incompatible with diving. The Medical Statement expires one year from the physicians date.

3. University legal documentation).

4. Open Water Scuba Diver certification or equivalent level certification from a WRSTC recognized training organization or NAUI.

5. Current CPR, First Aid, AED and Oxygen Administration certifications by industry recognized organizations.

6. Proof of 25 logged open water dives.

7. Watermanship and snorkeling evaluation, to include: a. 200-yard surface swim in a strong manner using a forward stroke (crawl, breast stroke, side stroke, butterfly, etc.). b. 400-yard mask, fin and snorkel surface swim. c. 10-minute water tread. d. 10-pound weight recovery from 8 feet of water without mask, fin or snorkel equipment. e. 25-yard underwater swim with skin diving equipment.

8. Confined water scuba evaluation, to include: a. Pre-dive safety check. b. Proper ascent and descents. c. Regulator recovery and clear. d. Full mask removal, replacement, and clear. e. using power inflation and oral inflation. f. Alternate air source breathing and ascent, using oral inflation. g. Controlled emergency swimming ascent (CESA), using oral inflation. h. No-mask swim for a distance of 25-yards. i. Surface and underwater scuba unit removal and replacement. j. Surface and underwater weight system removal and replacement.

9. Rescue review and evaluation in confined water or open water, to

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include: a. Tired diver tow. b. Cramp removal, individual and buddy. c. Response from shore techniques (reach, throw, and go). d. Response to a tired diver and panicked diver on the surface. e. Response to an unconscious diver both underwater and on the surface, to include diver extraction.

10. Open water evaluation, to include: a. Pre-dive safety check. b. Neutral buoyancy check at surface. c. Proper ascents and descents. d. Regulator recovery and clear. e. Full mask removal, replacement and clear. f. Neutral buoyancy underwater for a minimum of 1 minute. g. Alternate air source breathing and ascent, with oral inflation upon reaching the surface. h. Controlled emergency swimming ascent (CESA), with oral inflation upon reaching the surface. i. Underwater natural and compass navigation.

11. Written scientific diving knowledge examination, topics to include: a. OSHA scientific diving. b. Diving physics. c. Diving physiology. d. . e. . f. Dive tables and computers. g. Diving maladies and first-aid. h. Diving safety and emergency preparedness. i. Diving environments. j. Equipment and troubleshooting.

12. Documented experience in scientific diving and data collection methodologies with a minimum of 6 hours of open water scientific diving experience and a minimum of 100 total training hours.

3.3.2 Waiver of Requirements If a candidate for certification can show evidence of prior experience or training, the DSO may grant the candidate a waiver for specific training requirements. The requirements shall not in any case be waived for diver registration, University-required legal forms, medical clearance, and written examination.

3.3.3 Denial of Certification Any candidate for certification, who in the judgment of the DSO is deemed unsuitable, may be denied certification.

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3.4 MAINTENANCE OF CERTIFICATION 3.4.1 Minimum Requirements A University Scientific Diver shall maintain the following minimum requirements and submit documentation to the DSO. 1. Documentation of 4 open water dives for a 12-month period. Additional open water dives may be required during this period, or more frequently, as per the standards for reciprocity with external agencies, organizations, institutions, etc.

2. Documentation of a RSTC Medical Statement with physician’s examination and signature, finding no medical conditions to be considered incompatible with diving.

3. Documentation of current CPR, First Aid, AED and Oxygen Administration certifications by industry recognized organizations.

4. Documentation of reassessment of watermanship and snorkeling skills, performed in confined or open water, during a 24-month period. Skills to be reassessed include: a. 200-yard surface swim in a strong manner using a forward stroke (crawl, breast stroke, side stroke, butterfly, etc.). b. 400-yard mask, fin and snorkel surface swim. c. 10-minute water tread. d. 10-pound weight recovery from 8 feet of water without mask, fin or snorkel equipment. e. 25-yard underwater swim with skin diving equipment.

5. Documentation of reassessment of rescue skills, performed in confined water or open water, during a 24-month period. Skills to be reassessed include: a. Tired diver tow. b. Cramp removal, individual and buddy. c. Response from shore techniques (reach, throw, and go). d. Alternate air source breathing and ascent, with oral inflation. e. Response to a tired diver and panicked diver on the surface. f. Response to an unconscious diver both underwater and on the surface, to include diver extraction.

Failure to meet these requirements may be cause for revocation or restriction of certification.

3.4.2 Medical Examination University Scientific Divers, Scientific Divers-In-Training, and University Scientific Diving Visitors shall submit the RSTC Medical Statement with a physician’s examination and signature on an annual basis. Additionally, an RSTC Medical Statement with a physician’s examination and signature is necessary after a major illness or injury to the diver, or any condition requiring

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hospital care or chronic medication.

3.4.3 Re-certification Re-certification is required if a diver’s credentials lapse and no longer satisfy the minimum requirements for maintaining a Scientific Diver certification. The extent of training required for re-certification will be determined on a case-by- case basis, at the discretion of the DSO.

3.4.4 Revocation or Restriction of Certification A diving certification may be revoked or restricted by the DSO or the DCB due to any violation of regulations in this Manual. The diver shall be informed of the reasons for such action and will be given an opportunity to present the diver’s case to the DCB.

3.5 DEPTH AND ENVIRONMENTAL AUTHORIZATION The holder of a Scientific Diver certification is authorized to dive to the depths indicated by the certification level. The Scientific Diver-In-Training is authorized to dive to Level I Scientific Diver depths with the exception of dives conducted strictly for the purpose of recreational dive training where certain depth minimums are required. The diver may progress to the next depth level after successfully completing the required dives and training for the next level. Dives shall be planned and executed under close supervision of a diver certified to this depth, with the knowledge and permission of the DSO.

3.5.1 Authorization for Depth Range of 0–60 Feet (Level I Scientific Diver) A diver during training or evaluation dives will be limited to sixty (60) feet deep dives for a minimum of 25 logged dives and a minimum total bottom time of 6 hours. A Scientific Diver in Training may dive deeper than 60 feet if accompanied by a University Scientific Diver and approved by the DSO. The diver shall also demonstrate proficiency in the use of the Recreational Dive Planner (RDP) and dive computers.

3.5.2 Authorization for Depth Range of 60-100 Feet (Level II Scientific Diver) A diver may be authorized to dive to a depth of 100 feet after successfully completing a minimum of 25 logged dives and received training in procedures, for a minimum total bottom time of 6 hours. A University Scientific Diver certified to Level II shall accompany the diver. The diver shall also demonstrate proficiency in the use of the Recreational Dive Planner (RDP) and dive computers.

3.5.3 Authorization for Depth Range of 100-130 Feet (Level III Scientific Diver) A diver may be authorized to dive to a depth of 130 feet after successfully completing a minimum of 25 logged dives with 12 of those dives being to a depth of or near 100 feet, for a total time of 8 hours. The diver shall be accompanied by another Scientific Diver certified by the University to dive to 100 feet or more. The diver shall also demonstrate proficiency in the use of the

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Recreational Dive Planner (RDP) and dive computers.

3.5.4 Authorization for Depths Over 130 Feet It is not recommended that divers exceed a depth of 130 feet. Such dives require prior written release from the DCB with special permission and a diving safety plan approved by the DSO. The maximum allowable depth limit is 190 feet.

3.5.5 Environmental Conditions A diver must have a level of proficiency in the environmental conditions under which the diver is expected to work effectively. If, in the opinion of the DSO, the conditions are hazardous, the diver will have to meet additional requirements prior to participation in the activity.

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4 SECTION FOUR: RECREATIONAL SNORKELING AND SCUBA DIVING

4.1 ELIGIBILITY Only persons diving recreationally under University auspices that subscribe to University and recreational dive industry practices are eligible for approval. All diving operations shall be verified and monitored by the DSO.

Recreational diving is scuba or snorkel diving performed as part of leisure or educational activity to depths shallower than 130 feet (40 meters) and within no-stop decompression limits, as defined by industry dive tables and dive computers. Recreational diving does not include performing tasks associated with scientific or commercial diving.

4.2 TYPES OF UNIVERSITY RECREATIONAL SNORKELING AND DIVING 4.2.1 Snorkeler This is a permission to participate in recreational snorkeling activities in confined or open water under University auspices. Snorkeling, or skin diving, is the practice of swimming on or through a body of water while equipped with a , snorkel, and usually fins. A weight system with a quick release mechanism or a may be worn as part of this activity.

4.2.2 Recreational Diver-in-Training This is a permission to participate in recreational scuba diving training in confined or open water under University auspices in accordance with the World Recreational Scuba Training Council (WRSTC) or National Association of Underwater Instructors (NAUI). A Recreational Diver-in-Training is an individual receiving instruction under University auspices in accordance with WRSTC or NAUI standards.

4.2.3 Certified Recreational Diver This is a permission to participate in recreational scuba diving in confined or open water under University auspices. A Certified Recreational Diver is an individual that has received a WRSTC or NAUI Open Water Diver or equivalent certification, at a minimum.

4.2.4 Recreational Supervisor / Instructor This is a permission to provide supervision or instruction during confined or open water dives under University auspices in accordance with WRSTC or NAUI. A Recreational Supervisor / Instructor is an individual that has received a professional certification by a WRSTC organization or NAUI and is in active status to directly or indirectly provide dive instruction or supervision.

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4.3 OBTAINING UNIVERSITY RECREATIONAL SNORKELING AND DIVING PERMISSION A person may obtain University permission for recreational snorkeling and scuba diving activities by providing documentation as listed within this section. Snorkeling and Recreational Diver-in-Training documentation must be provided to a Recreational Supervisor / Instructor for review and permission. In the absence of a Recreational Supervisor / Instructor, documentation must be provided to the DSO for review and permission. Recreational Diving and Recreational Supervisor / Instructor documentation must be provided to the DSO for review and permission.

4.3.1 Snorkeling Permissions 1. University legal documentation, as applicable.

2. It is recommended that participants complete the Recreational Standards Training Council (RSTC) Medical Statement. The Medical Statement expires one year from the completion date.

4.3.2 Recreational Diver-in-Training 1. University legal documentation, as applicable.

2. Training agency forms in accordance with WRSTC or NAUI.

4.3.3 Recreational Diving Requirements 1. University legal documentation, as applicable.

2. RSTC Medical Statement, or equivalent medical history form approved by the DSO, finding no medical conditions to be considered incompatible with diving. If a “Yes” is indicated in the questionnaire, a physician consultation and signature are required. The Medical Statement expires one year from the physicians date. Additionally, an RSTC Medical Statement with a physician’s consultation and signature are necessary after a major illness or injury to the diver, or any condition requiring hospital care or chronic medication.

3. Proof of Open Water Diver certification or equivalent level certification from a WRSTC recognized training or NAUI.

4. Proof of open water dive experience within 12 months. A diver may be required to provide proof of a refresher course or equivalent experience should a lapse in dive activity occur.

4.3.4 Recreational Supervisor / Instructor in the Act of Teaching or Dive Supervision 1. RSTC Medical Statement finding no medical conditions to be considered incompatible with diving. If a yes is indicated in the questionnaire, a

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physician consultation and signature are required. The Medical Statement expires one year from the physicians date. Additionally, an RSTC Medical Statement with a physician’s consultation and signature are necessary after a major illness or injury to the diver, or any condition requiring hospital care or chronic medication.

2. or Instructor certification from a WRSTC recognized training or NAUI. Dive Leader must be active and in good standing with member organization.

3. Proof of Liability Insurance if providing diving leadership or instruction under University auspices.

4.3.5 Revocation or Denial of Permission Any candidate seeking snorkeling or scuba diving permission, who in the judgment of the DSO is deemed unsuitable, may be denied. Permission may be revoked as a result of University or recreational industry regulation violation. The diver shall be informed of the reasons for such action and will be given an opportunity to present the diver’s case to the DCB.

4.4 DEPTH AND ENVIRONMENTAL AUTHORIZATION Dives shall be planned and executed with the knowledge and permission of the DSO. The DSO will permit snorkeling and scuba diving activities on a case-by-case basis as diver training, diver experience, and diving conditions vary widely.

4.4.1 Depth Authorizations The holder of a recreational diving certification is authorized to dive to the depths indicated by his or her highest-ranking certification. Dive training standards and age may restrict divers to depths, per recreational diving industry standards. The diver may dive to depths beyond the certification level if accompanied by a Recreational / Instructor or with approval by the DSO.

It is not permitted that divers exceed a depth of 130 feet. Such dives are not defined as recreational diving.

4.4.2 Environmental Conditions A diver must have a level of proficiency in the environmental conditions under which the diver is expected to dive effectively. If, in the opinion of the DSO, the conditions are hazardous, the diver may be required to meet additional requirements prior to participation in the activity. Additional requirements may include dive training, medical reevaluation, or an adjustment to the project or activity scope.

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4.5 RECREATIONAL DIVING RECOMMENDATIONS 1. Maintain good mental and physical fitness for diving. Avoid being under the influence of alcohol or dangerous drugs when diving. Keep proficient in diving skills, striving to increase them through continuing education and reviewing them in controlled conditions after a period of diving inactivity.

2. Be familiar with dive sites. If not, obtain a formal diving orientation from a knowledgeable, local source. Engage only in diving activities consistent with training and experience. Postpone diving activities or select an alternate site when conditions are beyond a diver’s experience and certification level. Do not engage in cave or unless specifically trained to do so.

3. Use complete, well-maintained, reliable equipment with which the diver is familiar; and inspect it for correct fit and function prior to each dive. Deny use of my equipment to uncertified divers. Always have a buoyancy control device and submersible gauge when scuba diving. Recognize the desirability of an alternate air source and a low-pressure buoyancy control inflation system.

4. Listen carefully to dive briefings and directions and respect the advice of those supervising my diving activities. Recognize that additional training is recommended for participation in specialty diving activities, in other geographic areas and after periods of inactivity that exceed six months.

5. Adhere to the buddy system throughout every dive. Plan dives – including communications, procedures for reuniting in case of separation, and emergency procedures – with my buddy.

6. Be proficient in dive table usage. Make all dives no-decompression dives and allow a margin of safety. Have a means to monitor depth and time underwater. Ascend at a rate of not more than 18 meters/60 feet per minute. Be a SAFE diver – Slowly Ascend From Every dive. Make a safety stop as an added precaution, usually at 5 meters/15 feet for three minutes or longer.

7. Maintain proper buoyancy. Adjust weighting at the surface for neutral buoyancy with no air in the buoyancy control device. Maintain neutral buoyancy while underwater. Be buoyant for surface swimming and resting. Have clear for easy removal, and establish buoyancy when in distress while diving.

8. Breathe properly for diving. Never breath-hold or skip-breathe when breathing compressed air, and avoid excessive hyperventilation when breath-hold diving. Avoid overexertion while in and underwater and dive within my limitations.

9. Use a boat, float or other surface support station, whenever feasible.

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10. Know and obey local dive laws and regulations, including fish and game and dive flag laws.

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5 SECTION FIVE: EQUIPMENT AND BREATHING AIR STANDARDS

These regulations shall cover the use of snorkeling and scuba diving equipment. The use of equipment such as hookah, rebreathing apparatus, mixed gas, or any other diving equipment shall require special training and permission from the DCB. The DSO shall be the primary point of contact for equipment-related inquiries and permissions.

5.1 GENERAL EQUIPMENT STANDARDS 5.1.1 Scuba Regulators All scuba regulators used under University auspices, whether University or privately owned, shall be inspected and tested before initial use and at 12 month intervals thereafter by a manufacturer approved service repair technician. Manufacturer's recommended service policy shall be followed in necessary maintenance. A record log of the initial purchase, if possible, inspections, and maintenance shall be kept by the owner and submitted to the DSO, or at a minimum available for audit by the DSO. All scuba regulators must have a submersible pressure gauge, alternate air source, and low-pressure inflator attached during all confined water or open water dives.

5.1.2 Breathing Masks Breathing masks shall have the following components: • A non-return valve at the attachment point between helmet or mask and hose, which shall close readily and positively; • An exhaust valve; and • A minimum ventilation rate capable of maintaining the diver at the depth to which they are diving.

5.1.3 Cylinders All air tanks used under University auspices, whether University or privately owned, shall bear a valid date and shall be tested in accordance with the Department of Transportation regulations. Before initial use of any tank for diving and at 12 months intervals thereafter, a University approved technician must visually inspect the tank both externally and internally. Scuba cylinder valves should be tested at intervals not to exceed 12 months. The owner is responsible for keeping a record of tank inspection, tests, and maintenance and making it available for audit by the DSO.

5.1.4 Harness and Weight Belts All cylinder harnesses and weight belts shall have quick-release devices designed to permit jettisoning the entire gear. The quick-release device shall operate easily with either hand. Persons using harnesses and weight belts shall regularly examine the gear and any defective gear shall be repaired or replaced

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before further use.

5.1.5 Depth Gauges All depth gauges used under University auspices, whether University or privately owned, shall be inspected and tested before first use and every 12 months thereafter. Inaccurate gauges shall not be used until repaired. The owner is required to keep a record of tests and repairs and to make it available for audit by the DSO.

5.1.6 Flotation Equipment All buoyancy compensator devices used under University auspices, whether University or privately owned, shall be inspected and tested before initial use and at 12 month intervals thereafter by a factory approved service repair technician. These devices must have a mechanically activated inflation source independent of the breathing supply, an oral inflation device, and an exhaust valve. Flotation vests and buoyancy compensators shall be capable of maintaining positive buoyancy for the diver on the surface.

5.1.7 Dive Computers All dive computers used under University auspices, whether University or privately owned, shall be inspected and tested at regular intervals as recommended by the manufacturers. Dive computers are to be used for non- decompression diving unless specified in a dive plan and approved by the DSO. Individual use of dive computers is subject to approval by the DCB through the DSO.

5.2 COMPRESSOR SYSTEMS AND BREATHING AIR STANDARDS 5.2.1 Air Compressors All breathing air compressors used under University auspices, whether University or privately owned, shall meet OSHA, manufacturer, and American Society of Mechanical Engineers standards. All breathing air compressors shall be inspected and maintained in accordance with the manufacturer's service policy. This equipment inspection and gas analyses and air tests shall take place at least once every six months or at intervals of no more than 100 hours of operation, whichever comes first. All breathing air compressor installations shall comply with the following: • Air intake shall be provided with a filter and be located to insure a supply of clean air, free from contamination by fumes, smoke, etc.; • Discharged compressed air shall be passed to the compressed air filler through frequently cleaned and recharged filters designed to remove dust, oil droplets and water, and to minimize other contaminants; and • Oil lubricated compressor cylinders and coolers shall be well ventilated or otherwise cooled, or the operation cycled to insure against the high

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at which carbon monoxide is formed from the oil.

The DSO shall maintain a log shall that includes each University breathing air compressors’ operational hours, repairs, overhauls, filter maintenance, and results of air analyses. Logs shall be available for audit by the DCB and external agencies, organizations, institutions, etc.

5.2.2 Breathing Air Standards All breathing air for scuba shall meet the following specifications as set forth by the Compressed Gas Association (CGA Pamphlet G-7.1). CGA Grade E Component Maximum Oxygen 20 - 22%/v Carbon Monoxide 10 PPM/v Carbon Dioxide 1000 PPM/v Condensed Hydrocarbons 5 mg/m3 Total Hydrocarbons as Methane 25 PPM/v Water Vapor ppm (2) Objectionable Odors None For breathing air used in conjunction with self-contained breathing apparatus in extreme cold where moisture can condense and freeze, causing the breathing apparatus to malfunction, a dew point not to exceed -50°F (63 pm v/v) or 10 degrees lower than the coldest temperature expected in the area is required. Breathing air from University approved commercial sources shall be certified by the supplier as suitable for breathing according to these specifications, or it shall be tested before use.

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6 SECTION SIX: MEDICAL STANDARD

6.1 GENERAL All medical examinations required by this standard shall be performed by, or under the direction of, a licensed physician of the participant-diver's choice, preferably one trained in diving/.

The diver shall be free of any acute or chronic disabling disease or condition and be free of any diseases and/or conditions contained in the list below of diseases and/or conditions for which restrictions from scuba diving are generally recommended.

6.2 CONDITIONS OF RESTRICTION FROM SCUBA DIVING It is recommended that any examining physician, in addition to reviewers of any particular Medical Statement submitted by a scuba diving participant, have the following text resource available: Davis, J. (Ed.). 1986. Medical Examination of Sport SCUBA Divers. Best Publishing, PO Box 1978, San Pedro, CA 90733.

6.2.1 Absolute Medical Contraindications to Scuba Diving The medical contradictions to scuba diving that are listed below contain bracketed numbers that reflect the page number from the Davis text resource.

1. Any condition or past history indicating person is subject to spontaneous pneumothorax or , i.e. (but not limited to), a. Past history of spontaneous pneumothorax (36), b. Active (or adult) asthma, c. Exercise or cold induced asthma (36, 37), d. Chronic obstructive pulmonary disease (37), e. X-ray or other evidence of pulmonary blebs, bullae or crysts (36, 37) and active pulmonary tuberculosis.

2. Any condition or past history indicating person is subject to uncontrolled, spontaneous or episodic loss of consciousness, i.e. (but not limited to), a. History of seizures or epilepsy, excepting proven "febrile seizures of childhood" with a normal awake and sleep electroencephalogram (21). b. History of severe head injury with sequelae (21), c. History of cerbrovascular accident or transientcebralischemi episodes (23). Alcohol, drug, or other substance abuse (19,20).

3. Any condition requiring continuous or frequent medication with a. Drugs which inhibit the normal cardiovascular response to exercise (31), b. Mood-altering drugs (19, 20), and c. Narcotics.

4. Any history of insulin-dependent diabetes mellitus or diet/oral

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medication-controlled diabetes mellitus if there is history of hypoglycemic episodes (38).

5. Pregnancy (1,45).

6. Significant cardiovascular disease, i.e., (but not limited to), a. History of myocardial infarction (28, 29, 30), b. Uncontrolled hypertension or hypertension with significant end- organ damage (30), c. Pathological conduction defects, d. Pathological or symptomatic dysrythmias, e. Pacemakers (33), f. Angina (29), g. Aortic or mitral stenosis (32), h. Unrepaired cardiac septal defects 933), and i. Peripheral vascular disease, arterial or venous, adequate to limit exercise tolerance (33, 41).

7. Psychosis or other significant or active psychiatric disease, i.e., (but not limited to): a. Claustrophobia of a degree to predispose to a state, b. Suicidal ideation (16), c. Severe depression (16), and d. Manic states (16).

8. Significant otolaryngological condition or disease, i.e., (but not limited to), a. Perforated tympanic membrane (7), b. Inability to autoinflate the middle ear (6, 7, 8), c. Chronic vertiginous conditions (Meniere's disease, etc.)(11), d. Stapedectomy and middle ear prosthesis (9), e. Chronic mastoiditis or mastoid fistula (5), and f. External ear exostoses or osteomas of a severity that prevents external ear canal pressure equilibration (4).

9. Any oral or maxillofacial deformity that interferes with retention of the regulator mouthpiece (43).

10. Corrected near visual acuity not adequate to read cylinder pressure gauge, watch, decompression tables and compass underwater and uncorrected visual acuity not adequate to see the diving buddy or locate the boat in case corrective lenses are lost underwater (13).

11. Recent (within 3 months) ocular surgery (14).

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12. Significant and/or chronic neurological condition or disease, i.e. (but not limited to), a. demyelinating CNS processes (25), b. history of spinal cord trauma with any residual, objective neurological deficit (23), c. brain tumor (24), d. intracranial surgery (24), e. intracranial aneurysm or other vascular malformation (24), and f. migraine or other headache which is incapacitating at any time (20).

13. Unexplained or significant uncorrected anemia, sickle cell disease, polycythemia and leukemia (34).

14. Any condition causing air trapping anywhere in the person's body (until corrected).

15. Severe symptomatic or severe chronic gastrointestinal disease (39).

16. Severe, abnormal endocrine conditions or disease which would interfere with normal oxygen carrying capacity or response to stress.

6.2.2 Temporary and/or Relative Contraindications To Scuba Diving Temporary and/or relative contradictions to scuba diving include, but are not limited to, some conditions not requiring medical treatment from a physician, conditions that may be aggravated by diving, and conditions that may only be a contraindication for diving in "medically remote" locations. These conditions include: 1. Nasal or upper respiratory congestion due to "hay fever", "colds", etc. is a contraindication to diving until the free passage of air and the ability to clear ears is restored.

2. External otitis with discharge or drainage.

3. Acute gastrointestinal disturbances.

4. Draining skin lesions and severe rashes.

5. Febrile illnesses.

6. Pulmonary forced vital capacity (FVC) less than 75% of predicted and/or 1-second forced expiratory volume (FEV 1) less than 80% of predicted and/or a ratio of actual FEV 1/FVC less than 70%, as demonstrated by standard pulmonary function testing.

7. Audiometric demonstration of a Standard Threshold Shift ("STS", as defined by OSHA in CFR, Title 29 XVII, Part 1910, Subpart G, 36 FR 10466, 5/29/71; amended 48 FR 9776-9785, 3/8/83) in either or both

31 Indiana University Academic Diving Manual Revised June 2016

ears when compared to a baseline audiogram (initial IU diving medical examination), that is persistent and has continued to increase, as determined by a subsequent annual or interval audiogram (unless appropriate otolaryngological evaluation determines a non-diving related cause for the hearing loss and states that it will not be aggravated by further diving activity).

6.3 FREQUENCY OF MEDICAL EVALUATIONS A medical evaluation shall be completed: • Annually for participants that wish to maintain University Scientific Diver Certification and/or Scientific Diver reciprocity with outside agencies, organizations, institutions, etc.; • Annually when a “Yes” response is indicated to a medical condition on the Medical Statement, or on a similar medical assessment form from a nationally recognized scuba diving or research agency, organization, institution, etc., for any University participant active in scuba diving activities; • When a University participant becomes a Scientific Diver-in-Training and a medical evaluation is not currently on file within one calendar year; • When a University participant applies to become a Scientific Diver and a medical evaluation is not currently on file within one calendar year; • After any injury, illness, or surgery; • After any hospitalization for more than 24 hours; • After any episode of unconsciousness; or • After a scuba diving accident resulting in an injury requiring medical treatment, type I or type II decompression sickness, or .

6.4 CONTENT OF MEDICAL EVALUATIONS Diving medical evaluations conducted both initially and periodically, shall consist of all of the following: • General and diving medical history; • Diving physical examination signed by a physician; and • Additional tests the physician may deem necessary. The original documents, or copies, of the above shall be submitted to the DSO for final medical certification and filing.

6.5 INFORMATION PROVIDED TO THE EXAMINING PHYSICIAN When an evaluation is related to a diving accident, or any injury or illness requiring medical evaluation before diving, the DSO shall provide the examining physician with the accident available information relevant to the medical treatment of the diver. It is recommended that the DSO provide a copy of the University Medical Statement, medical examination form, and physicians guidelines to the physician in addition to Diver Alert Network contact information.

32 Indiana University Academic Diving Manual Revised June 2016

6.6 PHYSICIAN'S EVALUATION SUBMISSION AND RECOMMENDATION Any medical evaluation required by this standard shall be submitted to the DSO who shall provide the DCB with a recommendation as to whether the individual should be certified unconditionally as a University Scientific Diver or be rejected. Furthermore, the DSO shall bring medical evaluation concerns to the DCB for recreational scuba divers and snorkelers, as necessary. The DSO and DCB observe the right to reject a physician’s evaluation that indicated approval to dive if the diver has a medical condition contradictive to scuba diving, per the standards here within. The DSO and DCB also observe the right to request additional medical clearance and testing for a condition that poses significant safety concerns for the individual diver or dive buddies while under University auspices. In the event the University applicant-participant does not agree with the recommendations provided by the DSO, the matter shall be referred to the DCB for a final decision.

33 Indiana University Academic Diving Manual Revised June 2016

7 SECTION SEVEN: EMERGENCY PROCEDURES

In the event of an emergency, this section describes the initial responsibilities and actions to be taken to protect all employees until the appropriate University or agency responders take over

7.1 RESPONSIBILITY It is a requirement that the employer review with each employee upon their initial assignment, those parts of the plan that the employee must know to protect herself/himself in the event of an emergency. In addition, the written plan shall be made available for employees to review and prepare for their duties. A University project or activity leader or participant permitted to diver under University auspices without direct supervision must have knowledge of local emergency contacts that may assist during a snorkeling or diving emergency, and a method of communicating promptly with local emergency personnel. Additionally, the individual(s) must have contact information for the University DSO, or an approved substitute by the DCB, readily available during snorkeling or scuba diving activities should a serious accident occur.

7.2 GENERAL PROCEDURES It is impossible to provide specific information for all situations. Therefore, this plan is a guide for employees to familiarize themselves with basic emergency planning, response and evaluation.

7.3 PREREQUISITES FOR UNIVERSITY EMPLOYEES University employees or students that serve as project or activity leaders must be certified in First Aid, CPR, AED, and familiar with boat safety, swimming, communications, and local weather conditions. Employees, students, and guests of the University that provide instruction and instructional support under University auspices must be certified as professional members of the recreational dive industry (i.e. or similar, Assistant Instructor or similar, Open Water Instructor or above, or similar).

7.4 PREREQUISITES FOR UNIVERSITY PARTICIPANTS University employees, students, or guests diving under University auspices must submit an emergency action plan, or a similar plan, prior to participating in snorkeling or scuba diving activities. The plan shall include: • General procedures for responding to an emergency; • Nearby emergency care facility contact information; • Nearby emergency hyperbaric recompression chamber, for scuba diving projects or activities only; • Directions too and from the activity or project site; • Contact information for important University personnel, such as the DSO; and • Additional contact information for important organizations, agencies, support personnel, etc.

34 Indiana University Academic Diving Manual Revised June 2016

7.5 FIRST AID EQUIPMENT AND LOCATION STANDARDS The following equipment must be located at confined water training locations: • First Aid Kit; • Oxygen System; • AED; • Backboard; and • Cervical Collars.

The following equipment must be located, unless an exception has been permitted by the DSO and/or DCB, at open-water training locations: • First Aid Kit; • Oxygen System; • AED; • Backboard; and • Cervical Collars.

7.6 UNIVERSITY EMERGENCY PERSONNEL

Division Contact Personnel Phone Email

Mylana Haydu, Diving Safety Officer, *IUEHS Environmental Health and Safety, Indiana 812-856-5860 [email protected] University-Bloomington Mike Jenson, Director, University IUEHS 812-855-3231 [email protected] Environmental Health and Safety

Robert Kessler, Physical Activity Instruction *SPHB Program Coordinator, School of Public Health- 812-855-4232 [email protected] Bloomington, Indiana University-Bloomington

Charles Beeker, Director, Center for *SPHB Underwater Science, School of Public Health- 812-855-5748 [email protected] Bloomington, Indiana University-Bloomington

Dan Derheimer, Director, Environmental IUEHS Health and Safety, Indiana University- 812-855-3234 [email protected] Bloomington Rebecca Spratt, Director, Environmental Health IUEHS and Safety, Indiana University-Purdue 317-274-2829 [email protected] University Indianapolis Kathryn Manteuffel, Regional Director of IUEHS 219-981-4230 [email protected] Environmental Health and Safety *These University employees possess a combination of snorkeling, scuba diving, emergency response, and boating safety instructional ratings.

35 Indiana University Academic Diving Manual Revised June 2016

Name, Affiliation, and Contact Information of Additional Trained Staff Members: ______

7.7 ROLES OF A FIRST RESPONDER 1. Take immediate care of the injured or ill. 2. Retrieve emergency equipment. 3. Activate of emergency medical system (EMS): a. Call 9-1-1 of 4-1-l for International locations (there may be a 10 second delay). 4. Provide the following information. a. Name: i. (Your Name). ii. Indiana University Diving Safety Program, (Campus, School, Department/Office/Program affiliation). iii. (City, State). b. Address: i. (Building), ii. (Street Address). iii. (City, State, Zip). c. Telephone number. d. Number of individuals injured. e. Condition of injured. f. Primary and secondary care provided. g. Specific directions. h. Other Information as requested. 5. Direct EMS to scene: a. Give project or activity location access details. 6. Designate individual to "flag down" EMS and direct to scene. 7. Control the scene: a. Limit scene to first responders and move bystanders away from area.

7.7.1 Divers Alert Network Support Divers Alert Network (DAN) may be reached at (919) 684-4326 and may be consulted to assist in caring for individual(s) that have an actual or suspected snorkeling or scuba diving injury or illness.

36 Indiana University Academic Diving Manual Revised June 2016

APPENDIX 1: DEFINITION OF TERMS

37 Indiana University Academic Diving Manual Revised June 2016

DEFINITION OF TERMS Air Sharing – The sharing of an air supply between divers. Cavern – as an entrance and first chamber to a cave where natural sunlight from the entrance is continuously visible and where individuals may travel side by side at all times without restriction. Cavern dive – a no-decompression dive that takes place partially or wholly underground and includes the defining parameters of a cavern where sunlight from the entrance is visible to all dive team members at all times during the dive; members of the dive team can swim side by side during the dive at all times; there are no restrictions between the divers and the most; there is minimum visibility of 40 feet; and the combined linear distance from the surface does not exceed 130 feet. Cave dive – a dive that occurs partially or wholly underground and one or more of the parameters specified in the definition of cavern diving are exceeded or otherwise not followed. Certified Diver – A diver who holds a recognized valid certification from an organizational member or recognized certifying agency. Commercial Diving – diving involving industrial construction that takes place underwater. Examples of such include placing or removing heavy objects underwater; inspection of pipelines and similar objects; construction; demolition; cutting or welding; or the use of explosives. Cylinder – A pressure vessel for the storage of gases. Decompression Chamber – A pressure vessel for human occupancy. Also called a hyperbaric chamber or recompression chamber. Decompression Sickness – A condition with a variety of symptoms that may result from gas and bubbles in the tissues of divers after pressure reduction. Decompression Table – A profile or set of profiles of depth-time relationships for ascent rates and breathing mixtures to be followed after a specific depth-time exposure or exposures. (Also called dive tables.) Dive – A descent into the water, an activity utilizing compressed gas, an ascent, and return to the surface. – A microprocessor based device which computes a diver’s theoretical decompression status, in real time, by using pressure (depth) and time as input to a decompression model, or set of decompression tables, programmed into the device. Dive Location – A surface or vessel from which a diving operation is conducted. Dive Site – The physical location of a diver during a dive. Diver – An individual in the water who uses apparatus, including snorkel, which supplies breathing gas at . Diver-In-Training – An individual gaining experience and training in additional diving activities under the supervision of a dive team member experienced in those activities. – An ascent made under emergency conditions where the diver exceeds the normal ascent rate.

38 Indiana University Academic Diving Manual Revised June 2016

Enriched Air (EANx) – A term for a breathing mixture of air and oxygen where the percent of oxygen exceeds 21%. This term is considered synonymous with the term “”. Hookah Diving – A type of shallow water surface-supplied diving where there is no voice communication with the surface. Hyperbaric Chamber – See decompression chamber Industry Standards - Occupational Safety and Health Administration, World Recreational Scuba Training Council, Professional Association of Diving Instructors, Compressed Gas Association, etc. Lead Diver – The certified diver with experience and training necessary to conduct and supervise the snorkeling or scuba diving operations. Mixed-Gas Diving – A diving mode in which the diver is supplied in the water with a breathing gas other than air. Nitrox – or Enriched Air Nitrox, Enriched Air, or EANx; is a gas mixture comprised predominantly of nitrogen and oxygen, most frequently containing between 21% and 40% oxygen. No Decompression Limits – The depth-time limits of the “no-decompression limits and repetitive dive group designations table for no-decompression air dives” of the U.S. Navy Diving manual or equivalent limits. Normal Ascent – An ascent made with adequate air supply at a rate of 60 feet per minute or less. – Any adverse reaction of the central nervous system (“acute” or “CNS” oxygen toxicity) or lungs (“chronic”, “whole body”, or “pulmonary” oxygen toxicity) brought on by exposure to an increased (above atmospheric levels) of oxygen. Pressure-Related Injury – An injury resulting from pressure disequilibrium within the body as the result of hyperbaric exposure. Recreational Diving – scuba or snorkel diving performed as part of a leisure or educational activity to depths shallower than 130 feet (40 meters) and within no-stop decompression limits, as defined by industry dive tables and dive computers. Recreational Diving does not include performing tasks associated with scientific or commercial diving.

Scientific Diving – diving performed solely as a necessary part of a scientific, research, or educational activity by employees whose sole purpose for diving is to perform scientific research tasks (29CFR1910.402). Scientific Diving does not include performing any tasks usually associated with commercial diving such as: placing or removing heavy objects underwater; inspection of pipelines and similar objects; construction; demolition; cutting or welding; or the use of explosives.

Scuba Diving – A diving mode in which the diver uses open circuit self contained underwater breathing apparatus. Snorkeling – or skin-diving, is the practice of swimming on or through a body of water while equipped with a diving mask, snorkel, and usually fins. A weight system with a quick release mechanism or a wetsuit may be worn as part of this activity.

39 Indiana University Academic Diving Manual Revised June 2016

Standby Diver – A diver at the dive location capable of rendering assistance to a diver in the water. Surface Supplied Diving – A diving mode in which the diver in the water is supplied from the dive location with compressed gas for diving.

40 Indiana University Academic Diving Manual Revised June 2016

APPENDIX 2: ASSUMPTION OF RISK AND RELEASE FROM LIABILITY – SNORKELING AND SCUBA DIVING

32 ASSUMPTION OF RISK AND RELEASE FROM LIABILITY

This Assumption of Risk and Release from Liability (“Agreement”) pertains to an opportunity offered by Indiana University, ______[School/Dept.], on behalf of the Trustees of Indiana University (“IU”), to participate in activities being offered during ______[class or event], to be held at ______[location] from ______[start date] to ______[end date]. I, ______[participant name], wish to participate in Snorkeling and/or Scuba Diving Activities, in consideration of the services to be rendered in organizing the Snorkeling and/or Scuba Diving Activities and in consideration of my participation in the Snorkeling and/or Scuba Diving Activities, I hereby agree to the following: 1. I understand activities for Snorkeling and Scuba Diving may include, but are not limited to, the following: intense or extreme physical activity; physical exertion such as lifting or moving heavy objects; consumption of food and/or beverage; and the following additional activities: skin and scuba diving; using snorkling and/or scuba diving gear as a tool for scientific study; diving with compressed air; and confined and/or open water activities, some of which may require trips, which are necessary for training and for certification, to a site that is remote, either by time or distance or both, from a recompression chamber.

2. I understand that certain risks are inherent in participation of Snorkeling and/or Scuba Diving Activities. These risks may include, but are not limited to, such things as incidents related to the above mentioned activities, including sprains, broken bones, cuts, bruises, entrapment, temporary or permanent disability, and/or death; adverse weather conditions; exposure to theft and other criminal activity; allergic reactions to food and drink items; other physical, mental, and emotional injury; other risks and dangers, whether known or unknown nor reasonably foreseeable; and the following additional risks: ; decompression sickness; embolism or other hyperbaric/air expansion injury that require treatment in a recompression chamber or otherwise; heart attack; panic attack; hyperventilation; and injury or death related to improper use of equipment or equipment failure.

3. I understand that any owners, employees, officers or agents of any attraction, enterprise or vendor of which I take part or participate during the Snorkeling and/or Scuba Diving Activities, including Professional Association of Dive Instructors, the other participants of the Event (whether associated with my group or not), and other third parties (collectively, “Third Parties”), are not the agents or employees of IU and that dangers may be caused by the negligent or intentional act(s) or omissions of such Third Parties. I understand that IU is not responsible for any injuries or property damage that may be caused by the acts or omissions of such Third Parties.

4. I understand that my participation in Snorkeling and/or Scuba Diving Activities is entirely voluntary and at my own risk. I fully understand the scope of the activities and the potential risks involved in Snorkeling and Scuba Diving Activities. I agree to assume the risks of my participation in the Snorkeling and/or Scuba Diving Activities, including the risk of catastrophic injury or death. 5. I understand and agree that IU does not provide insurance to cover medical expenses for injuries that may be sustained by me or for damage to my personal property, and that IU strongly recommends that I carry my own health, medical, and property insurance for purposes of potential losses related to Snorkeling and/or Scuba Diving Activities. 6. I fully understand that all IU policies and regulations, including those embodied in the Code of Student Rights, Responsibilities and Conduct, are in effect and apply to my behavior for the entire duration of Snorkeling and/or Scuba Diving Activities. I understand that any violations of these policies and regulations may result in sanctions up to and including, in appropriate circumstances, referral to the Indiana University Police Department and/or the Office of Student Ethics for disciplinary action. 7. I hereby release and fully discharge The Trustees of Indiana University, including its officers, agents, and employees, from any and all claims or causes of action that may be brought by me, including all liability for damage to personal property, personal injury or loss which may result from my participation in Snorkeling and/or Scuba Diving Activities, whether caused by negligence or otherwise, to the fullest extent permitted by law. 8. This Agreement shall be governed by and construed under the laws of Indiana. Notwithstanding any other agreement that I have signed related to Snorkeling and/or Scuba Diving Activities that purports to establish the venue for any litigation arising from Scientific, Recreational, and/or Training of Snorkeling and/or Scuba Diving Activities, I agree that I will file no action against IU or its officers, employees, and agents, whether based on this Agreement or in any way otherwise connected to Snorkeling and/or Scuba Diving Activities, in any court other than the Circuit Court of Monroe County, Indiana. 9. I have read this entire Agreement, I fully understand it, and I agree to be bound by it. I represent and certify that my true age is at least 18 years old or, if I am under 18 years old on this date, my parent or legal guardian has also signed the Agreement.

Participant Name (Print)______

Participant Signature______

Date______

If Participant is under 18 years old, his/her parent or guardian must sign below.

Printed Name:______

Parent/Guardian Signature:______

Date______Indiana University Academic Diving Manual Revised June 2016

APPENDIX 3: ASSUMPTION OF RISK AND RELEASE FROM LIABILITY – SNORKELING AND SCUBA DIVING FOR MINORS

35 ASSUMPTION OF RISK AND RELEASE FROM LIABILITY

This Assumption of Risk and Release from Liability (“Agreement”) pertains to an opportunity offered by the Trustees of Indiana University on behalf of the IU Diving Control Board (“IU”). I, the undersigned, give permission for my Child to participate in ______[Program/Activity] at ______[Location] on ______[Date(s)] (the “Program”). In consideration of the services to be rendered in organizing the snorkeling and/or scuba diving activities, and in consideration of my Child’s participation in the snorkeling and/or scuba diving activities, I hereby agree to the following:

1. I understand the Program consists snorkeling and scuba Parties. I understand that IU is not responsible for any diving activities. I understand activities for Snorkeling and injuries or property damage that may be caused by the acts Scuba Diving may include, but are not limited to, the or omissions of such Third Parties. I fully understand the following: intense or extreme physical activity; physical scope of the activities and the risks involved. I voluntarily exertion such as lifting or moving heavy objects; accept and assume all risks of injury, loss of life, or damage consumption of food and/or beverage; and the following to property arising out of my Child’s participation in the additional activities: skin and scuba diving; using Program. snorkeling and/or scuba diving gear as a tool for scientific study; diving with compressed air; and confined and/or 4. I understand that my Child’s participation in snorkeling open water activities, some of which may require trips, and/or scuba diving activities is entirely voluntary and which are necessary for training and for certification, to a taken at my own risk. I full understand the scope of the site that is remote, either by time or distance or both, from a activities and the potential risks involved in snorkeling recompression chamber. and scuba diving activities. I agree to assume the risks of my Child’s participation in the snorkeling and/or scuba 2. I understand that as part of my Child’s participation in the diving activities, including the risk of catastrophic Program there are dangers, hazards, and inherent risks to injury or death. which my Child may be exposed, including, but not limited to, the risk of serious physical injury, temporary or 5. I understand and agree that IU does not provide insurance to permanent disability, and death, as well as economic and cover medical expenses for injuries that may be sustained property loss. I further understand that participating in the by my Child or for damage to personal property, and that IU Program may involve other risks and dangers, whether strongly recommends that my Child has health, medical and known or unknown nor reasonably foreseeable, including property insurance for the purposes of potential losses the following: sprains, broken bones, cuts, bruises, related to snorkeling and/or scuba diving activities. entrapment, temporary or permanent disability, and/or death; adverse weather conditions; exposure to theft and 6. I fully understand that all IU policies and regulations are in other criminal activity; allergic reactions to food and drink effect and apply to my Child’s behavior for the entire items; other physical, mental, and emotional injury; other duration of snorkeling and/or scuba diving activities. I risks and dangers, whether known or unknown nor understand that any violations of these policies and reasonably foreseeable; and the following additional risks: regulations may result in sanctions up to and including drowning; decompression sickness; embolism or other referral to the Indiana University Police Department and/or hyperbaric/air expansion injury that require treatment in a the Office of Student Ethics for disciplinary action. recompression chamber or otherwise; heart attack; panic

attack; hyperventilation; and injury or death related to 7. I hereby release and fully discharge IU, including its improper use of equipment or equipment failure. officers, employees, and agents, from any and all claims 3. I understand that any owners, employees, officers or agents or causes of action, including all liability for damage to of any attraction, enterprise or vendor of which my Child personal property or personal injury which may result takes part or participates during the Snorkeling and/or from my Child’s participation in the Program, that may Scuba Diving Activities, including Professional Association be brought by me or my Child or for any injury or loss of Dive Instructors, the other participants of the Event which may result from my participation in snorkeling (whether associated with my group or not), and other third and/or scuba diving activities, whether caused by parties (collectively, “Third Parties”), are not the agents or negligence or otherwise, to the fullest extent permitted employees of IU and that dangers may be caused by the by law. negligent or intentional act(s) or omissions of such Third 8. I further release, indemnify, and hold harmless IU, may occur during his/her participation in the Program. including its officers, employees, and agents, from and against any and all liability, actions, debts, claims, and 10. This Agreement shall be governed by and construed under demands of every kind whatsoever, including, but not the laws of Indiana. Notwithstanding any other agreement limited to, any claim for negligence and/or any present or that I have signed related to this Program that purports to establish the venue for any litigation arising from this future claim, loss, or liability for which my Child may be Program, I agree that I will file no action against The liable to any other person or to IU that arises out of my Trustees of Indiana University or its officers, employees, Child’s participation in the Program. and agents, whether based on this Agreement or in any way otherwise connected to this Program, in any court other than 9. In the event of an accident or serious illness, I hereby the Circuit Court of Monroe County, Indiana. authorize representatives of IU to obtain medical treatment and transport for my Child on my behalf. I waive my right 11. I have read this entire Agreement, I fully understand it, to receive informed consent prior to such transportation or and I agree to be bound by it. I understand that I am treatment. I hereby hold harmless and agree to indemnify giving up substantial rights (including my right to sue) IU from any claims, causes of action, damages and/or and acknowledge that I am willingly signing this liabilities, arising out of or resulting from the medical document. My signature on this document is intended to treatment or transport. I further agree to accept full bind not only myself and my Child, but also the responsibility for any and all expenses, including medical successors, heirs, representatives, administrators, and expenses that may derive from any injuries to my Child that assigns of myself and my Child.

______Child’s name Parent/guardian name

______Parent/guardian signature Date

Indiana University Academic Diving Manual Revised June 2016

APPENDIX 4: UNIVERSITY MEDICAL STATEMENT, MEDICAL EXAMANITION FORM, AND PHYSICIAN GUIDELINES

41 MEDICAL STATEMENT Participant Record (Confidential Information) Please read carefully before signing. This is a statement in which you are informed of some potential risks established safety procedures are not followed, however, there are involved in scuba diving and of the conduct required of you during the increased risks. scuba training program. Your signature on this statement is required for To scuba dive safely, you should not be extremely overweight or you to participate in the scuba training program offered out of condition. Diving can be strenuous under certain conditions. Your respiratory and circulatory systems must be in good health. All body air by______and spaces must be normal and healthy. A person with coronary disease, a Instructor current cold or congestion, epilepsy, a severe medical problem or who is under the influence of alcohol or drugs should not dive. If you have ______located in the asthma, heart disease, other chronic medical conditions or you are tak- Facility ing medications on a regular basis, you should consult your doctor and the instructor before participating in this program, and on a regular basis city of______, state/province of ______. thereafter upon completion. You will also learn from the instructor the important safety rules regarding breathing and equalization while scuba Read this statement prior to signing it. You must complete this diving. Improper use of scuba equipment can result in serious injury. You Medical Statement, which includes the medical questionnaire section, to must be thoroughly instructed in its use under direct supervision of a enroll in the scuba training program. If you are a minor, you must have qualified instructor to use it safely. this Statement signed by a parent or guardian. If you have any additional questions regarding this Medical Diving is an exciting and demanding activity. When performed Statement or the Medical Questionnaire section, review them with your correctly, applying correct techniques, it is relatively safe. When instructor before signing. Divers Medical Questionnaire To the Participant: The purpose of this Medical Questionnaire is to find out if you should be exam- Please answer the following questions on your past or present medical history ined by your doctor before participating in recreational diver training. A positive with a YES or NO. If you are not sure, answer YES. If any of these items apply to response to a question does not necessarily disqualify you from diving. A positive you, we must request that you consult with a physician prior to participating in response means that there is a preexisting condition that may affect your safety scuba diving. Your instructor will supply you with an RSTC Medical Statement and while diving and you must seek the advice of your physician prior to engaging in Guidelines for Recreational Scuba Diver’s Physical Examination to take to your dive activities. physician. _____ Could you be pregnant, or are you attempting to become pregnant? _____ Dysentery or dehydration requiring medical intervention? _____ Are you presently taking prescription medications? (with the exception of _____ Any dive accidents or decompression sickness? birth control or anti-malarial) _____ Inability to perform moderate exercise (example: walk 1.6 km/one mile _____ Are you over 45 years of age and can answer YES to one or more of the within 12 mins.)? following? _____ Head injury with loss of consciousness in the past five years? • currently smoke a pipe, cigars or cigarettes • have a high cholesterol level _____ Recurrent back problems? • have a family history of heart attack or stroke _____ Back or spinal surgery? • are currently receiving medical care • high blood pressure _____ Diabetes? • diabetes mellitus, even if controlled by diet alone _____ Back, arm or leg problems following surgery, injury or fracture? Have you ever had or do you currently have… _____ High blood pressure or take medicine to control blood pressure? _____ Asthma, or wheezing with breathing, or wheezing with exercise? _____ Heart disease? _____ Frequent or severe attacks of hayfever or allergy? _____ Heart attack? _____ Frequent colds, sinusitis or bronchitis? _____ Angina, heart surgery or blood vessel surgery? _____ Any form of lung disease? _____ Sinus surgery? _____ Pneumothorax (collapsed lung)? _____ Ear disease or surgery, hearing loss or problems with balance? _____ Other chest disease or chest surgery? _____ Recurrent ear problems? _____ Behavioral health, mental or psychological problems (Panic attack, fear of closed or open spaces)? _____ Bleeding or other blood disorders? _____ Epilepsy, seizures, convulsions or take medications to prevent them? _____ Hernia? _____ Recurring complicated migraine headaches or take medications to pre- _____ Ulcers or ulcer surgery ? vent them? _____ A colostomy or ileostomy? _____ Blackouts or fainting (full/partial loss of consciousness)? _____ Recreational drug use or treatment for, or alcoholism in the past five _____ Frequent or severe suffering from (seasick, carsick, years? etc.)? The information I have provided about my medical history is accurate to the best of my knowledge. I agree to accept responsibility for omissions regarding my failure to disclose any existing or past health condition.

______Signature Date Signature of Parent or Guardian Date

PRODUCT NO. 10063 (Rev. 06/07) Ver. 2.01 © PADI 1989, 1990, 1998, 2001, 2007 Page 1 of 6 © Recreational Scuba Training Council, Inc. 1989, 1990, 1998, 2001, 2007 STUDENT

Please print legibly.

Name______Birth Date ______Age ______First Initial Last Day/Month/Year

Mailing Address ______

City______State/Province/Region ______

Country ______Zip/Postal Code ______

Home Phone ( )______Business Phone ( )______

Email ______FAX______

Name and address of your family physician

Physician ______Clinic/Hospital ______

Address______

Date of last physical examination ______

Name of examiner______Clinic/Hospital______

Address ______

Phone ( )______Email ______

Were you ever required to have a physical for diving? Yes No If so, when?______

PHYSICIAN

This person applying for training or is presently certified to engage in scuba (self-contained underwater breathing apparatus) diving. Your opinion of the applicant’s medical fitness for scuba diving is requested. There are guidelines attached for your information and reference.

Physician’s Impression

I find no medical conditions that I consider incompatible with diving.

I am unable to recommend this individual for diving.

Remarks ______

______

______

______Date ______Physician’s Signature or Legal Representative of Medical Practitioner Day/Month/Year

Physician______Clinic/Hospital______

Address______

Phone ( )______Email ______

Page 2 of 6 Guidelines for Recreational Scuba Diver’s Physical Examination Instructions to the Physician: Recreational SCUBA (Self-Contained Underwater Breathing from neurological decompression sickness. A history of head Apparatus) can provide recreational divers with an enjoyable injury resulting in unconsciousness should be evaluated for risk sport safer than many other activities. The risk of diving is of seizure. increased by certain physical conditions, which the relationship to diving may not be readily obvious. Thus, it is important to screen Relative Risk Conditions divers for such conditions. • Complicated Migraine Headaches whose symptoms or severity impair motor or cognitive function, neurologic The RECREATIONAL SCUBA DIVER’S PHYSICAL EXAMINA- manifestations TION focuses on conditions that may put a diver at increased risk • History of Head Injury with sequelae other than seizure for decompression sickness, pulmonary overinflation syndrome with subsequent arterial gas embolization and other conditions • Herniated Nucleus Pulposus such as loss of consciousness, which could lead to drowning. • Intracranial Tumor or Aneurysm Additionally, the diver must be able to withstand some degree of • Peripheral Neuropathy cold stress, the physiological effects of immersion and the optical effects of water and have sufficient physical and mental reserves • Multiple Sclerosis to deal with possible emergencies. •Trigeminal Neuralgia The history, review of systems and physical examination should • History of spinal cord or brain injury include as a minimum the points listed below. The list of condi- tions that might adversely affect the diver is not all-inclusive, but Temporary Risk Condition contains the most commonly encountered medical problems. The History of cerebral gas embolism without residual where pul- brief introductions should serve as an alert to the nature of the monary air trapping has been excluded and for which there risk posed by each medical problem. is a satisfactory explanation and some reason to believe that The potential diver and his or her physician must weigh the the probability of recurrence is low. pleasures to be had by diving against an increased risk of death Severe Risk Conditions or injury due to the individual’s medical condition. As with any Any abnormalities where there is a significant probability of recreational activity, there are no data for diving enabling the cal- unconsciousness, hence putting the diver at increased risk of culation of an accurate mathematical probability of injury. Experi- drowning. Divers with spinal cord or brain abnormalities where ence and physiological principles only permit a qualitative is impaired may be at increased risk of decompression assessment of relative risk. sickness. For the purposes of this document, Severe Risk implies that an Some conditions are as follows: individual is believed to be at substantially elevated risk of decom- pression sickness, pulmonary or otic barotrauma or altered con- • History of seizures other than childhood febrile seizures sciousness with subsequent drowning, compared with the gener- • History of Transient Ischemic Attack (TIA) or Cerebrovas- al population. The consultants involved in drafting this document cular Accident (CVA) would generally discourage a student with such medical prob- • History of Serious (Central Nervous System, Cerebral or lems from diving. Relative Risk refers to a moderate increase in Inner Ear) Decompression Sickness with residual deficits risk, which in some instances may be acceptable. To make a decision as to whether diving is contraindicated for this category of medical problems, physicians must base their judgement on CARDIOVASCULAR SYSTEMS an assessment of the individual patient. Some medical problems Relative Risk Conditions which may preclude diving are temporary in nature or respon- The diagnoses listed below potentially render the diver unable to sive to treatment, allowing the student to dive safely after they meet the exertional performance requirements likely to be have resolved. encountered in recreational diving. These conditions may lead the diver to experience cardiac ischemia and its consequences. Diagnostic studies and specialty consultations should be obtained Formalized stress testing is encouraged if there is any doubt as indicated to determine the diver’s status. A list of references is regarding physical performance capability. The suggested mini- included to aid in clarifying issues that arise. Physicians and mum criteria for stress testing in such cases is at least 13 other medical professionals of the Divers Alert Network (DAN) METS.* Failure to meet the exercise criteria would be of signifi- associated with Duke University Health System are available for cant concern. Conditioning and retesting may make later qualifi- consultation by phone +1 919 684 2948 during normal business cation possible. Immersion in water causes a redistribution of hours. For emergency calls, 24 hours 7 days a week, call +1 919 blood from the periphery into the central compartment, an effect 684 8111 or +1 919 684 4DAN (collect). Related organizations that is greatest in cold water. The marked increase in cardiac exist in other parts of the world – DAN Europe in Italy +39 039 preload during immersion can precipitate pulmonary edema in 605 7858, DAN S.E.A.P. in Australia +61 3 9886 9166 and Divers patients with impaired left ventricular function or significant valvu- Emergency Service (DES) in Australia +61 8 8212 9242, DAN lar disease. The effects of immersion can mostly be gauged by Japan +81 33590 6501 and DAN Southern Africa +27 11 242 an assessment of the diver’s performance while swimming on the 0380. There are also a number of informative websites offering surface. A large proportion of scuba diving deaths in North Amer- similar advice. ica are due to coronary artery disease. Before being approved to scuba dive, individuals older than 40 years are recommended to NEUROLOGICAL undergo for coronary artery disease. Formal Neurological abnormalities affecting a diver’s ability to perform exercise testing may be needed to assess the risk. exercise should be assessed according to the degree of compro- * METS is a term used to describe the metabolic cost. The MET at rest mise. Some diving physicians feel that conditions in which there is one, two METS is two times the resting level, three METS is three can be a waxing and waning of neurological symptoms and times the resting level, and so on. The resting energy cost (net oxygen signs, such as migraine or demyelinating disease, contraindicate requirement) is thus standardized. (Exercise Physiology; Clark, Prentice diving because an exacerbation or attack of the preexisting dis- Hall, 1975.) ease (e.g.: a migraine with aura) may be difficult to distinguish

Page 3 of 6 Relative Risk Conditions • Obesity • History of Coronary Artery Bypass Grafting (CABG) • History of Immersion Pulmonary Edema Restrictive Dis- • Percutaneous Balloon Angioplasty (PCTA) or Coronary ease* Artery Disease (CAD) • Interstitial lung disease: May increase the risk of pneu- • History of Myocardial Infarction mothorax • Congestive Heart Failure * Spirometry should be normal before and after exercise • Hypertension Active Reactive Airway Disease, Active Asthma, Exercise • History of dysrythmias requiring medication for suppres- Induced Bronchospasm, Chronic Obstructive Pulmonary sion Disease or history of same with abnormal PFTs or a positive •Valvular Regurgitation exercise challenge are concerns for diving. Pacemakers The pathologic process that necessitated should be Severe Risk Conditions addressed regarding the diver’s . In those • History of spontaneous pneumothorax. Individuals who instances where the problem necessitating pacing does not have experienced spontaneous pneumothorax should avoid preclude diving, will the diver be able to meet the perform- diving, even after a surgical procedure designed to prevent ance criteria? recurrence (such as pleurodesis). Surgical procedures either * NOTE: Pacemakers must be certified by the manufacturer as able do not correct the underlying lung abnormality (e.g.: pleurode- to withstand the pressure changes involved in recreational diving. sis, apical pleurectomy) or may not totally correct it (e.g.: resec- tion of blebs or bullae). Severe Risks • Impaired exercise performance due to respiratory disease. Venous emboli, commonly produced during decompression, may cross major intracardiac right-to-left shunts and enter GASTROINTESTINAL the cerebral or spinal cord circulations causing neurological Temporary Risks . Hypertrophic cardiomyopathy and As with other organ systems and disease states, a process which valvular stenosis may lead to the sudden onset of uncon- chronically debilitates the diver may impair exercise performance. sciousness during exercise. Additionally, dive activities may take place in areas remote from medical care. The possibility of acute recurrences of disability or PULMONARY lethal symptoms must be considered. Any process or lesion that impedes airflow from the lungs places Temporary Risk Conditions the diver at risk for pulmonary overinflation with alveolar rupture and the possibility of cerebral air embolization. Many interstitial • Peptic Ulcer Disease associated with pyloric obstruction or diseases predispose to spontaneous pneumothorax: Asthma severe reflux (reactive airway disease), Chronic Obstructive Pulmonary Dis- • Unrepaired hernias of the abdominal wall large enough to ease (COPD), cystic or cavitating lung diseases may all cause air contain bowel within the hernia sac could incarcerate. trapping. The 1996 Undersea and Hyperbaric Medical Society (UHMS) consensus on diving and asthma indicates that for the Relative Risk Conditions risk of pulmonary barotrauma and decompression illness to be • Inflammatory Bowel Disease acceptably low, the asthmatic diver should be asymptomatic and • Functional Bowel Disorders have normal spirometry before and after an exercise test. Inhalation challenge tests (e.g.: using histamine, hypertonic Severe Risks saline or methacholine) are not sufficiently standardized to be interpreted in the context of scuba diving. Altered anatomical relationships secondary to surgery or malfor- mations that lead to gas trapping may cause serious problems. A pneumothorax that occurs or reoccurs while diving may be cat- Gas trapped in a hollow viscous expands as the divers surfaces astrophic. As the diver ascends, air trapped in the cavity and can lead to rupture or, in the case of the upper GI tract, eme- expands and could produce a tension pneumothorax. sis. Emesis underwater may lead to drowning. In addition to the risk of pulmonary barotrauma, respiratory dis- Severe Risk Conditions ease due to either structural disorders of the lung or chest wall or • Gastric outlet obstruction of a degree sufficient to produce neuromuscular disease may impair exercise performance. Struc- recurrent vomiting tural disorders of the chest or abdominal wall (e.g.: prune belly), or neuromuscular disorders, may impair cough, which could be • Chronic or recurrent small bowel obstruction life threatening if water is aspirated. Respiratory limitation due to • Severe gastroesophageal reflux disease is compounded by the combined effects of immersion • Achalasia (causing a restrictive deficit) and the increase in gas density, which increases in proportion to the ambient pressure (causing • Paraesophageal Hernia increased airway resistance). Formal exercise testing may be helpful. ORTHOPAEDIC Relative impairment of mobility, particularly in a boat or ashore Relative Risk Conditions with equipment weighing up to 18 kgs/40 pounds must be assessed. Orthopaedic conditions of a degree sufficient to impair • History of Asthma or Reactive Airway Disease (RAD)* exercise performance may increase the risk. • History of Exercise Induced Bronchospasm (EIB)* Relative Risk Conditions • History of solid, cystic or cavitating lesion* • Amputation • Pneumothorax secondary to: • Scoliosis must also assess impact on respiratory function -Thoracic Surgery and exercise performance. -Trauma or Pleural Penetration* • Aseptic Necrosis possible risk of progression due to -Previous Overinflation Injury* effects of decompression (evaluate the underlying medical

Page 4 of 6 cause of decompression may accelerate/escalate the pro- personal fears gression). • Claustrophobia and agoraphobia Temporary Risk Conditions • Active psychosis • Back pain • History of untreated panic disorder HEMATOLOGICAL • Drug or alcohol abuse Abnormalities resulting in altered rheological properties may the- oretically increase the risk of decompression sickness. Bleeding OTOLARYNGOLOGICAL disorders could worsen the effects of otic or sinus barotrauma, Equalisation of pressure must take place during ascent and and exacerbate the injury associated with inner ear or spinal cord descent between ambient water pressure and the external audi- decompression sickness. Spontaneous bleeding into the joints tory canal, middle ear and paranasal sinuses. Failure of this to (e.g.: in hemophilia) may be difficult to distinguish from decom- occur results at least in pain and in the worst case rupture of the pression illness. occluded space with disabling and possible lethal consequences. Relative Risk Conditions The inner ear is fluid filled and therefore noncompressible. The flexible interfaces between the middle and inner ear, the round • Sickle Cell Disease and oval windows are, however, subject to pressure changes. • Polycythemia Vera Previously ruptured but healed round or oval window membranes • Leukemia are at increased risk of rupture due to failure to equalise pressure • Hemophilia/Impaired Coagulation or due to marked overpressurisation during vigorous or explosive Valsalva manoeuvres. METABOLIC AND ENDOCRINOLOGICAL The larynx and pharynx must be free of an obstruction to airflow. With the exception of diabetes mellitus, states of altered hormon- The laryngeal and epiglotic structure must function normally to al or metabolic function should be assessed according to their prevent aspiration. impact on the individual’s ability to tolerate the moderate exercise requirement and environmental stress of . Obesity Mandibular and maxillary function must be capable of allowing may predispose the individual to decompression sickness, can the patient to hold a scuba mouthpiece. Individuals who have impair exercise tolerance and is a risk factor for coronary artery had mid-face fractures may be prone to barotrauma and rupture disease. of the air filled cavities involved. Relative Risk Conditions Relative Risk Conditions • Hormonal Excess or Deficiency • Recurrent otitis externa • Obesity • Significant obstruction of external auditory canal • Renal Insufficiency • History of significant cold injury to pinna • Eustachian tube dysfunction Severe Risk Conditions • Recurrent otitis media or sinusitis The potentially rapid change in level of consciousness asso- • History of TM perforation ciated with hypoglycemia in diabetics on insulin therapy or certain oral hypoglycemic medications can result in drown- • History of tympanoplasty ing. Diving is therefore generally contraindicated, unless • History of mastoidectomy associated with a specialized program that addresses these • Significant conductive or sensorineural hearing impair- issues. [See “Guidelines for Recreational Diving with Diabetes” ment at www/wrstc.com and www.diversalertnetwork.org.] • Facial nerve paralysis not associated with barotrauma Pregnancy: The effect of venous emboli formed during • Full prosthedontic devices decompression on the fetus has not been thoroughly inves- • History of mid-face fracture tigated. Diving is therefore not recommended during any • Unhealed oral surgery sites stage of pregnancy or for women actively seeking to • History of head and/or neck therapeutic radiation become pregnant. • History of temperomandibular joint dysfunction BEHAVIORAL HEALTH • History of round window rupture Behavioral: The diver’s mental capacity and emotional make-up are important to safe diving. The student diver must have suffi- Severe Risk Conditions cient learning abilities to grasp information presented to him by • Monomeric TM his instructors, be able to safely plan and execute his own dives • Open TM perforation and react to changes around him in the . •Tube myringotomy The student’s motivation to learn and his ability to deal with potentially dangerous situations are also crucial to safe scuba • History of stapedectomy diving. • History of ossicular chain surgery Relative Risk Conditions • History of inner ear surgery • Developmental delay • Facial nerve paralysis secondary to barotrauma • History of drug or alcohol abuse • Inner ear disease other than presbycusis • History of previous psychotic episodes • Uncorrected upper airway obstruction • Use of psychotropic medications • Laryngectomy or status post partial laryngectomy •Tracheostomy Severe Risk Conditions • Uncorrected laryngocele • Inappropriate motivation to dive – solely to please spouse, • History of vestibular decompression sickness partner or family member, to prove oneself in the face of Page 5 of 6 BIBLIOGRAPHY/REFERENCE 8. Neuman, T. & Bove, A. (1994). “Asthma and Diving.” Ann. Allergy, Vol. 73, October, O’Conner & Kelsen. 1. Bennett, P. & Elliott, D (eds.)(1993). The Physiology and Medicine 9. Shilling, C. & Carlston, D. & Mathias, R. (eds) (1984). The of Diving. 4th Ed., W.B. Saunders Company Ltd., London, England. Physician’s Guide to Diving Medicine. Plennum Press, New York, NY. 2. Bove, A., & Davis, J. (1990). Diving Medicine. 2nd Edition, W.B. Saunders Company, Philadelphia, PA. 10. Undersea and Hyperbaric Medical Society (UHMS) www.UHMS.org 3. Davis, J., & Bove, A. (1986). “Medical Examination of Sport Scuba Divers, Medical Seminars, Inc.,” San Antonio, TX 11. Divers Alert Network (DAN) United States, 6 West Colony Place, Durham, NC www.DiversAlertNetwork.org 4. Dembert, M. & Keith, J. (1986). “Evaluating the Potential Pediatric Scuba Diver.” AJDC, Vol. 140, November. 12. Divers Alert Network Europe, P.O. Box 64026 Roseto, Italy, tele- phone non-emergency line: weekdays office hours +39-085-893- 5. Edmonds, C., Lowry, C., & Pennefether, J. (1992) .3rd ed., Diving 0333, emergency line 24 hours: +39-039-605-7858 and Subaquatic Medicine. Butterworth & Heineman Ltd., Oxford, England. 13. Divers Alert Network S.E.A.P., P. O. Box 384, Ashburton, Aus- tralia, telephone 61-3-9886-9166 6. Elliott, D. (Ed) (1994). “Medical Assessment of Fitness to Dive.” Proceedings of an International Conference at the Edinburgh Con- 14. Divers Emergency Service, Australia, www.rah.sa.gov.au/hyper- ference Centre, Biomedical Seminars, Surry, England. baric, telephone 61-8-8212-9242 7. “Fitness to Dive,” Proceedings of the 34th Underwater & Hyperbaric 15. South Pacific Underwater Medicine Society (SPUMS), P.O. Box Medical Society Workshop (1987) UHMS Publication Number 190, Red Hill South, Victoria, Australia, www.spums.org.au 70(WS-FD) Bethesda, MD. 16. European Underwater and Baromedical Society, www.eubs.org

ENDORSERS

Paul A. Thombs, M.D., Medical Director Christopher J. Acott, M.B.B.S., Dip. D.H.M., , MB.ChB., DipDHM, Ph.D. Hyperbaric Medical Center F.A.N.Z.C.A. Wesley Centre for Hyperbaric Medicine St. Luke’s Hospital, Denver, CO, USA Physician in Charge, Diving Medicine Medical Director Hospital Sandford Jackson Bldg., 30 Chasely Street Peter Bennett, Ph.D., D.Sc. Adelaide, SA 5000, Australia Auchenflower, QLD 4066 Australia Professor, Anesthesiology [email protected] Duke University Medical Center Chris Edge, M.A., Ph.D., M.B.B.S., A.F.O.M. Durham, NC, USA Nuffield Department of Anaesthetics Jan Risberg, M.D., Ph.D. [email protected] Radcliffe Infirmary NUI, Norway Oxford, United Kingdom Richard E. Moon, M.D., F.A.C.P., F.C.C.P. [email protected] Karen B.Van Hoesen, M.D. Departments of Anesthesiology and Pulmonary Associate Clinical Professor Medicine Richard Vann, Ph.D. UCSD Diving Medicine Center Duke University Medical Center Duke University Medical Center University of California at San Diego Durham, NC, USA Durham, NC, USA San Diego, CA, USA

Roy A. Myers, M.D. Keith Van Meter, M.D., F.A.C.E.P. Edmond Kay, M.D., F.A.A.F.P. MIEMS Assistant Clinical Professor of Surgery Dive Physician & Asst. Clinical Prof. of Family Medicine Baltimore, MD, USA Tulane University School of Medicine University of Washington New Orleans, LA, USA Seattle, WA, USA William Clem, M.D., Hyperbaric Consultant [email protected] Division Presbyterian/St. Luke’s Medical Center Robert W. Goldmann, M.D. Denver, CO, USA St. Luke’s Hospital Christopher W. Dueker, TWS, M.D. Milwaukee, WI, USA Atherton, CA, USA John M. Alexander, M.D. [email protected] Northridge Hospital Paul G. Linaweaver, M.D., F.A.C.P. Los Angeles, CA, USA Santa Barbara Medical Clinic Charles E. Lehner, Ph.D. Undersea Medical Specialist Department of Surgical Sciences Des Gorman, B.Sc., M.B.Ch.B., F.A.C.O.M., Santa Barbara, CA, USA University of Wisconsin F.A.F.O.M., Ph.D. Madison, WI, USA Professor of Medicine James Vorosmarti, M.D. [email protected] University of Auckland, Auckland, NZ 6 Orchard Way South [email protected] Rockville, MD, USA Undersea & Hyperbaric Medical Society 10531 Metropolitan Avenue Alf O. Brubakk, M.D., Ph.D. Tom S. Neuman, M.D., F.A.C.P., F.A.C.P.M. Kensington, MD 20895, USA Norwegian University of Science and Technology Associate Director, Emergency Medical Services Trondheim, Norway Professor of Medicine and Surgery Diver’s Alert Network (DAN) [email protected] University of California at San Diego 6 West Colony Place San Diego, CA, USA Durham, NC 27705 Alessandro Marroni, M.D. Director, DAN Europe Yoshihiro Mano, M.D. Roseto, Italy Professor Hugh Greer, M.D. Tokyo Medical and Dental University Santa Barbara, CA, USA Tokyo, Japan [email protected] [email protected]

Page 6 of 6 Indiana University Academic Diving Manual Revised June 2016

APPENDIX 5: INFORMATION REQUEST FORM FOR SNORKELING OR SCUBA DIVING ACTIVITIES

49 Information Request Form for Snorkeling or Scuba Diving Activities

This form should be completed by the IU project / activity leader no less than 30 days prior to planned scuba diving or snorkeling activities. The IU Diving Control Board’s designee, the Diving Safety Officer (DSO), will receive and review all scuba diving and snorkeling requests.

Please complete this application for review by the Diving Control Board.

Project/activity dates: ______

Project/activity location: ______

Project/activity IU Campus affiliation: ______

IU Department or program affiliation: ______

Project/activity Leader 1 Name: ______Phone & Email: ______Diver certification rating/agency: ______Project/activity Leader 2 Name: ______Phone & Email: ______Email: ______Diver certification rating/agency: ______Please indicate the type and number of participants involved in scuba diving or snorkeling activities: ☐ Faculty / Staff (#______) ☐ IU Student (#______) ☐ Visitor (#______)

Please briefly describe the scope of project or ativity (dives per day, total daily bottom time, etc.):

1 Please check all anticipated activities that apply: ☐ Scientific diving ☐ Recreational diving ☐ Diver training ☐ Snorkeling (skin diving)

Anticipated depth ranges (feet) include: ☐ 0 – 60 ☐ 60 – 100 ☐ 100 – 130 ☐ 130 +

Please check all environmental conditions that apply: ☐ Fresh water ☐ Salt water ☐ Shore Platform ☐ Boat Platform

☐ Aquarium ☐ Swimming pool ☐ Cold water, < 70°F ☐ Other: ______

Please check all specialized scuba diving activities that apply: ☐ Night ☐ Drift ☐ Altitude Photography / Videography ☐ Full-face mask ☐ Mixed gas (EANx) ☐ Semi-closed or Closed-circuit scuba ☐ Overhead environment: wreck, cavern, cave, ice, etc. ☐ Hookah ☐ Other: ______

Dive planning mechanism: ☐ Dive Table & Timing Device ☐ Dive Computer ☐ N/A - Skin Diving

Please identify dive centers and/or charter operators that you plan to contract with.

1. Company Name: ______Phone: ______Email and/or company website: ______2. Company Name: ______Phone: ______Email and/or company website: ______

Project/Activity Leader: ______Date: ______Signature Please return 30 days prior to project or activity start date to: Mylana Haydu, Diving Safety Officer University Environmental Health & Safety, Diving Safety Program 1025 E 7th Street, SPH 112J, Bloomington, IN 47405 Phone: (812) 856-5860 Email: [email protected]

For Office Use Only: Date Received: ______Date Reviewed: ______Action Taken: ______

2 Indiana University Academic Diving Manual Revised June 2016

APPENDIX 6: SNORKELING AND SCUBA DIVING AFTER ACTION REPORT

52

Snorkeling and Scuba Diving After Action Report

This report should be completed by the IU project / activity leader no more than 30 days after a project or activity involving snorkeling or scuba diving. The IU Diving Control Board’s designee, the Diving Safety Officer (DSO), will receive and review all scuba diving and snorkeling requests at: 1025 East Seventh Street, SPH 112J, Bloomington, Indiana 47405.

Project/Activity Dates: ______

Project/Activity Location(s): ______

Project/Activity IU campus affiliation: ______Department/Unit affiliation: ______

Project/Activity Primary Leader’s Name: ______Primary Phone: ______Email: ______Please briefly describe any change in the scope of the project or activity as compared to the original planned activities as reported in the Information Request Form for Scuba Diving and Snorkeling Activities (Example: changes to dive plan, charters/operations used, project activities, etc.):

Please indicate the number of participants involved in scuba diving and/or snorkeling activities: Snorkeling Only Scuba Diving Only Snorkeling and Scuba Diving # of Faculty / Staff # of IU Students # of Guests

Snorkeling Summary 0 Total Number of Snorkeling Dives: ______Example: Five students snorkeled two days each, twice per day. Total number reported = 20. 0 Snorkeling Certifications Awarded, if applicable: Certification Awarded (Include Agency) Total Certifications Awarded

1 Scuba Diving Summary 0 Please indicate the number of dives per each participant group involved in scuba diving activities: 0 Faculty / Staff IU Students Guests # of Recreational Dives # of Scientific Dives # of Training Dives 0 Total Number of Scuba Dives: ______Example: Five students did two tank scuba dives over two days. Total number reported = 20. 0 Total Bottom Time, Scientific Dives Only: ______Scuba Diving Certifications Awarded, if applicable: Certification Awarded (Include Agency) Total Certifications Awarded

Additional Reporting Do you have an incident to report? ☐ Yes ☐ No If “Yes”, please complete the IU Incident Report Form.

Did an IU faculty, staff, or hourly employee serve as a recreational or diving guide and provide in-water training or supervision during this project/activity? ☐ Yes ☐ No If “Yes, please have each IU recreational diving instructor or diving guide complete and submit the IU Diver Log for each dive conducted under University auspices.

Submit this form, and additional documentation as applicable, to the Diving Safety Officer in either electronic or hardcopy format. Should you have questions, please call the DSO at (812) 856-5860. Electronic: [email protected] Hardcopy: 1025 East Seventh Street, SPH 112J

Project/Activity Leader: ______Date: ______Signature

For Office Use Only: Date Received: ______Date Recorded: ______

2 Indiana University Academic Diving Manual Revised June 2016

APPENDIX 7: SNORKELING AND SCUBA DIVING INCIDENT REPORT FORM

55 Indiana University Incident Report Form DATE SUBMITTED: ______

Snorkeling and Scuba Diving Incident Report Form

University Environmental Health and Safety (EHS) recognizes this form as a comprehensive Snorkeling and Scuba Diving Incident Report Form whereby all pertinent information should be documented immediately after an incident occurs. Submission of this form should occur as soon as possible. Incidents involving the transportation of an injured party via ambulance, water vessel, aircraft, etc. will require immediate notification to the Diving Safety Officer (DSO). Upon completion, this form becomes a legal document and should be submitted to the DSO at: 1025 East Seventh Street, SPH 112J, Bloomington, Indiana 47405.

Part I: Incident Specifics and Actions Taken Date of Incident (Weekday, Month Day, Year): ______Time of Incident: ______Time EMS Called: ______Time EMS Arrived: ______EMT Names: ______*Complete, as necessary, the Ambulance Consent/Refusal of Service Disclosure located at the end of this form.

Injured Party Transported to: ☐ Hospital ☐ Home ☐ Other: ______Final Destination Name/Address: ______Method of Transport: ☐ Ambulance ☐ Private Auto ☐ Other: ______Name(s) of Transporter: ______Location (Please be as specific as possible):

Course, Activity, and Instructor Data: Name of Instructor/Organization: ______Name of Seminar/Special Event/Course/Time/Day:

Activity Occurring at the Time of the Incident (class activity, special event, seminar, etc.):

1 Indiana University Incident Report Form DATE SUBMITTED: ______

Snorkeling and Scuba Diving Data: Diving Mode: ☐ Snorkeling/Skin Diving ☐ Open-Circuit Scuba ☐ Other: ______Certification Level: ______Max Depth (ft.): ______Total Bottom Time: ______Water Temperature (°F): ______Environmental Conditions: ______Purpose of Activity and Tasks performed (recreational, scientific, training, photography, etc.):

Dive Sequence and Specifics (Please be as specific as possible and report dives leading up to incident to include number, profiles, ending and starting pressure groups, dive buddies, breathing gas mixture, dive platform, non-standard equipment used, etc.):

Part of Body Injured and Nature of Possible Injury: Identification of Injury (Describe the body part(s) injured. Be sure to designate if the Left or Right side of the body was affected.):

Nature of Injury (bruise, cut, dislocation, fracture, suspected lung overexpansion injury, suspected Decompression Sickness, Type I or II, etc.):

Describe in Detail the Actions Taken (Primary Care, Secondary Care, O2 Administration, etc.):

2 Indiana University Incident Report Form DATE SUBMITTED: ______

Body Fluid Spill: Body Fluid Spill? ☐ Yes ☐ No If Yes, follow the below and initial each line: _____ Wear gloves while handling any body fluid spill. _____ Clean up the area using a bleach/water . _____ Dispose of contaminated supplies (gauze, gloves, paper towel, etc.) using the biohazard bags in appropriate container. _____ Thoroughly wash hands after the incident.

Ambulance Consent/Refusal Signature: I, ______(print name) have been informed that I am responsible for paying for ambulance service as well as any emergency room and physician-related expenses. I understand that Indiana University is not responsible for these fees.

Indicate with an “X” if Ambulance Transport was Requested or Refused:

_____ REQUEST Ambulance Transport _____ REFUSE Ambulance Transport

Signature of Party Refusing Care:______Date:______Signature

Refusal of Medical Care Signature: I, ______(print name) have been advised that I may have a medical condition (s) which may require an examination by a doctor, and I refuse such medical care and or advice as has been rendered by Indiana University OR I do not believe a medical emergency exists and I require no further assistance.

Signature of Party Refusing Care:______Date:______Signature

Part II: Injured Party Personal Data Last Name of Injured Party (First, MI, Last): ______Date of Birth: ______IU ID: ______Sex: ☐ Female ☐Male Local Street Address: ______City, State, Zip, Country: ______Phone: ______Email: ______IU Affiliation (undergraduate student, graduate student, faculty, staff, guest, etc.): ______

3 Indiana University Incident Report Form DATE SUBMITTED: ______

Part III: Personal Statements Witness # 1 Statement To be completed by a witness that observed the incident.

What did you see happen? (WHO, WHAT, WHEN, WHERE, HOW) Report names, times, and what you did related to the events surrounding the accident. Use additional paper if necessary and attach the statement to this report.

Name of Witness #1 (First, MI, Last): ______Contact Information: ______Enter Statement Here, or attach:

Witness #1 Signature: ______Date: ______Signature

Witness # 2 Statement To be completed by a witness that observed the incident.

What did you see happen? (WHO, WHAT, WHEN, WHERE, HOW) Report names, times, and what you did related to the events surrounding the accident. Use additional paper if necessary and attach the statement to this report.

Name of Witness #2 (First, MI, Last): ______Contact Information: ______Enter Statement Here, or attach:

Witness #2 Signature: ______Date: ______Signature

4 Indiana University Incident Report Form DATE SUBMITTED: ______

IU Employee # 1 Narrative To be completed by an employee that may or may not have observed the incident.

State factual information only – never diagnose injuries. (WHO, WHAT, WHEN, WHERE, HOW) Report names, times, and what you did related to the events surrounding the accident. Use additional paper if necessary and attach the statement to this report.

Name of Employee #1 (First, MI, Last): ______Employee Title: ______IU School / Campus Association: ______Contact Information: ______Enter Statement Here, or attach:

Employee #1 Signature: ______Date: ______Signature

IU Employee # 2 Narrative To be completed by an employee that may or may not have observed the incident.

State factual information only – never diagnose injuries. (WHO, WHAT, WHEN, WHERE, HOW) Report names, times, and what you did related to the events surrounding the accident. Use additional paper if necessary and attach the statement to this report.

Name of Employee #2 (First, MI, Last): ______Employee Title: ______IU School / Campus Association: ______Contact Information: ______Enter Statement Here, or attach:

Employee 2 Signature: ______Date: ______Signature

5 Indiana University Incident Report Form DATE SUBMITTED: ______

Part IV: Recommendations Do You Recommend a Follow-up? Yes ☐ No ☐ Date of Anticipated/Actual Follow-up: ______Who Will Follow-up? ______Follow-up Comments (Please be as specific as possible):

Part V: Incident Report Form Checklist and Signature Checklist: ☐ EMS dispatch and arrival time recorded, if applicable? ☐ Date, Time, & Location of Accident and Course Information recorded? ☐ Injury Data recorded in detail thoroughly? ☐ Actions Taken in response to incident recorded in detail thoroughly? ☐ Ambulance Consent/Refusal Signed by Injured Party? ☐ If care was refused: Refusal of Medical Care signed? ☐ Injured Party’s Personal Data recorded thoroughly with all necessary signatures? ☐ Witness Narratives completely filled out, legibly? ☐ Employee Narratives completely filled out, legibly? ☐ Follow-up Recommendations indicated?

Submit this form to the Diving Safety Officer (DSO) in either electronic or hardcopy format. Should you have questions, please call the DSO at (812) 856-5860. Electronic: [email protected] Hardcopy: 1025 East Seventh Street, SPH 112J Bloomington, Indiana 47405

Print Name of Party Who Completed this Form (First, MI, Last): ______Contact Information for Party Who Completed this Form (Phone/Email): ______

Signature of Party Who Completed this Form: ______Date: ______Signature

6 Indiana University Academic Diving Manual Revised June 2016

APPENDIX 8: DIVER LOG

62 Indiana University Scuba Diving Log

Diver Name (First, Last):

Certification Level / Title: Maximum Total Bottom Water Date Time Entered Visibility Surface/Dive Nature of Work # Dive Site & Location Depth Time Temperature Activity Comments (MM/DD/YY) the Water (Ft.) Conditions Performed (Ft.) (Minutes) (°F) ex: 9/17/2015 La Caleta, Dominican Republic 12:35 PM 10 50 21 80 1' seas; surge Scientific Dredging Safety stop; EANx32 Indiana University Academic Diving Manual Revised June 2016

APPENDIX 9: SCIENTIFIC DIVER APPLICATION

63 Indiana University Scientific Diver Application LAST NAME: ______

Scientific Diver Application

This application is required to obtain authorization to dive as a University Scientific Diver. Please submit the completed application and any supporting documentation to the Diving Safety Officer at: 1025 East Seventh Street, SPH 112J, Bloomington, Indiana 47405.

Part I Personal Information Last Name: ______First Name: ______MI: ____ Email Address: ______Mailing Address: ______Permanent Address (if different from above): ______Work Phone: ______Home/Cell Phone: ______Date of Birth: ______Height: ______Weight: ______Sex: ______IU Affiliation (undergraduate student, graduate student, faculty, staff, guest, etc.): ______IU School / Department Affiliation (campus address, if applicable): ______

Emergency Contact Information Name (First, Last): ______Relationship: ______Phone Number: ______Alternate Phone Number: ______Email Address: ______Mailing Address: ______

1 Indiana University Scientific Diver Application LAST NAME: ______

Part II Dive Training Scientific Diving Certification History: Scientific Diving Certification (University, State, Federal, etc.): ______Date of Certification: ______Certified Depth: ______Active: ☐ Y ☐ N Diving Safety Office Contact Information: ______Recreational Diving Certification History: Highest Scuba Certification Rating (agency, certification): ______Date Received: ______List All Scuba Diving Certifications: Instructor Agency Certification Level Date Location Name and Number

*Please attach a supplemental dive resume to better portray dive training, if applicable. Related Certifications: Date Date Certification Agency (initial or expired) (current) First Aid CPR AED O2 Administration Other: ______Other: ______

Specialties and Proficiencies: ______

Dive Medical: Date of Most Recent Medical Statement with Physician’s Signature: ______*Please attach the RSTC Medical Statement complete with a physician’s signature and dated within the past 12 months. 2 Indiana University Scientific Diver Application LAST NAME: ______Dive Activities Total Hours Underwater: ______Total Number of Dives: ______Max Depth: ______Total Number of Dives in the Past 12 Months: ______Max Depth in the Past 12 Months: ______Date of Last Dive: ______Cumulative Number of Dives Per Depth: 0-60 Feet: ______61-100 Feet: ______101-130 Feet: ______130+ Feet: ______Experience: Indicate your diving experience by using the following ranking system: A For areas in which you have little dive experience, 1-5 dives. B For areas in which you have some dive experience, 6-14 dives. C For areas in which you have considerable dive experience, 15+ dives.

___ Ocean ___ Fresh Water ___ Aquarium ___ Blue Water ___ Boat ___ Shore ___ Surf ___ Altitude ___ Currents ___ Waves (> 3’) ___ Kelp ___ Cold Water (< 70°F) ___ Deep ___ Night ___ Drift ___ Wreck ___ Navigation ___ Photography ___ Ice ___ Search & Recovery ___ Saturation ___ Full Face Mask ___ Mixed Gas ___ Low Visibility ___ Site Maintenance ___ Data Collection ___ Excavation ___ Dredging

Please describe additional diving experience not previously mentioned: ______

The information disclosed within and attached, in support of this application, is accurate, to the best of my knowledge. I agree to accept the responsibility of omissions regarding my failure to disclose accurate personal, diving, and related information.

Applicant Signature: ______Date: ______Signature

3 Indiana University Scientific Diver Application LAST NAME: ______Application Checklist: ☐ Application completed in full, signed, and dated. ☐ RSTC Medical with a physician’s signature. ☐ Additional documentation, if applicable: ☐ Proof of an Open Water Diver or equivalent level certification. ☐ Proof of Training: watermanship, confined water, rescue, open water, and exams. ☐ Dive resume, certification copies, IU diver log, equipment list, etc. Diving Safety Officer Use Only Date Received: ______Qualifying Checklist: Date DSO Date Expires Comments Completed Initials RSTC Medical Statement 25 Logged Dives 4 OW Dives, Past 12 Months First Aid

CPR

AED

O2 Administration Watermanship Evaluation Confined Water Scuba Evaluation Rescue Evaluation Open Water Scuba Evaluation Scientific Diver Exam

Equipment Inspection

Actions Taken (approve, suspend, etc.): ______Date: ______Scientific Diver Certification Level, if Approved: ______

4 Indiana University Academic Diving Manual Revised June 2016

APPENDIX 10: DIVING CONTROL BOARD STANDARD OPERATING PROCEDURES

68 Revised February 2016

INDIANA UNIVERSITY Diving Control Board Standard Operating Procedures Mission

The Indiana University (IU) Diving Control Board (DCB) is an oversight body that governs the IU Diving Safety Program (DSP) with ultimate authority over all aspects of diving and diving safety conducted under the auspices of the Indiana University system. The DCB acts to protect the health and safety of participants diving under IU auspices by formalizing diving procedures and standards to facilitate dive training, and scientific and recreational scuba and skin diving. The DCB determines best practices based on and in compliance with the Occupational Safety and Health Administration (OSHA) standards and scientific and recreational diving exemptions, the World Recreational Scuba Training Council (WRSTC), and IU Scientific Diving Guidelines. The practices are codified in the Academic Diving Manual (ADM). The DCB, through the Diving Safety Officer (DSO), ensures compliance with the ADM for any scuba and skin diving occurring under IU auspices.

Organization

Appointment The DCB governs the IU DSP, which rests within University Environmental Health and Safety (EHS) under the Office of the Executive Vice President for University Academic Affairs (OEVPUAA). As such, voting DCB members are appointed by the Executive Vice President for University Academic Affairs based upon recommendation of the DCB chair and voting members. DCB voting members are appointed for a three-year period and may serve an unlimited number of terms.

DCB Voting-Member Composition The DCB contains expertise in scientific diving, recreational diving, dive training, dive medicine and physiology, and health and safety regulations. DCB membership is inclusive of: 1. A majority of IU faculty and staff. 2. A majority of IU Scientific Divers. 3. No less than five voting members occupying the following positions: a. Diving Safety Officer, who also serves as the DCB Administrator, but cannot serve as the DCB Chair. b. Representative of University Environmental Health and Safety. c. Chair of the Scientific Diving Subcommittee. d. Chair of the Recreational Diving Subcommittee. e. Chair of the Diving Medicine Subcommittee. 4. An elected Chair of the DCB, who may also occupy another position listed in (3) except for DSO (3a). 5. There may be additional DCB voting members who do not occupy any of the positions listed in (3).

Revised February 2016

DCB Subcommittee Composition and Commission The Scientific Diving Subcommittee, Recreational Diving Subcommittee, and the Diving Medicine Subcommittee shall be the official subcommittees of the DCB.

DCB Subcommittees advise DCB members in regard to committee-specific expertise. Each subcommittee is to have a Chair elected by a simple majority of the DCB, with voting rights as designated below.

There are three subcommittees within the DCB that advise the board in regards to their committee-specific expertise, including the Scientific Diving Subcommittee, the Recreational Diving Subcommittee, and the Diving Medicine Subcommittee. Furthermore, subcommittees serve as a forum for non-DCB members to provide input or bring concerns to the DCB. Subcommittees will convene as needed, or at least annually, to address issues identified by the DSO or the DCB, and exercise no ultimate authority.

Each subcommittee is to be Chaired by a voting member of the DCB who is, likewise, elected by a majority of the DCB. Additionally, the Diving Safety Officer must serve on every subcommittee and is prohibited from serving as a Chair. All other subcommittee membership is voluntary, and may include voting and nonvoting members of the DCB. The DCB and individual subcommittees may establish temporary smaller committees by internal decision.

Duties Diving Control Board The duties of the DCB include: 1. Exercising ultimate authority over all aspects of diving and diving safety conducted under the auspices of the IU system. 2. Protecting the health and safety of all participants diving under IU auspices and through program and policy development and oversight of all diving activities. 3. Formalizing IU diving procedures and standards, and facilitating diving-related research, training, and recreation by formalizing IU diving procedures and standards. 4. Developing the ADM, which serves to codify IU policy and best practices. 5. Ensuring compliance with the ADM for any diving occurring under IU auspices. 6. Undertaking periodic review and improvement of the DSP and ADM. 7. Reviewing accidents and dangerous incidents and recommending corrective actions. 8. Approving and monitoring diving projects through the DSO. 9. Taking corrective actions in the case of unsafe diving practices and/or violation of the ADM, inclusive of guidance, retraining, or suspension of further diving. 10. Acting as board of appeals to consider diving-related problems. 11. Recommending new equipment or techniques. 12. Establishing and/or approving facilities for the inspection, use, and maintenance of diving and associated equipment. 13. Ensuring through the DSO that IU compressed breathing air station(s) meet OSHA and manufacturer standards for safety and breathing air quality. 14. Periodic review of the DSO’s performance.

Revised February 2016

DCB Chair Chair of the DCB is the leader of the board elected by a majority of voting members. The Chair serves until the end of his or her term, and may be re-elected indefinitely.

The duties of the DCB Chair include: 1. Leading DCB meetings. 2. Proposing future DCB meetings according to the process outlined below. 3. Communicating with the DCB Representative of University EHS to recommend the appointment of members elected by the DCB. 4. Serving as a primary point of contact for the DCB.

Diving Safety Officer (DSO) The DSO serves as a voting member and administrator of the DCB. The DSO should have broad technical, scientific, and recreational expertise in diving. The DSO is a full-time appointment and reports to the University Director of EHS and the DCB. In addition to the DCB-specific job duties list below, additional DSO duties specific to operations and oversight of the DSP are listed in the ADM. Prior to hiring, it is preferred that the DCB have the opportunity to review and provide input on DSO candidates.

The duties of the DSO pertinent to the DCB SOP are the following: 1. Serve as a secondary point of contact for the DCB. 2. Serve on the Recreational, Scientific, and Medical DCB Subcommittees. 3. Organize DCB meetings to include finalizing meeting dates and times, creating and providing meeting agendas, and distributing the meeting minutes, within consultation of the DCB Chair. 4. Designate DCB meeting minute recordings. 5. Count DCB secret ballot votes and reporting results to the DCB. 6. Reporting University dive-related accidents and dangerous incidents to the DCB. 7. Approving and monitoring IU diving projects. 8. Ensure compliance with the ADM for any scuba and skin diving occurring under IU auspices. 9. Ensure that IU compressed breathing air station(s) meet OSHA and manufacturer standards for safety and breathing air quality. 10. Suspend diving operations considered unsafe or unwise according to the DCB.

Subcommittee Chairs A Subcommittee Chair serves as the leader of one of the three subcommittees and is elected by a majority of DCB voting members. The Chair serves until the end of his or her term, and may be re-elected indefinitely. Subcommittee chairs must be a DCB voting member and have expertise as a professional within the specific field of the subcommittee.

The duties of a Subcommittee Chair include: 1. Lead subcommittee meetings. 2. Schedule subcommittee meetings as needed. Revised February 2016

3. Report to and advise the DCB in a manner representative of the disposition of the subcommittee. 4. Serve as a point of contact for non-members with interests in the subcommittee area.

Meeting Protocol

Attendance and Quorum The DCB will convene at least two times per academic year and, additionally, upon specific request by any DCB voting member. A quorum of voting members must be present (in person or via telecommunications) in order to adopt changes, approve projects, etc. A quorum is defined as 50% plus one of total DCB voting members. DCB voting members are expected to attend scheduled meetings unless they have notified the DCB Chair or DSO that they are unable to do so.

Calling a Meeting It is the responsibility of the DCB Chair and DSO to provide two or more scheduling options to the rest of the board to plan future DCB meetings. Based on DCB voting member input, the DCB Chair and DSO will select a time to maximize attendance and meet quorum, which the DSO will communicate to DCB members.

DCB meetings must be scheduled with anticipated Agenda items at least 30 days in advance. If necessary, emergency meetings may be called by any voting member with shorter notice to address time sensitive issues. Ideally, scheduling of future DCB meetings will happen during a previous DCB meeting, but may also be organized by phone, email, or electronic survey.

Agendas The DSO shall provide a preliminary agenda to all DCB members no later than 30 days prior to a scheduled meeting, consulting with the DCB Chair and other members as needed. If there are any changes from the preliminary agenda, the DSO will provide a final meeting agenda a week in advance, with subsequent updates as necessary. In the event of an emergency meeting, it is the responsibility of the voting member calling the meeting to provide an agenda as soon as possible. All meetings will start with a vote to approve or modify the agenda.

Minutes The DSO or a designated proxy will record meeting minutes. The DSO or a designated proxy will distribute minutes to all DCB members within one week following a meeting. After approving the agenda at the start of a meeting, DCB members will vote to approve or modify the minutes of the previous meeting by simple majority. Following DCB approval, minutes should be posted to the EHS Program website (https://protect.iu.edu/environmental- health/diving/index.html).

General Voting In order to conduct a vote, quorum must be physically or electronically present. All votes conducted by the DCB will be determined by a simple majority of present voting members. In Revised February 2016 order to bring a motion to vote, it must first be proposed and seconded by a total of two DCB voting members. Non-election votes will be determined by a raising of hands or verbal expression, with the option for secret ballot upon a voting member’s request.

Additionally, a motion to vote may be presented through email correspondence, or an alternative electronic surveying mechanism, by a DCB voting member. The correspondence must identify the DCB members who proposed and seconded the action item for vote as well as a deadline for voting. A written response in support or opposing the motion should be submitted to the DSO that ends with a written or electronic signature. The DSO will inform the DCB of the outcome within 24 hours of the announced deadline or sooner if a simple majority is reached. The vote taken will become part of the recorded minutes of the board.

Absentee Voting A DCB voting member that is unable to attend a meeting may designate a proxy to cast a vote on his or her behalf. A vote by proxy may only occur for action items that were presented and reviewed by the absent DCB voting member prior to the meeting.

Electoral Voting For elections as a DCB voting member, the DCB Chair, or a Subcommittee Chair, an individual must first be nominated by another voting member or him/herself. A second is not required to initiate elections. After nominations, elections are to be conducted by secret ballot to be counted by the DSO. As with general voting, elections are determined by simple majority of present voting members. Regarding election as a DCB voting member, it is the role of the DCB Representative from EHS to bring the results of DCB voting member elections to the OEVPUAA for final approval and official appointment.

Voting a Tie A general vote that results in a tie will be considered a vote in opposition. The action item may be revisited and a revote conducted. If a tie results during electoral voting, the DCB must re- ballot until someone receives a majority.