3rd September 2010
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Details of Incident
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Federation
Please Select...
A.S. ACQUA TEAM GYMSWIM
ANTINCENDIO PREVENZIONE TECNOLOGIA
ASSOCIATION DES MONITEURS DE LA C.M.A.S. DU QUEBEC
ASSOCIATION SALVADORENA DE BUCEO Y ACTIVIDADES SUBACUATICAS
AUSTRALIAN UNDERWATER FEDERATION
BELARUS FEDERATION OF UNDERWATER SPORT
BRITISH UNDERWATER SPORTS ASSOCIATION
BULGARIAN NATIONAL ASSOCIATION OF UNDERWATER ACTIVITY
C.M.A.S. GERMANY e. V.
CANADIAN UNDERWATER GAMES ASSOCIATION
CERTIFICATION SUB-AQUATIQUE CONTINENTALE
CHINESE TAIPEI UNDERWATER FEDERATION
CHINESE UNDERWATER ASSOCIATION
CMAS INZ Inc. NEW ZEALAND
COLLEGE PROFESSIONNEL DES MONITEURS
COMITATO ITALIANO RICERCHE STUDI SUBAQUEI
CONFEDERAǦO BRASILEIRA DE PESCA E DESPORTOS SUBAQU¦TICOS
CONFEDERATION RUSSE DES ACTIVITES SUBAQUATIQUES
CONSEJO PARA LA CONSERCAVION Y ESTUDIO DE SITIOS Y RECURSOS ARQUEOLOGICOS SUBACUATICAS
CYPRUS FEDERATION OF UNDERWATER ACTIVITIES
DANSK SPORTSDYKKER FORBUND
DIVERS ALERT NETWORK / DAN EUROPE
EESTI ALLVEESPORDI LIIT
EGYPTIAN UNDERWATER & LIFESAVING FEDERATION
EMIRATES DIVING ASSOCIATION
EUROPEAN DIVER TECHNICAL LEVEL
EUROPEAN TECHNICAL DIVING SCHOOL
FEDERACIaN ARGENTINA DE ACTIVIDADES SUBACUATICAS
FEDERACIaN CUBANA DE ACTIVIDADES SUBACUATICAS
FEDERACION CHILENA DE DEPORTES SUBMARINOS
FEDERACION COLOMBIANA DE ACTIVIDADES SUBAUATICAS
FEDERACION ESPAÑOLA DE ACTIVIDADES SUBACUATICAS
FEDERACION MEXICANA DE ACTIVIDADES SUBACUATICAS A.C.
FEDERACION PERUANA DE ACTIVIDADES SUBACUATICAS SUBACUATICAS
FEDERACION URUGUAYA DE ACTIVIDADES SUBACUATICAS
FEDERACION VENEZOLANA DE ACTIVIDADES SUBACUATICAS
FEDERAǦO PORTUGUESA DE ACTIVIDADES SUBAQUATICAS
FEDERATIA DE ACTIVITATI SUBACVATICE DIN REPUBLICA MOLDAVA
FEDERATION ALGERIENNE DE SAUVETAGE DE SECOURISME ET DES ACTIVITES SUBAQUATIQUES
FEDERATION BULGARE DE PECHE SOUS_MARINE
FEDERATION BULGARE DES SPORTS SOUS-MARINS
FEDERATION DES ACTIVITES SUBAQUATIQUES DE TUNISIE
FEDERATION LUXEMBOURGEOISE DES ACTIVITES ET SPORTS SUBAQUATIQUES
FEDERATION MONEGASQUE DES ACTIVITES SUBAQUATIQUES
FEDERATION OF PANAMA / RC GALERA
FEDERATION OF UNDERWATER ACTIVITIES MALTA
FEDERATION SENEGALAISE DES ACTIVITES SUBAQUATIQUES
FEDERATION SUISSE DES SPORTS SUBAQUATIQUES
FEDERATION TAHITIENNE DES SPORTS SUBAQUATIQUES DE COMPETITION
FEDERAZIONE ITALIANA PESCA SPORTIVA E ATTIVITA SUBACQUEE
FEDERAZIONE SAMMARINESE ATTIVITA SUBACQUEE
GROUPE BELGE DE RECHERCHES SCIENTIFIQUES SOUS-MARINES
HANDI-DIVERS INTERNATIONAL FOUNDATION
HANDICAPPED SCUBA ASSOCIATION
HELLENIC FEDERATION FOR UNDERWATER ACTIVITIES AND SPORTFISHING, FINSWIMMING
HIEP HOI THE THAO DUOI NUOC VIET NAM
HINGARIAN DIVERS FEDERATION
HONG KONG UNDERWATER ASSOCIATION
HRVATSKI RONILACKI SAVEZ
HRVATSKI SAVEZ ZA SPORTSKI RIBOLO NA MORU
IRISH UNDERWATER COUNCIL
ISLAMIC REPUBLIC OF IRAN LIFESAVING FEDERATION
JAPAN CMAS INSTRUCTOR ASS.
JAPAN UNDERWATER SPORTS FEDERATION
KAZAKHSTAN UNDERWATER ACTIVITIES FEDERATION
KOREA UNDERWATER ASSOCIATION
LATVIJAS ZEMUDENS SPORTA FEDERACIJA
LIBYAN DIVING ASSOCIATION
LIECHTENSTEINER TAUCHSPORT VERBAND
LIETUVOS POVANDENINIO SPORTO FEDERACIJA
MALAYAN SUB AQUA CLUB
MAURITIUS SCUBA DIVING ASSOCIATION
NADD - ASSOCIAZIONE NAZIONALE ATTIVITA SUBACQUEE NATATORIE PER DISABILI
NAMIBIAN UNDERWATER FEDERATION
NEDERLANDSE ONDERWATERSPORT BOND
NEW ZEALAND UNDERWATER ASSOCIATION
NORGES DYKKEFORBUND
Officina Nacional de Patrimonio Cultural Subacuatico
PALESTINIAN SWIMMING FEDERATION
PERSARTUAN OLAH RAGA SELAM SELURUH INDONESIA - PENGURUS BESRA HQ
PHILIPPINE CMAS INSTRUCTORS ASSOCIATION INC
PHILIPPINE UNDERWATER HOCKEY CONFEDERATION
POLSKI ZWIAZEK PLETWONURKOWANIA SPORTOWEGO
POLSKIE TOWARZYSTWO TURYSTYCZNO-KRAJOZNAWCZE KOMISJA DZIALALNOSCI PODW.
ROYAL JORDANIAN MARINE SPORTS FEDERATION
SAVEZ RONILACA BOSNE I HERGEGOVINE
SAVEZ RONILACA JUGOSLAVIJE
Scuba Diving Training Agency
SINGAPORE UNDERWATER FEDERATION
SLOVENSKA POTAPLJASKA ZVEZA
SOUTH AFRICA UNDERWATER UNION
SUB-AQUA ASSOCIATION
SUOMEN URHEILUSUKELTAJAIN LIITTO RY
SVAZ CESKYCH POTAPECU
SVENSKA SPORTDYKARFÖRBUNDET
TAIWAN TECHNICAL & SCIENCE DIVING ASSOCIATION
TAUCHSPORTVERBAND ÖSTERREICHS
TECHNICAL DIVING INTERNATIONAL
THE ISRAELI DIVING FEDERATION
Toa Engineering Corporation
TÜRKIYE SUALTf FEDERASYONU
UKRAINIAN UNDERWATER SPORTS FEDERATION
UNDERWATER FEDERATION OF INDIA
UNDERWATER SOCIETY OF AMERICA
UNION ITALIENNE SPORT POUR TOUS
UNITED STATES OF AMERICA UNDERWATER FEDERATION
VERBAND DEUTSCHER SPORTTAUCHER E.V.
YMCA SCUBA PROGRAM
ZVÄZ POTAPACOV SLOVENSKA
Location
Organisation of Dive
Club
Commercial Centre
Holiday
Private
School
Scientific / Research Org
Location Type
Lake/Quarry
On Land
River/Canal
Sea
Swimming Pool
Country
Albania
Algeria
Andorra
Anguilla
Antigua & Barbuda
Armenia
Aruba
Australia
Austria
Azerbajan
Azores
Bahamas
Bahrain
Balearic Islands
Bangladesh
Barbados
Belarus
Belguim
Belize
Benin
Bermuda
Bhutan
Bolivia
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde
Cayman Islands
Central African Republic
Chad
China
Christmas Islands
Cocos
Colombia
Comoros
Congo Democratic
Corsica
Costa Rica
Croatia
Cyprus
Czech Republic
Denmark
Dijbouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gaza and Khan Yunis
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadaloupe
Guam
Guatemala
Guernsey
Guinea
Honduras
Hong Kong
Hungary
Iceland
India
Indionesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kerghiztan
Kiribati
Korea South
Kuwait
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liecheststein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Madeira
Malawi
Malaysia
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Micronesia
Modova
Monaco
Monserrat
Morrocco
Mozambique
Nambia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
New Zealand Island Territories
Nicuragua
Niger
Nigeria
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Phillipines
Poland
Porto Rico
Portugal
Qatar
Reunion
Romania
Russia
Samoa
Sardinia
Saudi Arabia
Senegal
Seychelles
Sicily
Singapore
Slovakia
Slovenia
Soloman Islands
South Africa
Spain
Sri Lanka
St Christopher & Nevis
St Lucia
St Pierre Miquelon
Sudan
Suriname
Swaziland
Sweden
Switzerland
Taiwan
Tanzania
Thailand
The Gambia
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Of America
Uruguay
Vanuatu
Venuzuela
Vietnam
Virgin Islands
Wake Island
Wallace and Futuna Islands
Western Samoa
Yemen
Zambia
Zimbabwe
Dive Details
Maximum Depth of Dive
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Depth at which incident started
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Weather
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Bright Sun
Hazy Sun
Fair
Overcast 10% Cloud Cover
Overcast 20% Cloud Cover
Overcast 30% Cloud Cover
Overcast 40% Cloud Cover
Overcast 50% Cloud Cover
Overcast 60% Cloud Cover
Overcast 70% Cloud Cover
Overcast 80% Cloud Cover
Overcast 90% Cloud Cover
Overcast 100% Cloud Cover
Rain
Sleet
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Fog
Windy
Surface Viability
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Decompression conducted: Depth(s)
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Time(s)
Surface Interval Since Previous Dive
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Sea/Water Surface Conditions
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Calm
Light Swell
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Strong Swell
Rough
Underwater Visibility
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Details of Previous Related Dives
Previous Dive 1
Maximum Depth of Dive
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Decompression conducted: Depth(s)
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Time(s)
Surface Interval Since Previous Dive
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Previous Dive 2
Maximum Depth of Dive
Please Select
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Metres
Dive Duration
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Decompression conducted: Depth(s)
Select
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M
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M
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Time(s)
Surface Interval Since Previous Dive
00
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Type of Incident and Factors involved
(please select all that apply)
Section 1
Fatality
Ear Problems / Damage
Embolism
Hypothermia
Decompression Illness
Breathlessness
Unconsciousness
Panic
Injury
Cramp
Illness
Resuscitation Involved
Narcosis
First Aid Oxygen Used
Oxygen Poisoning
Section 2
Nitrox
Trimix
Rebreather
Section 3
Aborted Dive
Diver Too Buoyant
Ascent Using Alternate Air Source
Diver Too Heavy in Water
Buoyant Ascent
Out of Air
Free Ascent (w/o air supply)
Foul Air
Controlled Buoyant Lift
Incorrect Gas Mixture
Rapid Ascent
Section 4
Rough Water
Low Underwater Visibility
Cold Water
Low Surface Visibility
Water Current
Section 5
Good Practice
Malice
Bad Seamanship
Inadequate pre-dive check
Good Seamanship
Inadequate Training
Carelessness
Entangled/Trapped
Ignorance
Fire/Explosion
Disregard of Rules
False Alarm
Section 6
Solo Diving
Training Drill
Trio Diving
Diving at Altitude(250m +)
Separation
Divers Underwater
Lost Diver(s)
Divers on Surface
Drift Diving
Section 7
Wreck Dive
Snorkel Dive
Cave Dive
Boat Dive
Night Dive
Shore dive
Emergency Services
Coastguard
Hospital
Lifeboat
Police
Helicopter
Fire Brigade
Ambulance
Recompression
Decompression Incidents
Dive within tables
Inaccurate use of tables
Other Tables
please specify
Dive using computer
Computer details
Computer make
Computer model
Computer serial number
Computer age
Please Select
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
Dive within computer limits
Re-entry decompression
Missed decompression stops
Repeat diving
Details of Individual Involved
Person 1
Surname
First Name
Gender
Female
Male
Age
Select
0
1
2
3
4
5
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7
8
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98
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100
101
102
103
104
105
106
107
108
109
years
Previous Medical Condition
Training Agency
Branch name
Branch number
Membership Number
Diving Grade
Select
1 star
2 star
3 star
4 star
Instructor Grade
Select
1 star
2 star
3 star
4 star
Dives This Year
Select
0
1
2
3
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5
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133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
Total Dives
Select
0
10
20
30
40
50
60
70
80
90
100
110
120
130
140
150
160
170
180
190
200
210
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690
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770
780
790
800
810
820
830
840
850
860
870
880
890
900
910
920
930
940
950
960
970
980
990
1000
Year Started Diving
Select
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Gas Mixture Used
Dive
Stops
Air
Nitrox 32
Nitrox 36
Nitrox 50
Other
Please Specify
Person 2
Surname
First Name
Gender
Female
Male
Age
Select
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
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79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
years
Previous Medical Condition
Training Agency
Branch name
Branch number
Membership Number
Diving Grade
Select
1 star
2 star
3 star
4 star
Instructor Grade
Select
1 star
2 star
3 star
4 star
Dives This Year
Select
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
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107
108
109
110
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115
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128
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141
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148
149
150
Total Dives
Select
0
10
20
30
40
50
60
70
80
90
100
110
120
130
140
150
160
170
180
190
200
210
220
230
240
250
260
270
280
290
300
310
320
330
340
350
360
370
380
390
400
410
420
430
440
450
460
470
480
490
500
510
520
530
540
550
560
570
580
590
600
610
620
630
640
650
660
670
680
690
700
710
720
730
740
750
760
770
780
790
800
810
820
830
840
850
860
870
880
890
900
910
920
930
940
950
960
970
980
990
1000
Year Started Diving
Select
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Gas Mixture Used
Dive
Stops
Air
Nitrox 32
Nitrox 36
Nitrox 50
Other
Please Specify
Person 3
Surname
First Name
Gender
Female
Male
Age
Select
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
years
Previous Medical Condition
Training Agency
Branch name
Branch number
Membership Number
Diving Grade
Select
1 star
2 star
3 star
4 star
Instructor Grade
Select
1 star
2 star
3 star
4 star
Dives This Year
Select
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
Total Dives
Select
0
10
20
30
40
50
60
70
80
90
100
110
120
130
140
150
160
170
180
190
200
210
220
230
240
250
260
270
280
290
300
310
320
330
340
350
360
370
380
390
400
410
420
430
440
450
460
470
480
490
500
510
520
530
540
550
560
570
580
590
600
610
620
630
640
650
660
670
680
690
700
710
720
730
740
750
760
770
780
790
800
810
820
830
840
850
860
870
880
890
900
910
920
930
940
950
960
970
980
990
1000
Year Started Diving
Select
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Gas Mixture Used
Dive
Stops
Air
Nitrox 32
Nitrox 36
Nitrox 50
Other
Please Specify
Person 4
Surname
First Name
Gender
Female
Male
Age
Select
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
years
Previous Medical Condition
Training Agency
Branch name
Branch number
Membership Number
Diving Grade
Select
1 star
2 star
3 star
4 star
Instructor Grade
Select
1 star
2 star
3 star
4 star
Dives This Year
Select
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
Total Dives
Select
0
10
20
30
40
50
60
70
80
90
100
110
120
130
140
150
160
170
180
190
200
210
220
230
240
250
260
270
280
290
300
310
320
330
340
350
360
370
380
390
400
410
420
430
440
450
460
470
480
490
500
510
520
530
540
550
560
570
580
590
600
610
620
630
640
650
660
670
680
690
700
710
720
730
740
750
760
770
780
790
800
810
820
830
840
850
860
870
880
890
900
910
920
930
940
950
960
970
980
990
1000
Year Started Diving
Select
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Gas Mixture Used
Dive
Stops
Air
Nitrox 32
Nitrox 36
Nitrox 50
Other
Please Specify
Equipment Details that contributed to the incident
(Only tick those that contributed to the accident)
Diving Equipment
Cylinder
Face mask
Regulator
Full face mask
Pressure Gauge
Snorkel
Hose
Knife
BC
Watch
ABLJ
Compass
Drysuit
Dive computer
Undersuit
SMB
Wetsuit
Delayed SMB
Dump Valve
SMB Reel
Inflation Valve
Lifting bag
Hood
Rope
Gloves
Torch
Weight/Weightbelt
Camera
Ankle weights
Tools
Other - please specify
Boat and boating equipment
Engine failure/malfunction
Boat swamping
Out of fuel
Boat capsize
Incorrect or dirty fuel
VHF radio failure
Boat malfunction
Propellor
Other - please specify
Faulty item details
Item
Make
Model
Serial No
Approximate Age
Select
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
years
Summary
Description of Incident
Incident Submitted By
Reported By
Address
Date
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