DIVE SCUBA (5SC) Checklist
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1 DIVE SCUBA (5SC) Checklist UPDATED May 2017
2 SAFETY REVIEW ITEMS - SCUBA ADMINSTRATION 1. (A1M0) 2. (A1N0) 3. (A1O0) 4. (A2P0) 5. (A2VO) IS ALL SCUBA EQUIPMENT COVERED BY TO INCLUDE PRESSURE POT AND CALIBRATED EQUIPMENT? REF: NAVSEAINST SERIES ARE UP TO DATE MANUFACTURERS TECH MANUALS AVAILABLE FOR ALL SCUBA EQUIPMENT? REF: NAVSEAINST SERIES DOES A SUPERVISOR PRE-DIVE CHECK-OFF SHEET EXIST FOR SCUBA? NOTE: IF MK 20 MOD 0 IS UTILIZED, DOES SUPERVISOR PRE-DIVE CHECKLIST REFLECT REQUIRED CHECKS? REF: MK-20 MANUAL ARE DEPTH AND SUBMERSIBLE PRESSURE GAUGES CALIBRATED OR COMPARED AND RESULTS RECORDED AND RECORDS AVAILABLE FOR REVIEW? REF: Applicable ARE DIVE COMPUTERS CALIBRATED AS REQUIRED? REF: Applicable
3 6. (A2W0) EQUIPMENT, BC ARE APPLICABLE SITUATIONAL REQUIREMENTS BEING ACCOMPLISHED ON SCUBA AND ARE THEY DOCUMENTED ON THE BOARDS? REF: NAVSEAINST SERIES Applicable 7. (A1K0) 8. (A2H0) 9. (A2I0) EQUIPMENT, CYLINDERS ARE DIVER'S LIFE PRESERVERS OR BUOYANCY COMPENSATORS OF THE APPROVED TYPE? REF: NAVSEA/OOC AUTHORIZED FOR NAVY USE (ANU) IS MAINTENANCE BEING CONDUCTED ON LIFE PRESERVERS AND BUOYANCY COMPENSATORS? ARE THEY IN GOOD CONDITION AND OPERATE AS DESIGNED? REF: Applicable ARE THE LIFE PRESERVERS AND BUOYANCY COMPENSATORS RELIEF VALVES WORKING AND IN GOOD REPAIR? REF: Manufacuer's Tech Manual Applicable 10. (A1G0) ARE SCUBA CYLINDER MANIFOLD VALVES AND RELIEF VALVE MECHANISMS PROPERLY MATCHED TO CYLINDER WORKING PRESSURE TO ENSURE THE RELIEF VALVE (BLOW OUT PLUG) IS THE WEAKEST POINT IN THE SYSTEM? REF: Applicable NAVSEA/OOC AUTHORIZED FOR NAVY USE (ANU)
4 11. (A1K3) 12. (A2C0) 13. (A2D0) 14. (A2E0) EQUIPMENT, MISC 15. (A1K2) ARE PRESSURIZED SCUBA BOTTLES AND GAS CYLINDERS PROPERLY STOWED AND IS STOWAGE SECURE AND AWAY FROM HEAT? REF: OPNAVINST SERIES NSTM 550 ARE ALL SCUBA BOTTLES WITHIN HYDRO DATE, TESTED AND MARKED? REF: Applicable ARE THE SCUBA BOTTLE RESERVE PRESSURE SETTINGS WITHIN THE RECOMMENDED PRESSURE RANGE? SINGLE MIN-450 PSI DOUBLE MIN-225 PSI REF: Applicable IS THE BEING PERFORMED ON THE INTERNAL SURFACE OF THE SCUBA BOTTLES? REF: Applicable ARE ALL DIVERS OUTFITTED WITH THE MINIMUM EQUIPMENT? (I.E. WRIST WATCH, MASK, ETC ) REF: NAVSEA/OOC AUTHORIZED FOR NAVY USE (ANU)
5 16. (A1K6) EQUIPMENT, REGULATORS Does the unit have the minimum non medical emergency equipment IAW USNDM Fig REF: U.S. Navy Dive Manual 17. (A1F0) 18. (A1F2) 19. (A2A0) 20. (A2M0) ARE ALL DIVER'S SCUBA REGULATORS ON THE AUTHORIZED FOR NAVY USE (ANU) LIST? REF: NAVSEA/OOC AUTHORIZED FOR NAVY USE (ANU) ARE COLD WATER REGULATORS LISTED ON THE AUTHORIZED FOR NAVY USE (ANU) LIST. REF: NAVSEA/OOC AUTHORIZED FOR NAVY USE (ANU) IS HYGIENIC MAINTENANCE BEING PERFORMED ON REGULATORS? REF: Applicable IS THE 1ST STAGE OF THE SINGLE HOSE REGULATOR OVERBOTTOM SET AT THE MANUFACTURER'S DESIGNATED PSI PRIOR TO EACH MISSION? REF: Manufacturers's Tech Manual
6 21. (A2U0) 22. (A3A0) ARE STANDBY DIVER REGULATORS EQUIPPED WITH AN ANU APPROVED AND CLEARLY IDENTIFIABLE SECOND STAGE OCTOPUS? REF: NAVSEA/OOC AUTHORIZED FOR NAVY USE (ANU) HAVE ALL SCUBA REGULATORS BEEN OVERHAULED BY TECHNICIANS WHO HAVE BEEN FORMALLY TRAINED IAW MANUFACTURER'S TECH MANUAL? REF: Applicable
7 SCUBA COMMAND NAME: LOCATION: UIC: DATE: SURVEYOR(S): NO. COMPLETE: NO. REQ ACTION: NOT APPLICABLE: Q # Question Result Sig Rep 1 5SCA1M0 C R N U Sig Sig Sig 2 5SCA1N0 C R N U Sig Sig Sig 3 5SCA1O0 C R N U Sig Sig Sig 4 5SCA2P0 C R N U Sig Sig Sig 5 5SCA2VO C R N U Sig Sig Sig 6 5SCA2W0 C R N U Sig Sig Sig 7 5SCA1K0 C R N U Sig Sig Sig 8 5SCA2H0 C R N U Sig Sig Sig 9 5SCA2I0 C R N U Sig Sig Sig 10 5SCA1G0 C R N U Sig Sig Sig 11 5SCA1K3 C R N U Sig Sig Sig 12 5SCA2C0 C R N U Sig Sig Sig 13 5SCA2D0 C R N U Sig Sig Sig 14 5SCA2E0 C R N U Sig Sig Sig 15 5SCA1K2 C R N U Sig Sig Sig 16 5SCA1K6 C R N U Sig Sig Sig 17 5SCA1F0 C R N U Sig Sig Sig 18 5SCA1F2 C R N U Sig Sig Sig 19 5SCA2A0 C R N U Sig Sig Sig 20 5SCA2M0 C R N U Sig Sig Sig 21 5SCA2U0 C R N U Sig Sig Sig 22 5SCA3A0 C R N U Sig Sig Sig
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