UOG Marine Laboratory Scientific Snorkeling Policy Guide

Similar documents
DENVER DIVERS SNORKELING

Medical declaration for divers

D.O.B. (day/month/year)

Snorkeling BSA Certification

ALL FIELDS ARE REQUIRED

PADI Advanced Open Water Course on Rawa Island with Orca Scuba!

Freedive Toronto Membership Form

Female. Gender: Male. padi.comor mailing the Discover Scuba Diving Registration Formto your PADI Office. Discover Scuba Diving Registration Form

Youth Diving: Responsibility and Risks Flipchart. Welcome

JACK S DIVING LOCKER

JACK S DIVING LOCKER

Non-Agency Disclosure and Acknowledgment Agreement

Program Fee $49. Course Overview Discover Scuba Program #RCT.000. FAQs. Administrative Items IVS Discover Scuba Participant Registration Form

PADI Non-Agency Disclosure and Liability Release and Assumption of Risk Agreement

Youth Diving: Responsibility and Risks Flipchart. Welcome

SCUBA DIVING SAFETY MANUAL

A VERY WARM WELCOME TO ROHO

ISO INTERNATIONAL STANDARD. Recreational diving services Requirements for the conduct of snorkelling excursions

^PADI Student Record File

Divemaster. Divemaster

4D Diving and Adventures Safety Protocol Revised Nov 1, 2017

Westminster SCUBA Diving Global Program

Halloween Party and Pumpkin Carving Contest October 31 st, 2015

Occupational diver medical assessment questionnaire

PRE TRAINING QUESTIONNAIRE

Dear Parents/Grandparents/Guardians!

Solo Swimmer Application

INITIAL DIVER APPLICATION AND EXAMINATION PACKAGE

Bayou Wing Chun Waiver APPLICATION FORM

Matthews Thomas Park Pool Membership 6737 Olde Eight Rd Boston Heights, OH (330) Boston Heights Village Hall (330)

AIDA** Freediver Course Outline

e) All divers attending open water dives must ensure that the Dive Marshall is aware of their levels of training and experience.

Contact 2: Name(s): Phones: (home) (mobile) (office) Contact 3: Name(s): Phones: (home) (mobile) (office)

ISO INTERNATIONAL STANDARD

Alaska Swimming All- Star Team

7. Open Water Scuba Diver

Truro City Swimming Club (Affiliated to the Amateur Swimming Association) Membership Application

REEFTRIP.com. Medical Questionnaire Dive Medical Recreational AS Section Abbott Street, Cairns T: E:

New Member Joining Pack SAA 1063

Mansfield University Swim Lessons Spring 2018

SWIM Across the Sound Marathon

Welcome to Costa Rica!

STUDENT ORIENTATION PACKET

*See Supervised Diver Upgrade procedure #6.12 for certification requirements.

EFFECTIVE 1 OCTOBER 2004 MINIMUM COURSE CONTENT FOR RECREATIONAL SCUBA INSTRUCTOR CERTIFICATION

MEDICAL ASSESSMENT FORM 2018

Team Knightro Tryout Checklist

Welcome to the Santa Fe Ultimate Coed Summer League!

SWIM Across the Sound Marathon

TEXAS HOTSHOTS BASKETBALL CLUB

Snorkeling, BSA Application

(*WINTER 18*) NUGGET SURF LESSONS / PRACTICE CLUB MEMBERSHIP Participant Agreement and Waiver of Liability

Spring 2019 SWIM LESSON SESSIONS AND REGISTRATION DATES: (Includes online and over the counter)

TRAINING CLASS. December 16, 2017 (precourse swim test) December 21-29, $ CBRC members $ non-members *tax not included

3R RANCH OUTFITTERS, LLC 2016 HUNTING AGREEMENT

BUILDING CONFIDENCE. Swim Lessons MARY PERRY RAGSDALE FAMILY YMCA

Please remember that the only prerequisites are that your sailor can swim and comes to camp with a fun attitude.

Scuba Training and Technology Inc Kiowa Blvd North, Lake Havasu City, AZ Responsibility Agreement and Liability Release

BUILDING CONFIDENCE. Swim Lessons MARY PERRY RAGSDALE FAMILY YMCA

Southeast Texas Junior Football

SWIM Across the Sound Marathon

SDI Instructor Manual

Lifeguarding Certification. Welcome Packet

IDC Prep Standards Exam 2018

Policies & Procedures:

Relay Team Swimmer Application

ISO INTERNATIONAL STANDARD. Recreational diving services - Requirements for the training of recreational snorkelling guides

Open Water SCUBA Diving at Glendale Community College Syllabus PED101SU, Section Spring 2013

Level 1 Freediver Course Standards and Overview

DENVILLE RECREATION 2014 SKI & SNOWBOARD PROGRAM

Team Relay Application

13. Shallow Water Scuba Diver

2017 Public Safety Diver Training Standards

Outlined below is the criteria and process a candidate must go through to become an Ocean Rescue Lifeguard.

QUALIFICATIONS OF GRADUATES

2016 Santa Claus Parade Information and Entry Forms RULES AND REGULATIONS

Gilwell 24 Parent/Guardian Permission Form. Gilwell 24 Parent/Guardian Permission Form

Surf Life Saving Australia Policy

Features of Underwater Walking

Ontario Recreational Canoeing and Kayaking Association

45 East Boston Mills Road Boston Heights, OH (330)

CONTESTANT APPLICATION

Chairman, Malta Tourism Authority MALTA TRAVEL AND TOURISM SERVICES ACT. (CAP. 409) Recreational Diving Services Regulations, 2012

Further information about your Offshore Medical with Work Health Solutions.

IT S TIME TO REGISTER FOR JUNIOR LIFEGUARDS!

b) Submission of Crew list and arrival details (no later than 2 weeks prior to charter)

Warren County Farmers Fair Release and policy on alcohol and drugs

Application 2018 Montana TU Conservation and Fly Fishing Camp

15 th USA Wakeboard Nationals September 27 29, 2013 Lake Wylie at Ebenezer Park - Rock Hill, South Carolina

Jack Hatton and Harun Bogdanic Judo Clinic USJF Sanction Number: #

2017 VYF&C REGISTRATION CARD

Round Denmark Bike Race release and. waiver of liability:

I, Date of Birth../../ Home address... City/State/Country Contact address is Australia. Emergency contact name.. Emergency contact phone no...

SWIM Across the Sound Marathon

Gulf Coast & Mississippi High School Sailing Championship

1. Introduction Definition of a dive... 3

Sincerely, SUMMER CAVE STAFF

Registration Form (Turn one in for each athlete)

2019 Surf City Lifeguard-In-Training Program Application

SDI Instructor Manual

Transcription:

UOG Marine Laboratory Scientific Snorkeling Policy Guide 1.0 INTRODUCTION It is the intent of the University of Guam Marine Laboratory (UOGML) to maximize Scientific Snorkeling safety. Therefore no person shall engage in scientific snorkeling operations through UOGML unless they have been granted permission in accordance with this manual. 1.2 REQUIREMENTS FOR APPLICATION Applicants must complete the following forms: 1. UOG Marine Laboratory Snorkeling medical form. 2. Statement of Understanding and Agreement. 3. Brief Snorkeling History. 4. Applicants must provide Current EFR and Oxygen Provider Certifications. 5. UOG Marine Laboratory Waiver of Liability. 1.3 REQUIRED EQUIPMENT FOR SCIENTIFIC SNORKELING 1. Personal equipment must be supplied by each individual participant. 2. Exposure suit and fins must be used. 3. The participant must be able to maintain buoyancy at the surface with minimal effort. Floatation jackets and/or floats are recommended. 4. UOG Marine Laboratory will provide a dive flag to be displayed at all times snorkeling is going on, including when snorkeling takes place from shore. 5. UOG Marine Laboratory will provide First aid, Oxygen kits that are required for all snorkeling trips. 1.4 SCIENTIFIC SNORKELING PROTOCOL 1. A team consist of at least: two snorkelers. 2. Snorkelers must stay within 50 feet of the dive flag. 3. Snorkelers must adhere to the buddy system. On the surface, snorkelers should remain within 15 feet of their buddy. When making surface dives and swimming underwater, Snorkelers should adopt one up, one down (alternating dives). 4. Hyperventilation prior to breath-hold diving is a dangerous practice and is not permitted. 5. Applicants requiring training in snorkeling/skin diving techniques and applicants with weak swimming abilities should make this known to the Diving Safety Officer. UOGML Scientific Snorkeling: Policy Guide (Mar 25, 2016) 1/2

UOG Marine Laboratory Scientific Snorkeling Policy Guide 1.5 ACTIVITIES REQUIRING SPECIAL APPROVAL It is the Participant s responsibility to consult the Diving Safety Officer to assess the safety aspects of a snorkeling/freediving activity. The following activities require expressed prior approval from the Diving Safety Officer: 1. Snorkeling/Skin Dives that do not adhere to this policy guide. 2. After hours dives. 3. Snorkeling/skin diving between sunset and sunrise. 4. Hazardous conditions. 5. Exposed areas. 6. Currents and waves. 7. Confined areas and inside caverns. 8. Risk of entanglement. 9. Increased boat traffic. 10. Adverse weather conditions. 11. Snorkeling/skin diving following dives breathing compressed gas (scuba) dives. 12. Breath-hold dives deeper than 15 feet. 13. Spear fishing. UOGML Scientific Snorkeling: Policy Guide (Mar 25, 2016) 2/2

UOG MARINE LABORATORY SNORKELING MEDICAL FORM 1 PARTICIPANT RECORD CONFIDENTIAL INFORMATION Please read carefully before signing. This is a statement in which you are informed about potential risks related to snorkeling and the code of conduct to be accepted in the snorkeling program. Signing this statement is required to be considered as a participant in the snorkeling program offered by the Diving Safety Officer John Peralta and University of Guam Marine Laboratory, located in the city of Mangilao, Guam. Read this statement prior to signing it. You must complete the medical questionnaire to enroll in the snorkeling program. If you are a minor, you must have this statement signed by a parent or guardian. Snorkeling can be a demanding activity. When performed correctly, and when applying appropriate techniques, it is generally a safe activity. When established safety procedures are not followed, however, there are severe safety risks. To snorkel safely, you should be physically fit and not extremely overweight. Snorkeling can be strenuous under certain conditions. Your respiratory and circulatory systems must be in good health. All body air spaces must be normal and healthy. A person with coronary disease, current cold or congestion, epilepsy, a severe medical problem or under the influence of alcohol or drugs should not snorkel. If you have asthma, heart disease, other chronic medical conditions or you are taking medications on a regular basis, you should consult your doctor and the Dive Safety Officer before participating in this program, and on a regular basis thereafter upon completion. You will also need to learn from the Dive Safety Officer the important safety rules regarding snorkeling. If you have any questions regarding this medical statement or the medical questionnaire, review them with the Dive Safety Officer before signing. MEDICAL QUESTIONNAIRE To the Participant: The purpose of this medical questionnaire is to find out if you should be examined by your doctor before participating in the snorkeling program of the University of Guam Marine Laboratory. A positive response to a question does not necessarily disqualify you from snorkeling. A positive response means that there is a preexisting condition that may affect your safety while snorkeling and you must seek the advice of your physician prior to engaging in snorkeling activities under the auspices of the University of Guam. Please answer the following questions of your past or present medical history with a YES or NO. If you are not sure, answer YES. If any of these items apply to you, we must request that you consult with a physician prior to participating in snorkeling. Are you presently taking prescription medications (with the exception of birth control or anti-malarials)? HAVE YOU EVER HAD OR DO YOU CURRENTLY HAVE Epilepsy, seizures, convulsions or take medications to prevent them? Blackouts or fainting (full/partial loss of consciousness)? Inability to perform moderate exercise (example: walk 1.6 km/one mile within 12 mins.)? Heart disease, heart attack, angina, heart surgery or blood vessel surgery? 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 UOGML Scientific Snorkeling: Medical I (Mar 25, 2016) 1/1

UOG SCIENTIFIC SNORKELING MEDICAL FORM 2 Participant (Please Print) Name Birth Date Mailing Address City Country State/Province Zip/Postal Code Home Phone ( ) Business Phone ( ) Email Address Name and address of your family or primary care physician: Physician Clinic/Hospital Address Phone Date of last physical examination Name of examiner Clinic/Hospital Address Phone ( ) Physician This person will be traveling and snorkeling as part of their participation in educational and/or research programs sponsored by University of Guam Marine Lab. Your opinion of the applicant s medical fitness for travel and snorkeling is requested. Please review the attached medical history of the applicant. Physician s Impression: I find no medical conditions that I consider incompatible with snorkeling. I am unable to recommend this individual for snorkeling. Remarks _ Physician s Signature, M.D. Date Physician Clinic/Hospital Address Phone ( ) UOGML Scientific Snorkeling: Medical II (Mar 25, 2016) 1/1

UOG Marine Laboratory Scientific Snorkeling Statement of Understanding and Agreement I,, understand that all forms of water activities, including but not limited to snorkeling, have inherent risks and dangers associated with them. Persons not in good physical health, pregnant, with heart conditions, asthma (exercise or cold-induced), back or neck injuries, open wounds and recent surgeries should not participate in the activity. 1. I agree that if I participate with an in-water snorkeling activity that I can swim 200 yards and have the skills to snorkel in the open ocean with no assistance. If I cannot swim I agree to remain on the boat/vessel at all times. I also agree that I will not expect the UOG Marine Laboratory or its staff to teach me how to swim or snorkel, and that prior to the activity I will have the skills necessary to participate without assistance. It is required that the Participant possess at least minimal snorkel skills to include: clearing of mask and snorkel, swimming 25 yards with a minimum of 4 breaths, without swim aids, tread water for 5 minutes or 2 minutes without the use of hands, and towing another person a distance of 25 yards in the water without the use of swim aids. (Recommended minimal skills supplied upon request). 2. I UNDERSTAND THAT THERE ARE INHERENT RISKS INVOLVED WITH SNORKELING, included but not limited to equipment failure, perils of the sea, harm caused by marine creatures (including bites), acts of fellow participants, entering and exiting the water, boarding or disembarking boats, and activities on the docks. I assert that my participation is voluntary and that I knowingly assume all such risks. 3. I am physically fit to swim and participate in the activity. I understand that they can be physically strenuous activities and that I will be exerting myself during the activity. 4. I am in good mental health and physical fitness for the activity, and I am not under the influence of any illegal substance. If I am taking medication, I will inform the Dive Safety Officer that I have been advised by a physician and have approval to participate in the activity while under the influence of the medication. 5. If I need a flotation device I will ask for one. If I use a flotation device I will not remove the floatation device at any time while in the water. I acknowledge that doing so will constitute a violation of safety rules and procedures. If I become distressed at the surface, I will immediately inflate my floatation device for flotation assistance. 6. I understand that sea conditions may change while we are in route or on site. I will not hold UOG Marine Laboratory or its staff responsible for sea conditions that are out of their control. 7. I further understand and am fully aware that the boat, or boats involved in the activity have limited medical accommodations. I understand that in the event of an illness or injury, appropriate medical care must be summoned by radio, and that treatment may be delayed until the patient(s) can be transported to a proper medical care facility. 8. I understand that I have a duty to exercise reasonable care for my own safety and agree to do so. UOG Marine Laboratory Staff reserves the right to prohibit any individual from participating in the activity. Participant: I am responsible for myself and have been informed of the contents of this understanding and agreement before signing it. Print: Signature: Date: UOGML Scientific Snorkeling: Stat. Und. & Agreem. (Mar 25, 2016) 1/1

UNIVERSITY OF GUAM Marine Laboratory WAIVER OF LIABILITY Agreement this day of, 20 between the University of Guam (hereinafter University ) and (hereinafter Person ). In consideration of the University granting permission to the Person to use tools or equipment and/or participate in field trips and/or volunteer to assist in laboratory tests and/or experiments sponsored by the University, the Person hereby waives all claims for damage or loss to his/her person and/or property that may be caused by any act or failure to act by the University, its officers, agents or employees. The Person understands and assumes the risk of any dangerous conditions that may be encountered in the course of a field trip, during laboratory work or working in the shop. Person Witnessed by: Dive Safety Officer/ Marine Technician University of Guam Marine Laboratory UOGML Scientific Snorkeling: Liability Waiver (Mar 25, 2016) 1/1

University of Guam Marine Laboratory Scientific Snorkeling Instructions: This form must be filled out and returned to the Dive Safety Officer for record keeping. Participant s Name Date Describe Snorkeling History Date and Location of Last Snorkeling Activity UOGML Scientific Snorkeling: History (Mar 25, 2016) 1/1