PADI Scuba Diver Statement · 1. Dive under the direct inwater supervision of a PADI Divemaster,...

THE PADI SCUBA DIVER STATEMENTThe PADI Scuba Diver rating allows you to gain experience under direct professional supervision. This agreement defines the limitations of your pre-entry level certification and describes the diving practices necessary for your comfort and safety.

I, _______________________________________, understand that as a PADI Scuba Diver, I should: (Print Name)

1. Dive under the direct inwater supervision of a PADI Divemaster, Assistant Instructor or Instructor. Lis-ten carefully to dive briefings and respect the advice of those supervising my dive activities. Adhere to the buddy system on every dive.

2. Dive in conditions better than or similar to those in which I was trained. This includes limiting maxi-mum dive depth to 12 metres/40 feet, or receiving additional instruction before diving deeper.

3. Maintain a reasonable fitness level for diving and dive within personal limitations. Avoid overexertion while diving and not dive under the influence of alcohol or drugs.

4. Obtain air fills and dive equipment only from a reputable source, such as a PADI Dive Center or Re-sort, to avoid contaminated air. Check that the cylinder used is not marked for enriched air (nitrox).

5. Maintain proper buoyancy while diving. Adjust weight for neutral buoyancy at the surface with no air in the BCD and take into account buoyancy changes due to air use during the dive. Establish positive buoyancy by ditching the weight belt and/or inflating the BCD when in distress on the surface.

6. Continue dive education to ensure appropriate training and experience before exceeding the limits of the PADI Scuba Diver rating. Review skills under supervision in a controlled environment after periods of diving inactivity.

7. Breathe properly for diving. Never breath hold or skip breathe when using compressed air.

8. Ascend at a rate of 18 metres/60 feet per minute or slower from every dive and make a safety stop at the end of every dive.

9. Use complete, properly fitting, well-maintained and familiar scuba equipment. Consult a dive professional for advice about and orientation to any unfamiliar equipment.

10. Know and obey local laws and regulations relevant to recreational diving.

11. Understand that I may upgrade to Open Water Diver to dive without professional supervision anytime after my PADI Scuba Diver certification date.

12. Understand that deviating from safe diving practices will increase the risk of decompression illness, other injury or death and recognize that for safety and well being PADI Scuba Divers should abide by these recommendations and seek additional information or advice before diving in unfamiliar situ-ations.

I have read the above statements and have had any questions answered to my satisfaction. I understand the importance and purposes of these established practices. I recognize they are for my own safety and well being, and that failure to adhere to them can place me in jeopardy when diving. _______________________________________________________________________________ __________________________________Participant’s Signature Date (Day/Month/Year)

_______________________________________________________________________________ __________________________________ Signature of Parent or Guardian (where applicable) Date (Day/Month/Year)

PRODUCT NO. 10062 (11/05) Version 1.02 © International PADI, Inc. 2005

STANDARD SAFE DIVING PRACTICES STATEMENT OF UNDERSTANDING

Please read carefully before signing.

This is a statement in which you are informed of the established safe diving practices for skin and scuba diving. These practices have been compiled for your review and acknowledgement and are intended to increase your comfort and safety in diving. Your signature on this statement is required as proof that you are aware of these safe diving practices. Read and discuss the statement prior to signing it. If you are a minor, this form must also be signed by a parent or guardian.

I, _______________________________________________________________________ , understand that as a diver I should: (Print Name)

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, and refer to my course materials to stay current and refresh myself on important information.

2. Be familiar with my dive sites. If not, obtain a formal diving orientation from a knowledgeable, local source. If diving conditions are worse than those in which I am experienced, postpone diving or select an alternate site with better conditions. Engage only in diving activities consistent with my training and experience. Do not engage in cave or technical diving unless specifically trained to do so.

3. Use complete, well-maintained, reliable equipment with which I am familiar; and inspect it for correct fit and function prior to each dive. Have a buoyancy control device, low-pressure buoyancy control inflation system, submersible pres-sure gauge and alternate air source and dive planning/monitoring device (dive computer, RDP/dive tables—which-ever you are trained to use) when scuba diving. Deny use of my equipment to uncertified divers.

4. Listen carefully to dive briefings and directions and respect the advice of those supervising my diving activities. Recog-nize 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 planning (dive computer or dive table use). Make all dives no decompression dives and allow a margin of safety. Have a means to monitor depth and time underwater. Limit maximum depth to my level of training and experience. Ascend at a rate of not more than 18 metres/60 feet per minute. Be a SAFE diver – Slowly Ascend From Every dive. Make a safety stop as an added precaution, usually at 5 metres/15 feet for three minutes or longer.

7. Maintain proper buoyancy. Adjust weighting at the surface for neutral buoyancy with no air in my buoyancy control device. Maintain neutral buoyancy while underwater. Be buoyant for surface swimming and resting. Have weights clear for easy removal, and establish buoyancy when in distress while diving. Carry at least one surface signaling device (such as signal tube, whistle, mirror).

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.

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

I have read the above statements and have had any questions answered to my satisfaction. I understand the importance and pur-poses of these established practices. I recognize they are for my own safety and well-being, and that failure to adhere to them can place me in jeopardy when diving.

___________________________________________________________ ________________________ Participant’s Signature Date (Day/Month/Year)

___________________________________________________________ ________________________ Signature of Parent or Guardian (where applicable) Date (Day/Month/Year)

PRODUCT NO. 10060 (Rev. 5/09) Version 2.0 © PADI 2009

MEDICAL STATEMENTParticipant Record (Confidential Information)

This is a statement in which you are informed of some potential risksinvolved in scuba diving and of the conduct required of you during thescuba training program. Your signature on this statement is required foryou to participate in the scuba training program offered

by_____________________________________________________andInstructor

_______________________________________________located in theFacility

city of_______________________, state/province of _______________.

Read this statement prior to signing it. You must complete thisMedical Statement, which includes the medical questionnaire section, toenroll in the scuba training program. If you are a minor, you must havethis Statement signed by a parent or guardian.

Diving is an exciting and demanding activity. When performedcorrectly, applying correct techniques, it is relatively safe. When

established safety procedures are not followed, however, there areincreased risks.

To scuba dive safely, you should not be extremely overweight orout of condition. Diving can be strenuous under certain conditions. Yourrespiratory and circulatory systems must be in good health. All body airspaces must be normal and healthy. A person with coronary disease, acurrent cold or congestion, epilepsy, a severe medical problem or who isunder the influence of alcohol or drugs should not dive. If you haveasthma, heart disease, other chronic medical conditions or you are tak-ing medications on a regular basis, you should consult your doctor andthe instructor before participating in this program, and on a regular basisthereafter upon completion. You will also learn from the instructor theimportant safety rules regarding breathing and equalization while scubadiving. Improper use of scuba equipment can result in serious injury. Youmust be thoroughly instructed in its use under direct supervision of aqualified instructor to use it safely.

If you have any additional questions regarding this MedicalStatement or the Medical Questionnaire section, review them with yourinstructor before signing.

Please read carefully before signing.

The purpose of this Medical Questionnaire is to find out if you should be exam-ined by your doctor before participating in recreational diver training. A positiveresponse to a question does not necessarily disqualify you from diving. A positiveresponse means that there is a preexisting condition that may affect your safetywhile diving and you must seek the advice of your physician prior to engaging indive activities.

Please answer the following questions on your past or present medical historywith a YES or NO. If you are not sure, answer YES. If any of these items apply toyou, we must request that you consult with a physician prior to participating inscuba diving. Your instructor will supply you with an RSTC Medical Statement andGuidelines for Recreational Scuba Diver’s Physical Examination to take to yourphysician.

_____ Could you be pregnant, or are you attempting to become pregnant?

_____ Are you presently taking prescription medications? (with the exception ofbirth control or anti-malarial)

_____ Are you over 45 years of age and can answer YES to one or more of thefollowing?• currently smoke a pipe, cigars or cigarettes• have a high cholesterol level• have a family history of heart attack or stroke• are currently receiving medical care• high blood pressure• diabetes mellitus, even if controlled by diet alone

Have you ever had or do you currently have…

_____ Asthma, or wheezing with breathing, or wheezing with exercise?

_____ Frequent or severe attacks of hayfever or allergy?

_____ Frequent colds, sinusitis or bronchitis?

_____ Any form of lung disease?

_____ Pneumothorax (collapsed lung)?

_____ Other chest disease or chest surgery?

_____ Behavioral health, mental or psychological problems (Panic attack, fear ofclosed or open spaces)?

_____ Epilepsy, seizures, convulsions or take medications to prevent them?

_____ Recurring complicated migraine headaches or take medications to pre-vent them?

_____ Blackouts or fainting (full/partial loss of consciousness)?

_____ Frequent or severe suffering from motion sickness (seasick, carsick,etc.)?

_____ Dysentery or dehydration requiring medical intervention?

_____ Any dive accidents or decompression sickness?

_____ Inability to perform moderate exercise (example: walk 1.6 km/one milewithin 12 mins.)?

_____ Head injury with loss of consciousness in the past five years?

_____ Recurrent back problems?

_____ Back or spinal surgery?

_____ Diabetes?

_____ Back, arm or leg problems following surgery, injury or fracture?

_____ High blood pressure or take medicine to control blood pressure?

_____ Heart disease?

_____ Heart attack?

_____ Angina, heart surgery or blood vessel surgery?

_____ Sinus surgery?

_____ Ear disease or surgery, hearing loss or problems with balance?

_____ Recurrent ear problems?

_____ Bleeding or other blood disorders?

_____ Hernia?

_____ Ulcers or ulcer surgery ?

_____ A colostomy or ileostomy?

_____ Recreational drug use or treatment for, or alcoholism in the past fiveyears?

Divers Medical QuestionnaireTo the Participant:

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

© Recreational Scuba Training Council, Inc. 1989, 1990, 1998, 2001, 2007Page 1 of 6

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 ofthe 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

LIABILITY RELEASE AND ASSUMPTION OF RISK AGREEMENT

Please read carefully and fill in all blanks before signing.

I, __________________________________________, hereby affirm that I am aware that skin and scuba diving have inherent risks whichParticipant Name

may result in serious injury or death.

I understand that diving with compressed air involves certain inherent risks; including but not limited to decompression sickness, embolism orother hyperbaric/air expansion injury that require treatment in a recompression chamber. I further understand that the open water diving tripswhich are necessary for training and for certification may be conducted at a site that is remote, either by time or distance or both, from such arecompression chamber. I still choose to proceed with such instructional dives in spite of the possible absence of a recompression chamber inproximity to the dive site.

I understand and agree that neither my instructor(s), __________________________________________________, the facility through which

I receive my instruction, ___________________________________________________, nor PADI Americas, Inc., nor its affiliate and sub-Facility Name

sidiary corporations, nor any of their respective employees, officers, agents, contractors or assigns (hereinafter referred to as “Released Parties”) may be held liable or responsible in any way for any injury, death or other damages to me, my family, estate, heirs or assigns thatmay occur as a result of my participation in this diving program or as a result of the negligence of any party, including the Released Parties,whether passive or active.

In consideration of being allowed to participate in this course (and optional Adventure Dive), hereinafter referred to as “program,” I herebypersonally assume all risks of this program, whether foreseen or unforeseen, that may befall me while I am a participant in this programincluding, but not limited to, the academics, confined water and/or open water activities.

I further release, exempt and hold harmless said program and Released Parties from any claim or lawsuit by me, my family, estate, heirs orassigns, arising out of my enrollment and participation in this program including both claims arising during the program or after I receive mycertification.

I also understand that skin diving and scuba diving are physically strenuous activities and that I will be exerting myself during this program,and that if I am injured as a result of heart attack, panic, hyperventilation, drowning or any other cause, that I expressly assume the risk ofsaid injuries and that I will not hold the Released Parties responsible for the same.

I further state that I am of lawful age and legally competent to sign this liability release, or that I have acquired the written consent of myparent or guardian. I understand the terms herein are contractual and not a mere recital, and that I have signed this Agreement of my ownfree act and with the knowledge that I hereby agree to waive my legal rights. I further agree that if any provision of this Agreement is found tobe unenforceable or invalid, that provision shall be severed from this Agreement. The remainder of this Agreement will then be construed asthough the un-enforceable provision had never been contained herein.

I understand and agree that I am not only giving up my right to sue the Released Parties but also any rights my heirs, assigns, or bene-ficiaries may have to sue the Released Parties resulting from my death. I further represent I have the authority to do so and that my heirs,assigns, or beneficiaries will be estopped from claiming otherwise because of my representations to the Released Parties.

I, _____________________________________, BY THIS INSTRUMENT AGREE TO EXEMPT AND RELEASE MY INSTRUCTORS,Participant Name

____________________________________________________, THE FACILITY THROUGH WHICH I RECEIVE MY INSTRUCTION,

_______________________________________________________, AND PADI AMERICAS, INC. AND ALL RELATED ENTITIES ASFacility Name

DEFINED ABOVE, FROM ALL LIABILITY OR RESPONSIBILITY WHATSOEVER FOR PERSONAL INJURY, PROPERTY DAMAGEOR WRONGFUL DEATH HOWEVER CAUSED, INCLUDING BUT NOT LIMITED TO THE NEGLIGENCE OF THE RELEASEDPARTIES, WHETHER PASSIVE OR ACTIVE.

I HAVE FULLY INFORMED MYSELF AND MY HEIRS OF THE CONTENTS OF THIS LIABILITY RELEASE AND ASSUMPTION OFRISK AGREEMENT BY READING IT BEFORE I SIGNED IT ON BEHALF OF MYSELF AND MY HEIRS.

__________________________________________________________ ______________________________Participant Signature Date (Day/Month/Year)

__________________________________________________________ ______________________________Signature of Parent of Guardian (where applicable) Date (Day/Month/Year)

PRODUCT NO. 10072 (Rev. 3/06) Version 4.02 © PADI 2006

PADI Open Water Diver Course Record and Referral FormStudent Name_____________________________________________ Birth Date _____________ Day/Month/Year

Mailing address____________________________________________________ Sex M FCity_____________________________________ State/Province___________________________Country____________________________________________ Zip/Postal Code_______________Phone Home (____)_______________________ Business (____)__________________________ Fax (____)________________________ Email _________________________________________

All PADI Instructors who initial this document must complete an identification section below.

PADI Instructor__________________________________ Signature_________________________

PADI No.________________ Dive Center/Resort No._____________________ Date___________ Day/Month/Year

Phone No. (____)_________________________ Fax No. (____)_________________________

Email Address __________________________________________________________________

PADI Instructor__________________________________ Signature_________________________PADI No.________________ Dive Center/Resort No._____________________ Date___________ Day/Month/Year

Phone No. (____)_________________________ Fax No. (____)___________________________

Email Address ____________________________________________________________________

Note: Attach additional sheet for other PADI Instructor information if necessary. When referring a PADI Scuba Diver/Open Water Diver student: a. Fill in the diver and PADI Instructor information and note appropriate areas of training completed.b. Attach a copy of the diver’s PADI Medical Statement to this form.c. Advise the diver of the need for a photo for certification card processing.d. Encourage the diver to complete training as soon as possible and explain that this form is only valid for one year from the last training module completion date.

A. Confined Water Dives Date Completed Instructor ** Day/Month/Year Initials PADI #

CW 1* ____/____/____ ______ #________

CW 2 ____/____/____ ______ #________

CW 3 ____/____/____ ______ #________

CW 4 ____/____/____ ______ #________

CW 5 ____/____/____ ______ #________

* DSD with all CW Dive 1 skills = Open Water Diver CW Dive 1

(Note: If all Confined Water Dives and Watermanship Assessment have been completed by one instructor, only one signature required.)

All Confined Water Dives listed above and the Watermanship Assessment have been completed.

Instructor Signature ________________________________ PADI #__________ Date ____/____/____

**I certify that this student has satisfactorily completed this skill/module/dive as outlined in the PADI Instructor Manual. I am a PADI Instructor renewed in Teaching status for the current year.

B. Knowledge Development Course option: RDP Table eRDPML Computer only Date Completed Completed Passed Viewed Open Instructor** Day/Month/Year KR Quiz/Exam Water Video Initials PADI # Mod 1 ____/____/____ ______ ________#__________Mod 2 ____/____/____ ______ ________#__________Mod 3 ____/____/____ ______ ________#__________Mod 4 ____/____/____ ______ ________#__________Mod 5 ____/____/____ ______ ________#__________OR eLearning Quick Review ___/___/___ ______ ________#__________(Note: If all above Knowledge Development sessions have been completed by one instructor, only one signature required)

All Knowledge Development sessions listed above have been completed, Quizzes/Exams passed.

Instructor Signature _________________________________ #__________ Date ____/____/____

C. Open Water Dives Date Completed Instructor ** Date Completed Instructor ** Day/Month/Year Initials PADI # Day/Month/Year Initials PADI #

Dive 1 ____/____/____ ______#________ Dive 3 ____/____/____ ______#________

Dive 2 ____/____/____ ______#________ Dive 4 ____/____/____ ______#________ Dive Flexible Skills These skills may be completed during any Open Water Training Dive. Completed Instructor** on Initials PADI#

1. Cramp Removal Dive #____ ________#__________2. Tired Diver Tow Dive #____ ________#__________ 3. Surface Swim with Compass Dive #____ ________#__________4. Snorkel/Regulator Exchange Dive #____ ________#__________5. Safety Stop Dive #____ ________#__________6. Remove/Replace Scuba (surface) Dive #____ ________#__________7. Remove/Replace Weights (surface) Dive #____ ________#__________8. CESA (Dive 2, 3 or 4) Dive #____ ________#__________9. UW Compass Navigation (Dive 2, 3 or 4) Dive #____ ________#__________(Note: If all above Dive Flexible Skills have been completed by one instructor, only one signature is required)

All Dive Flexible Skills listed above have been completed.

Instructor Signature _________________________________ #__________ Date ____/____/____

Student Statement: I understand the training requirements for this course and have successfully com-pleted all certification requirements. I am adequately prepared to dive in areas and under conditions similar to those in which I was trained. I realize that additional training is recommended for participation in specialty diving activities, in other geographical areas, and after periods of inactivity that exceed six months. I agree to abide by PADI’s Standard Safe Diving Practices.

Student Signature ______________________________________________ Date ____/____/____

All requirements for certification as a PADI Scuba Diver have been met (completion of Knowledge De-velopment sessions 1, 2, 3 Confined Water Dives 1, 2, 3 Open Water Dives 1, 2).

Instructor Signature _________________________________ #__________ Date ____/____/____All requirements for certification as a PADI Open Water Diver have been met.

Instructor Signature _________________________________ #__________ Date ____/____/____Product No. 10056 (Rev. 1/11) Version 3.07

Watermanship AssessmentDate Completed Instructor **Day/Month/Year Initials PADI #

200 metre/yard Swim OR300 metre/yard Mask/Snorkel/Fin Swim____/____/____ ______#________10 Minute Survival Float____/____/____ ______#________Skin Diving Skills____/____/____ ______#________Dry Suit Orientation____/____/____ ______#________

Important Points for the Diver and InstructorTo the Diver1. MakeadvancelogisticalandfinancialarrangementswithaPADIDiveCenter,

PADIResortorPADIInstructortocompleteyourtraining.VerifythatthePADIInstructor(s)whowillcompleteyourtrainingisinTeachingstatus.

2. Takethisform,alongwithacopyofyourcompletedPADIMedicalStatementandaphotographtothePADIDiveCenter,PADIResortorPADIInstructorcompletingyourtraining.

3. Thisreferralformisvalidforoneyearafterthelasttrainingmodulecomple-tiondate,howeveryoushouldcompleteyourtrainingassoonaspossible.

4. Retainthisformuntilyouhavecompletedallrequiredtrainingsessions.5. ThePADIInstructor(s)continuingyourtrainingwillpreassessyourskillsand

knowledgeandreviewanythingthatmaybeunclear.6. Uponcompletionofallrequiredopenwaterdives,youandthePADIInstruc-

torwillcompleteaPositiveIdentificationCard(PIC)envelope.ThisenvelopemustbesubmittedtoPADIalongwithyourphototoobtainacertificationcard.

NOTE:Aftercertification,you’llwanttocontinueyourdivingadventures.VisityourinitialPADIDiveCenter,PADIResortorPADIInstructorandaskaboutparticipatinginaDiscoverLocalDivingexperienceoranotherPADICourse.

To the Referring PADI Instructor(s)

1. Fillintherequestedinformationonthisform,includingthediver’snameandaddressandyourcontactinformation.Also,fillintheappropriateareasoftrainingcompletedbeforereferringthediver.

2. Attachacopyofthediver’sPADIMedicalStatementtothisform.Alsoadvisethediveroftheneedforaphotoforcertificationcardprocessing.

3. Givethedivertheentireform.Ifpossible,assistthediverinmakingarrange-mentswithaPADIDiveCenter,PADIResortorPADIInstructorforcompletingtrainingasadditionallocalrequirementsmayapply.Keepaphotocopyforyourrecords.

4. Encouragethedivertocompletethetrainingassoonaspossible.Advisethediverthattheformisonlyvalidforoneyearafterthelasttrainingmodulecompletiondate.

To the Receiving PADI Instructor(s)1. Preassessthediver’sknowledgeandskills.Becertainthatthediverisad-

equatelypreparedtocontinuetraining.2. Adivermaybereferredbetweenanyacademicmodule,confinedwaterdive

orbetweenOpenWaterDives1-4.3. Uponcompletionofeachcomponent,initialanddatethisformintheap-

propriatearea.Thediverretainsthereferralformuntilthecompletionofallcertificationrequirements.Retainaphotocopyofthisformforyourrecords.

4. IfyouconductOpenWaterDive4,youarethecertifyinginstructor.CompleteandsubmitaPADIPositiveIdentificationCard(PIC)envelope/OnlinetoPADIforprocessing.Retainacopyofthecompletedreferralformforyourrecordsandforwardacopytotheoriginalinstructorforhisrecords.

QUESTIONS – About how to use the form? Call PADI.

The Scuba Diver StatementThePADIScubaDiverratingallowsyoutogainexperienceunderdirectprofessionalsupervision.Thisagreementdefinesthelimitationsofyourpre-entrylevelcertificationanddescribesthedivingpracticesnecessaryforyourcomfortandsafety.

I,_______________________________________,understandthatasaPADIScubaDiver,Ishould:

1.DiveunderthedirectinwatersupervisionofaPADIDivemaster,As-sistantInstructororInstructor.Listencarefullytodivebriefingsandrespecttheadviceofthosesupervisingmydiveactivities.Adheretothebuddysystemoneverydive.

2.DiveinconditionsbetterthanorsimilartothoseinwhichIwastrained.Thisincludeslimitingmaximumdivedepthto12metres/40feet,orreceivingadditionalinstructionbeforedivingdeeper.

3.Maintainareasonablefitnesslevelfordivinganddivewithinpersonallimitations.Avoidoverexertionwhiledivingandnotdiveundertheinfluenceofalcoholordrugs.

4.Obtainairfillsanddiveequipmentonlyfromareputablesource,suchasaPADIDiveCenterorResort,toavoidcontaminatedair.Checkthatthecylinderusedisnotmarkedforenrichedair(nitrox).

5.Maintainproperbuoyancywhilediving.AdjustweightforneutralbuoyancyatthesurfacewithnoairintheBCDandtakeintoac-countbuoyancychangesduetoairuseduringthedive.Establishpositivebuoyancybyditchingtheweightbeltand/orinflatingtheBCDwhenindistressonthesurface.

6.Continuediveeducationtoensureappropriatetrainingandexpe-riencebeforeexceedingthelimitsofthePADIScubaDiverrating.Reviewskillsundersupervisioninacontrolledenvironmentafterperiodsofdivinginactivity.

7.Breatheproperlyfordiving.Neverbreathholdorskipbreathewhenusingcompressedair.

8.Ascendatarateof18metres/60feetperminuteorslowerfromeverydiveandmakeasafetystopattheendofeverydive.

9.Usecomplete,properlyfitting,well-maintainedandfamiliarscubaequipment.Consultadiveprofessionalforadviceaboutandorienta-tiontoanyunfamiliarequipment.

10.Knowandobeylocallawsandregulationsrelevanttorecreationaldiving.

11. UnderstandthatImayupgradetoOpenWaterDiverinordertodivewithoutprofessionalsupervisionanytimeaftermyScubaDivercerti-ficationdate.

12. Understandthatdeviatingfromsafedivingpracticeswillincreasetheriskofdecompressionillness,otherinjuryordeathandrecognizethatforsafetyandwellbeingPADIScubaDiversshouldabidebytheserecommendationsandseekadditionalinformationoradvicebeforedivinginunfamiliarsituations.

Knowledge Review—

Chapter One 73

1. True or False. An object is neutrally buoyant when it displaces an amount of waterless than its own weight.____________

2. Explain why buoyancy control, both on the surface and underwater, is one of the mostimportant skills you can master:

On the surface: ________________________________________________________________

Underwater: __________________________________________________________________

3. Fill in the blanks with the appropriate words: freshwater or saltwater.

“The same object would be more buoyant in ____________________ than it wouldbe in ______________________.”

4. True or False. Because water is denser than air, the pressure change for a given dis-tance ascent or descent is significantly greater in water than in air. ____________

5. Complete the following chart for a sealed flexible bag, full of air at the surface.

Depth Pressure Air Volume Air Density

0m/0ft 1 bar/ata 1 x 1

10m/33ft 1/2

30m/99ft 1/4

40m/132ft 5 bar/ata x 5

6. Circle the letter of the best definition for a squeeze.

a. A condition that causes pain and discomfort when the pressure outside an airspace of your body is less than the pressure inside an air space.

b. A condition that causes pain and discomfort when the pressure inside an airspace of your body is less than the pressure outside an air space.

7. Check each statement that describes a technique used to equalize air spaces during descent:

a. Block your nose and attempt to gently blow through it.b. Swallow and wiggle the jaw from side to side.c. Block your nose and attempt to gently blow through it while swallowing

and wiggling the jaw from side to side.

Chapter 1Knowledge Review—

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74 Open Water Diver Manual

8. State how often you should equalize your air spaces during descent.

9. True or False. “If you feel discomfort in your ears while descending, continue down-ward until the discomfort is gone.” ______________

10. State the most important rule in scuba diving.

11. Circle the letter of the best definition for a reverse block.

a. A condition that occurs when expanding air cannot escape from a body airspace during ascent, causing pain and discomfort.

b. A condition that occurs when expanding air escapes from a body air spaceduring ascent, causing pain and discomfort.

12. Describe what action you should take if you feel discomfort during ascent due to airexpansion, whether in your ears, sinuses, stomach, intestines or teeth.

13. When scuba diving, why must your nose be enclosed in the mask?

14. Explain the best way to prevent water from entering your scuba tank.

15. Circle the appropriate answer. The most important feature for consideration whenpurchasing a regulator is:

a. The color b. The number of hoses it has c. Ease of breathing d. Size

Student Diver Statement: I’ve completed this Knowledge Review to the best of my ability,and any questions I answered incorrectly or incompletely I’ve had explained to me, and Iunderstand what I missed.

Name ________________________________________________ Date ________________________

Knowledge Reviews may not be reproduced in any form without the written permission of the publisher.

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Chapter Two 121

Knowledge Review—Chapter 2

Knowledge Review—1. Check one. “Underwater, objects appear _______________ by 33 percent, making them

seem ________________ and/or _______________________ .”

a. minimized, smaller, further away b. magnified, larger, closer

2. Check one. “Since it travels about four times faster in water than in air, you will havedifficulty determining the origin of ____________ underwater.”

a. light b. sound

3. Fill in the blank with the appropriate word: faster or slower.“Water conducts heat away from your body ______________ than air does.”

4. Describe what you should do if you begin shivering continuously underwater.

5. Of the procedures you can follow to compensate for the increased resistance of waterwhile diving, check those listed here:

a. Streamline yourself and your equipment.b. Avoid rapid jerky movements.c. Move slowly and steadily.d. Pace yourself.

6. Check the statement that best describes the proper breathing pattern for diving.

a. Consistently rapid and shallow.b. Consistently slow and deep.

7. It is easy to prevent overexertion while diving. Check the proper preventative mea-sures listed here.

a. Move slowly and avoid extended strenuous activity.b. Use your arms rather than your legs for propulsion underwater.c. Know your physical limits.

8. Explain what to do if you become overexerted while diving.

a. Underwater:

b. At the surface:

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9. Check each statement that describes a technique used for airway control:

a. Use your tongue as a splash guard by placing the tip on the roof of your mouth.b. Inhale slowly.c. Avoid rapid, jerky movement.d. Inhale cautiously.

10. Explain why it is important not to wear a tight-fitting hood.

11. Check the appropriate answer. The most important feature of any weight system is:

a. the size and shape of the weights.b. the ease of adjustment.c. a quick-release mechanism.

12. Check one. An alternate air source should be ____________, so it can be quickly andeasily identified by a diver needing the device.

a. tucked under the weight beltb. conspicuously marked

13. Describe where you should attach an alternate air source to your body.

14. True or False: A diving knife is used as a tool (to measure, pry, dig, cut and pound),but is not intended to be, nor should be, used as a weapon. ____________

15. Identify the meaning of the standard hand signal illustrated here.

a. OK? OK b. Distress, help c. Out-of-air

16. Explain how to check for proper weighting.

17. List and describe the steps of the predive safety check, and explain when you shoulduse the check.


Name ________________________________________________ Date ________________________Knowledge Reviews may not be reproduced in any form without the written permission of the publisher.

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Chapter Three 177


Knowledge Review—1. There are several factors that affect visibility underwater. Check those listed here.

a. weatherb. water movementc. ambient pressured. suspended particles

2. True or False: To avoid problems associated with diving in clear water, use an accu-rate depth gauge, refer to it frequently and it is recommend that you use a line forascents and descents. ____________

3. Explain what you should do if you find yourself caught in a current at the surface.

4. True or False: You will find it easier to swim against a mild current along the bottomwhere it is generally weaker than on the surface. ____________

5. Check one. If a current is present, you should generally begin your dive:

a. with the current.b. across the current.c. against the current.

6. Check one. Nearly all injuries from aquatic life are caused by_________action on thepart of the animal.

a. unpredictableb. unprovokedc. defensive

7. Describe what you should do if you spot an aggressive animal underwater.

8. True or False: For safety and enjoyment when diving in a new area or engaging in anew activity, be sure to obtain a proper orientation. ____________

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9. A rip current can be recognized as a line of turbid, foamy water moving:

a. toward shore.b. seaward.c. parallel to shore.

10. Outline three ways to prevent or control most diving problems that occur at the surface.

1.__________________________________________________________________________

2.__________________________________________________________________________

3.__________________________________________________________________________

11. True or False: The first step in assisting another diver with a problem at the surfaceis to talk to him, offering encouragement and persuading him to relax. ____________

12. Arrange the five low-on-air/out-of-air emergency procedures in order of priority from1 through 5.

Buoyant emergency ascentControlled emergency swimming ascentNormal ascentBuddy breathing ascentAlternate air source ascent

13. Check one. If you become entangled underwater, you should:

a. Twist and turn to free yourself.b. Stop, think and then work slowly and calmly to free yourself.

14. True or False: With an unconscious diver, the primary concern is to remove him fromthe water. ________________

15. True or False: Once removed from the water, an unconscious breathing diver shouldbe administered oxygen if available.


Name ________________________________________________ Date ________________________


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Chapter Four 215


Knowledge Review—1. A detailed log book is the proof-of-experience documentation typically requested in

many dive situations. Check those listed here.

a. for additional diver trainingb. by dive stores when buying dive equipmentc. when diving at resorts or on boats

2. Explain how to prevent problems with contaminated air.

3. State the two ways divers prevent problems with oxygen.

a. ____________________________________________________________________________

b. ____________________________________________________________________________

4. Check each symptom related to nitrogen narcosis:

a. impaired coordinationb. foolish behaviorc. joint and limb pain

5. Check one. To prevent nitrogen narcosis:

a. skip breathe.b. equalize your air spaces early and often.c. avoid deep dives.

6. Check each symptom which may be related to decompression sickness:

a. foolish behaviorb. moderate tinglingc. cherry-red lipsd. weakness and prolonged fatigue

7. Outline the first aid procedure for assisting someone with decompression illness.

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8. True or False. When using either version of the Recreational Dive Planner, you mustascend at a rate that does not exceed 18 metres/60 feet per minute. ______________

9. Match the following by placing the correct letter in the blank.

____________ Maximum depth limit for Open Water Divers

____________ Maximum depth limit for divers with training and experiencebeyond the Open Water Diver level

____________ Maximum depth limit for divers with Deep Diver training

a. 18 m/60 ft b. 40 m/130 ft c. 30 m/100 ft

10. According to the Recreational Dive Planner, the no-decompression limit for 18 metres/60 feet is ________ minutes.

11. What is your pressure group after a dive to 12 metres/42 feet for 24 minutes?

__________ Pressure Group

12. After a dive, you are in pressure group K. What will your new pressure group be aftera 34-minute surface interval?

__________ Pressure Group

13. A diver in Pressure Group G plans a dive to 17 metres/56 feet. What is the maximumallowable bottom time according to the Recreational Dive Planner?

__________ Maximum Allowable Bottom Time

14. Indicate the final pressure group upon surfacing after the following series of dives.First dive: 16 metres/50 feet/23 min.; surface interval: 1:30.Second dive: 10 metres/35 feet/46 min.

Final Pressure Group = ____________

15. Indicate the final pressure group upon surfacing after the following series of dives.First dive: 18 metres/60 feet/15 min.; surface interval: 1:00.Second dive: 12 metres/40 feet/30 min.

Final Pressure Group = ____________


Name ________________________________________________ Date ________________________


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Chapter Five 249

Knowledge Review—Chapter 5(Answer all questions, regardless of which Recreational DivePlanner you are using — The Wheel or table version.)

Knowledge Review—

1. Describe the three required situations in which a safety stop should be made.

a. ____________________________________________________________________________

____________________________________________________________________________

b. ____________________________________________________________________________

____________________________________________________________________________

c. ____________________________________________________________________________

____________________________________________________________________________

2. Check one. If you accidentally exceed a no-decompression limit or an adjusted no-decompression limit by no more than 5 minutes, you should slowly ascend at a ratenot faster than 18 metres/60 feet per minute to 5 metres/15 feet and remain there for_____ minutes prior to surfacing. After reaching the surface, do not dive for at least_____ hours.

a. 8 minutes, 6 hours b. 15 minutes, 24 hours

3. State the altitude (metres/feet) above which the Recreational Dive Planners shouldnot be used unless special procedures are followed.

____________ metres/feet

4. True or False: To reasonably assure you remain symptom free from decompression sickness when flying in a commercial jet airliner after diving,wait 12 hours. ______________

5. Explain the procedure you must follow when planning a dive in cold water or understrenuous conditions using the Recreational Dive Planner.

6. What is the minimum surface interval required between a dive to 18 metres/60 feetfor 40 minutes followed by a dive to 14 metres/50 feet for 60 minutes?

Minimum Surface Interval = ______________

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7. What is the minimum surface interval required between a dive to 20 metres/70 feetfor 29 minutes followed by a dive to 14 metres/50 feet for 39 minutes?

Minimum Surface Interval = ______________

8. With reference to the compass heading shown in Figure 1, select the figure letter thatindicates a reciprocal heading.

Reciprocal heading is shown by figure letter: ______________

9. What’s the purpose of the PADI System of continuing education?

10. What are the benefits of PADI Adventure Dives and the Advanced Open Water program?

11. State the purpose of a PADI Discover Local Diving experience.

12. When should you consider taking a PADI Scuba Review course?

13. What’s the relationship between Adventure Dives, Advanced Open Water Divercourse dives and Specialty Diver courses?


Name ________________________________________________ Date ________________________


Figure 1 A B C


OWDM_217_250.qxd 3/29/06 3:01 PM Page 250

Open Water Diver Course - Final Exam - Answer SheetDirections: Upon making your answer choice, COMPLETELY fill in the space ¨ below the proper letter. If a mistake is made, erase your selecton or place a

dark X through your first answer.

Exam A ¨ B ¨

STUDENT STATEMENT: I have had explained to me and I understand the questions I have missed.

Date Student Signature Day / Month / Year

Product No. 70024 (Rev. 09/02) Ver. 3.0 © International PADI, Inc. 2002

USE ONLY WITH OPEN WATER QUIZZES AND EXAM SERIES 3.0 / 3.1

Name (Please Print) Date

1. A ¨ B ¨ C ¨ D ¨2. A ¨ B ¨ C ¨ D ¨3. A ¨ B ¨ C ¨ D ¨4. A ¨ B ¨ C ¨ D ¨5. A ¨ B ¨ C ¨ D ¨6. A ¨ B ¨ C ¨ D ¨7. A ¨ B ¨ C ¨ D ¨8. A ¨ B ¨ C ¨ D ¨9. A ¨ B ¨ C ¨ D ¨10. A ¨ B ¨ C ¨ D ¨11. A ¨ B ¨ C ¨ D ¨12. Identify each regulator part. Number Number Number Number Number Number (Example)13. A ¨ B ¨ C ¨ D ¨14. A ¨ B ¨ C ¨ D ¨15. A ¨ B ¨ C ¨ D ¨16. A ¨ B ¨ C ¨ D ¨17. A ¨ B ¨ C ¨ D ¨18. A ¨ B ¨ C ¨ D ¨19. A ¨ B ¨ C ¨ D ¨20. A ¨ B ¨ C ¨ D ¨21. A ¨ B ¨ C ¨ D ¨22. A ¨ B ¨ C ¨ D ¨23. A ¨ B ¨ C ¨ D ¨24. A ¨ B ¨ C ¨ D ¨25. A ¨ B ¨ C ¨ D ¨

26. A ¨ B ¨ C ¨ D ¨27. A ¨ B ¨ C ¨ D ¨28. A ¨ B ¨ C ¨ D ¨29. A ¨ B ¨ C ¨ D ¨30. A ¨ B ¨ C ¨ D ¨31. A ¨ B ¨ C ¨ D ¨32. A ¨ B ¨ C ¨ D ¨33. A ¨ B ¨ C ¨ D ¨34. A ¨ B ¨ C ¨ D ¨35. Place options in the correct order. Number Number Number (Example) Number Number Number 36. A ¨ B ¨ C ¨ D ¨37. A ¨ B ¨ C ¨ D ¨38. A ¨ B ¨ C ¨ D ¨39. A ¨ B ¨ C ¨ D ¨40. A ¨ B ¨ C ¨ D ¨41. A ¨ B ¨ C ¨ D ¨42. A ¨ B ¨ C ¨ D ¨43. A ¨ B ¨ C ¨ D ¨44. A ¨ B ¨ C ¨ D ¨45. A ¨ B ¨ C ¨ D ¨46. A ¨ B ¨ C ¨ D ¨47. A ¨ B ¨ C ¨ D ¨48. A ¨ B ¨ C ¨ D ¨49. A ¨ B ¨ C ¨ D ¨50. A ¨ B ¨ C ¨ D ¨

6

6

Conditions :

Planning :Cumulative:

This Dive:

New Total:

:

:

:

Max Depth:

Admin :

Verified : Instructor

Divemaster

Buddy

Name : Dive No:

Date:Dive Buddy :

Location :

Equipment :

Notes / Comments :

Dive Plan :

Suit :None

Shorty

Full

Hood

Gloves

mm

mm

mm

mm

Dry

Weight :Soft

Hard

Amt :

Name :

Signature :# :Version – Beta 1.53 – 20 September 2008 Copyright Stephen Semmelroth 2007

Misc :Light

Knife

Slate

Net

Computer

Noise Maker

Collection Bag

Camera

Spear

Tank :Alum

Steel

Single

Doubles

Dive Variables : Salt

Shore

Waves

Current

Rocks

Fresh

Boat

Surf

Surge

Sand

Reef

Dive Type : Fun

Drift

Reef

Deep

Wreck

Training

Photography

Environment

Navigation

Search and Recovery

Visibility : Weather :

Perfect

Night

Overcast

Dry

Storming

Rough

Day

Clear

Humid

Rain

Calm

Cold

Hot

Temp :Air :

Surface :

At Depth :

Previous Group

Sit Interval

Pre-Dive Group

:

Safety Stop

Adjusted Max Bottom Time

Uh Oh Max Bottom Time

:

:

:

Planned Depth

Uh Oh Depth

Residual Nitrogen Time:

: Total Time Underwater

Final Dive Group

Pressure :

Start :End :

PSI Bar

Gas :

Air

EANx :

He :

%

%

Tables :Air

Tech

Altitude :

Time of Day: :

Belt

Integrated

Altitude

EANx

Conditions :

Planning :Cumulative:

This Dive:

New Total:

:

:

:

Max Depth:

Admin :

Verified : Instructor

Divemaster

Buddy

Name : Dive No:

Date:Dive Buddy :

Location :

Equipment :

Notes / Comments :

Dive Plan :

Suit :None

Shorty

Full

Hood

Gloves

mm

mm

mm

mm

Dry

Weight :Soft

Hard

Amt :

Name :

Signature :# :Version – Beta 1.53 – 20 September 2008 Copyright Stephen Semmelroth 2007

Misc :Light

Knife

Slate

Net

Computer

Noise Maker

Collection Bag

Camera

Spear

Tank :Alum

Steel

Single

Doubles

Dive Variables : Salt

Shore

Waves

Current

Rocks

Fresh

Boat

Surf

Surge

Sand

Reef

Dive Type : Fun

Drift

Reef

Deep

Wreck

Training

Photography

Environment

Navigation

Search and Recovery

Visibility : Weather :

Perfect

Night

Overcast

Dry

Storming

Rough

Day

Clear

Humid

Rain

Calm

Cold

Hot

Temp :Air :

Surface :

At Depth :

Previous Group

Sit Interval

Pre-Dive Group

:

Safety Stop

Adjusted Max Bottom Time

Uh Oh Max Bottom Time

:

:

:

Planned Depth

Uh Oh Depth

Residual Nitrogen Time:

: Total Time Underwater

Final Dive Group

Pressure :

Start :End :

PSI Bar

Gas :

Air

EANx :

He :

%

%

Tables :Air

Tech

Altitude :

Time of Day: :

Belt

Integrated

Altitude

EANx

PADI Scuba Diver Statement · 1. Dive under the direct inwater supervision of a PADI Divemaster,...

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