Scuba Diving Adventure Risk Assessment Form
Diver Information
Full Name
Date
Contact Number
Certification Level
Number of Previous Dives
Dive Details
Dive Location
Planned Maximum Depth (meters)
Planned Dive Time (minutes)
Dive Buddy Name
Identified Risks
List potential risks identified for this dive
Control Measures
Control measures to minimize identified risks
Medical & Equipment Checks
Medical conditions checked
Equipment inspected and tested
Dive procedures briefed
Additional Comments / Remarks
Diver Signature
Assessor Signature
Date