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TRANSCRIPT
USAF GUARDIAN ANGELDIVE AND MARITIME SAFETY SURVEY CHECKLIST
REV 8-25-15
INTRODUCTION
The USAF Guardian Angel (GA) diving safety survey/inspection/review checklist is a guide that can be used by all GA organizations for their diving activities. The review checklist has been compiled from the most frequently noted discrepancies by the Naval Safety Center, diving certification authority, and the Board of Inspection and Survey.
This review checklist will be revised and updated periodically as required. Recommended changes may be submitted to ACC/A5RG. The following codes are used for the marking of individual items of the safety survey checklist:
For items that are complete or in effect a place a check mark in the OK column.
For items not in a “complete/in effect” status, enter the applicable code in the OTHER column.R = REQUIRES FURTHER ACTION2 = REPEAT “OFFENDER”N = NOT APPLICABLE U = UNABLE TO INSPECT
The USAF diving safety inspection/review checklist is broken down into the following parts:
A. ADMINISTRATION
B. TRAINING
C. SCUBA EQUIPMENT
D. AIR SYSTEMS & STOWAGE
E. SUPPORT BOAT
Safety Review Items Page 1
PART A - ADMINISTRATION
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ADMINISTRATION
A. PUBLICATINS & INSTRUCTIONS
A.1. DOES THE COMMAND HAVE A DIVING OPERATING INSTRUCTION (O/I) (CURRENT VERSION) READILY ACCESSIBLE TO THE DIVING OFFICER/SUPERVISOR?REF: AFI 10-3501; AFI 16-1202; IC-1 TO AFI 16-1202 CL-1; AFTTP 3-3.GA & USN DIVE MANUAL
A.2. IS THE DIVING OFFICER DESIGNATED IN WRITING BY THE COMMANDING OFFICER?REF: AFI 10-3501 & USN DIVE MANUAL
A.3. ARE THE DIVING SUPERVISORS QUALIFIED AND DESIGNATED IN WRITING BY THE COMMANDING OFFICER?REF: AFI 10-3501; AFI 16-1202; IC-1 TO AFI 16-1202 CL-1; AFTTP 3-3.GA & USN DIVE MANUAL
A.4. IS A COPY OF AFI 91-204 (AF SAFETY INVESTIGATIONS AND REPORTS) OPNAVINST 5102.1D (NAVY & MARINE CORPS MISHAP AND SAFETY INVESTIGATION, REPORTING, AND RECORD KEEPING MAMNUAL) READILY ACCESSIBLE TO THE DIVING OFFICER/SUPERVISOR? (CHECK FOR LATEST CHANGE) REF: U.S. NAVY DIVING MANUAL REV 6, CHAP 5, PARA 5-3
A.5. ARE HAZARDOUS MATERIAL STORAGE LOCKERS CLEAN, ORGANIZED, AND THEIR CONTENTS PROPERLY LABELED? REF: OPNAVINST 5100.19E, CHAP B3 & C23; OPNAVINST 5100.23G, CHAP 7
A.6. ARE AIR SAMPLES TAKEN, ANALYZED EVERY 6 MONTHS, AND DO THEY MEET THE PURITY REQUIREMENTS OF THE USN DIVE MANUAL?REF: AFI 10-3501 & USN DIVE MANUAL
A.7. IS THERE A PREVENTIVE MAINTENANCE PROGRAM (PMS) IMPLEMENTED FOR ALL DIVING EQUIPMENT?REF: AFI 10-3501; AFI 16-1202 & OPNAVINST 4790.4 SERIES
A.8. REQUIRE AEROSPACE MEDICAL EXAMS/ FLIGHT SURGEON PROVIDES INSPECTION TEAM WITH A LETTER IDENTIFYING ALL DIVERS PHYSICAL CURRENCY.REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFI 16-1201V2, NAVMEDMAN, ARTICLE 15-102, NAVY MEDICAL MANUAL, AFI 48-123v3, & AEROSPACE MEDICAL EXAMS
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Safety Review Items Page 2
A.9. IS THERE A TAGOUT SYSTEM IN EFFECT FOR DIVING EQUIPMENT AND SYSTEMS MAINTENANCE?REF: OPNAVINST 4790.4 SERIES & AFOSH STD 91-501
A.10. IS A COMPLETE FILE OF DIVING ADVISORIES (AIG 239) ACCESSIBLE TO THE DIVE OFFICER/SUPERVISOR?REF: NAVSEAINST 3150.1
A.11. ARE ALL MAINTENANCE PERSONNEL ASSIGNED OR ATTACHED TO THE DIVE MAINTENANCE FACILITY QUALIFIED TO PERFORM MAINTENANCE ON EQUIPMENT ASSIGNED TO WORK CENTER?REF: AFI 10-3501 & OPNAVINST 4790.8 SERIES
A.12. DOES THE COMMAND MAINTAIN A SMOOTH DIVING LOGREF: AFI 10-3501, OPNAVINST 3150.27 SERIES, & USN DIVE MANUAL
A.13. ARE DIVING SAFETY LINES PUBLICATIONS KEPT READILY AVAILABLE FOR ALL DIVERS TO READ (MINIMUM PAST 2 YEARS)?REF: AFI 10-3501 & NAVSEAINST 3150.1 SERIES
A.14. IS A COPY OF OPNAVINST 3150.27 SERIES (NAVY DIVING PROGRAM) READILY ACCESSIBLE TO THE DIVING OFFICER/SUPERVISOR?REF: OPNAVINST 3150.27 SERIES
A.15. IS A COPY OF OPNAVINST 4790.8 SERIES (SHIPS MAINTENANCE AND MATERIAL MANAGEMENT (3-M) MANUAL) READILY ACCESSIBLE TO THE DIVING OFFICER/SUPERVISOR?REF: AFI 10-3501 & OPNAVINST 3150.27 SERIES
A.16. IS A COPY OF NAVSEA LETTER SER OOC32/3062 (LIST OF ALL SERVICE APPROVED DIVING EQUIPMENT AUTHORIZED FOR NAVY USE) READILY ACCESSIBLE TO THE DIVING OFFICER/SUPERVISOR?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFTTP 3-3.GA, & NAVSEAINST 3150.1 SERIES
A.17. IS A COPY OF MIL-STD-1622 SERIES (DIVERS AIR SYSTEM CLEANING STANDARDS) ACCESSIBLE TO DIVE OFFICER/SUPERVISOR?REF: NAVSEA SS521-AA-MAN-010
A.18. IS A COPY OF MIL-STD-1330 SERIES (OXYGEN SYSTEM CLEANING STANDARDS) ACCESSIBLE TO DIVE OFFICER/SUPERVISOR?REF: NAVSEA S6560-AB-MMD-010
# ITEM OK Other
A.19. MATERIAL SAFETY DATA SHEETS (MSDS) FOR EQUIPMENT MAINTENACE AVAILABLE?REF: OPNAVINST 4790.4 SERIES & AFOSHSTD 91-501
Safety Review Items Page 3
A.20. THE DIVING MANUAL (CURRENT VERSION) READILY ACCESSIBLE TO THE DIVING OFFICER/SUPERVISOR?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFTTP 3-3.GA, & OPNAVINST 3150.27 SERIES
A.21. IS THE COMMAND USING THE DIVE JUMP REPORTING SYSTEM (DJRS) AND ARE THEY PERIODICALLY SUBMITTNG THE INFORMATION?REF: OPNAVINST 3150.27 SERIES
A.22. IS A COPY OF AFI 10-3502 VOLUME 2 PARARESCUE AND COMBAT RESCUE OFFICER STANDARDIZATION AND EVALUATION ACCESSIBLE?REF: AFI 10-3501 & AFI 10-3502V2
A.23. IS A COPY OF THE AFMAN 24-204 PREPARING HAZARDOUS MATERIALS FOR MILITARY AIR SHIPMENTS ACCESSIBLE TO THE DIVE OFFICER/SUPERVISOR?REF: AFMAN 24-204
A.24. IS THE EMERGENCY ASSISTANCE CHECKLIST FROM THE U.S.NAVY DIVE MANUAL OR AN APPROPRIATELY TAILORED EMERGENCY RESPONSE CHECKLIST BEING USED TO SUPPORT DIVE OPERATIONS?REF: AFI 10-3501, IC-1 TO AFI 16-1202 CL-1, & U.S. NAVY DIVE MANUAL
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AIR FORCE DIVING: ADMINISTRATION
UNIT NAME: ___________________________________________________________
LOCATION: ____________________________________________________________
UIC: ___________________________________________________________________
DATE: _________________________________________________________________
SURVEYOR(S): _________________________________________________________
NO. COMPLETE: ______ NO. REQ ACTION: _______ (REPEAT OFFENDERS:______)NO. UNABLE TO INSPECT: ________ NO. NOT APPLICABLE: _______
Administration Survey Comments Sheet
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PART B - TRAINING
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TRAINING
B. TRAINING
B.1. ARE ALL DIVERS QUALIFIED AND CURRENT?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFTTP 3-3.GA & USN DIVE MANUAL
B.2. ARE DIVERS TRAINED IN ACCORDANCE WITH THE UNIT'S TASK, CONDITIONS, STANDARDS (TCS)?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFTTP 3-3.GA & USN DIVE MANUAL
B.3. ARE LESSON PLANS AVAILABLE TO CONDUCT DIVER, DIVING SUPERVISOR, AND DMT TRAINING (TABLES, CPR, SIGNS AND SYMPTOMS, ETC.)?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFTTP 3-3.GA & USN DIVE MANUAL
B.4 ARE ALL DIVERS QUALIFIED AND CURRENT FOR CPR?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFTTP 3-3.GA & USN DIVE MANUAL
B.5. IS THERE DIVE CONTINUING TRAINING PROGRAM, INCLUDING DRILLS IN EMERGENCY PROCEDURES IN EFFECT AND BEING USED?REF: AFI 10-3501, AFTTP 3-3.GA & USN DIVE MANUAL
B.6. ARE THE FOLLOWING SUBJECTS COVERED IN THE DIVE BRIEF: ENTRAPPED DIVER, UNCONSCIOUS DIVER, LOST DIVER, LOSS OF BREATHING GAS, ABORTED DIVE, BLOW-UP, FLOODED RIG, SURFACE EMERGENCIES, EQUIPMENT MALFUNCTIONS, AND INJURED DIVER/MISHAP PLAN?REF: AFI 16-1202, IC-1 TO AFI 16-1202 CL-1
B.7. IS THERE AN ACTIVE AND DOCUMENTED RISK MANAGEMENT (RM) PROGRAM USED FOR EVERY EVENT TO IDENTITY HAZARDS, ASSESS HAZARDS, DEVELOP CONTROLS/MAKE DECISIONS, IMPLEMENT CONTROLS AND SUPERVISE/EVALUATE?REF: AFPAM 90-803 & AFI 90-802
B.8. ARE TRAINING EVENTS RECORDED INTO AIR FORCE RESOURCE MANAGEMENT SYSTEM (ARMS)?REF: AFI 10-3501 & AFI 11-401
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AIR FORCE DIVING: TRAINING
UNIT NAME: _____________________________________________________
LOCATION: ____________________________________________________________
UIC: ___________________________________________________________________
DATE: _________________________________________________________________
SURVEYOR(S): _________________________________________________________
NO. COMPLETE: ______ NO. REQ ACTION: _______ (REPEAT OFFENDERS:______)NO. UNABLE TO INSPECT: ________ NO. NOT APPLICABLE: _______
Training Survey Comments Sheet
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PART C - SCUBA
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SCUBA
C. SCUBA EQUIPMENT
C.1. DOCUMENTATION
C.1.1 IS A COPY OF ALL MANUFACTURER'S INSTRUCTION MANUALS FOR ALL DIVING EQUIPMENT READILY ACCESSIBLE?REF: AFI 1—3501, AFI 90-901, OPERATIONAL RISK MANAGEMENT, AFPAM 90-902, OPERATIONAL RISK MANAGEMENT – GUIDELINES AND TOOLS, OPNAVINST 4790.4 SERIES & U.S. NAVY DIVE MANUAL
C.1.2. IS ALL SCUBA EQUIPMENT COVERED BY PMS?REF: OPNAVINST 4790.4 SERIES
C.1.3. IS A DIVE SUPERVISOR PRE-DIVE CHECK-LIST BEING USED FOR SCUBA?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, & AFTTP 3-3.GA
C.1.4. ARE SCUBA CYLINDER MANIFOLDS 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? *NOTE: CIVILIAN DIVERS REQUIRED TO USE J-TYPE MANIFOLD. REF: NAVSEA/OOC ANU
C.1.5. ARE DIVER'S LIFE PRESERVERS OR BUOYANCY COMPENSATORS OF THE APPROVED TYPE?REF: U.S. NAVY DIVING MANUAL REV 6, CHAP 7, PARA 7-2.3 & 7-3
C.1.6. ARE THE STRAPS AND BACKPACKS IN GOOD CONDITION AND DO THEY HAVE A QUICK RELEASE FEATURE?REF: U.S. NAVY DIVE MANUAL
C.1.7. IS AN EFFECTIVE MEANS OF INVENTORYING AND TRACKING OF ALL EQUIPMENT REQUIRING CALIBRATION IN PLACE AND AVAILABLE FOR REVIEW?REF: NAVSEAINST 4790.8B
C.1.8. ARE THE SCUBA BOTTLE RESERVE PRESSURE SETTINGS CHECKED EVERY 24 MONTHS AND WITHIN THE RECOMMENDED PRESSURE RANGE (SINGLE MIN-450 PSI DOUBLE MIN-225 PSI)?REF: AFI 10-3501, AFTTP 3-3.GA, & PMS MIP 5921/019
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C.1.9. IS THE PMS BEING PERFORMED ON THE INTERNAL SURFACE OF THE SCUBA BOTTLES?REF: AFI 10-3501, AFTTP 3-3.GA, & PMS MIP 5921/019
C.1.10. ARE CRITICAL DIVING GAGES CALIBRATED EVERY 24 MONTHS (I.E. OVER-BOTTOM GAGE, SUBMERSIBLE BOTTLE, PRESSURE TEST CHAMBER AND COMPRESSOR OUTLET (SCUBA CHARGING) GAGES)?REF: AFI 10-3501, AFTTP 3-3.GA, & PMS MIP 5921/032
C.1.11. IS MAINTENANCE BEING CONDUCTED ON LIFE PRESERVERS/BC'S?MANUFACTURE SERVICE REPAIR ON BLACK DIAMOND BC’S COMPLETED?REF: AFI 10-3501, AFTTP 3-3.GA, & APPLICABLE PMS
C.1.12. ARE APPLICABLE PMS SITUATIONAL REQUIREMENTS BEING ACCOMPLISHED ON SCUBA AND ARE THEY DOCUMENTED ON THE PMS BOARD?REF: NAVSEAINST 4790.8B & APPLICABLE PMS
C.1.13. DOES A SUPERVISORS PRE-DIVE INSPECTION CHECK-OFF SHEET EXIST FOR THE FFM?REF: NAVSEA SS600-AK-MMO-010
C.1.14. ARE APPLICABLE PMS SITUATUIONAL REQUIREMENTS BEING ACCOMPLISHED ON THE FM, ANMD ARE THEY DOCUMENTED ON THE PMS BOARD?REF: NAVSEA SS600-AK-MMO-010 & APPLICABLE PMS
C.2. MAINTENANCE
C.2.1. IS HYGIENIC MAINTENANCE BEING PERFORMED ON REGULATORS?REF: AFI 10-3501, AFTTP 3-3.GA, & PMS MIP 5921/019 R-2
C.2.2 ARE ALL DIVER'S SCUBA REGULATORS OF THE APPROVED TYPE?ARE COLD WATER CONVERSION KITS INSTALLED WHERE APPLICABLE?REF: NAVSEA letter 10560, 26 JULY 04, ANU List
C.2.3. IS THE 1ST STAGE OF THE SINGLE HOSE REGULATOR SET AT THE MANUFACTURER'S PSI?REF: AFI 10-3501, AFTTP 3-3.GA, PMS 5921/019, & MANUFACTURER'S TECH MANUAL
C.2.4 ARE WRIST/CONSOLE DEPTH GAGES COMPARED EVERY 18 MONTHS AND RESULTS RECORDED?REF: AFI 10-3501, AFTTP 3-3.GA, & PMS MIP 5921/032
C.2.5. ARE ALL SCUBA BOTTLES WITHIN HYDRO DATE, TESTED AND MARKED?REF: AFI 10-3501, AFTTP 3-3.GA, & PMS MIP 5921/019
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Safety Review Items Page 9
C.2.6. ARE THE LIFE PRESERVER/BC’S RELIEF VALVES WORKING AND IN GOOD REPAIR?REF: AFI 10-3501, AFTTP 3-3.GA, & APPLICABLE PMS
C.2.7. IS THE RUBBER SLEEVE CHECK VALVE REMOVED FROM THE UDT LIFE JACKET?REF: NAVSEA 10560, 26 JULY 04, AMU LIST
C.2.8. DO ALL LIFE PRESERVER CO2 CYLINDERS HAVE LEGIBLE MARKINGS AS TO GRAM WEIGHT?REF: AFI 10-3501, AFTTP 3-3.GA, & U.S. NAVY DIVE MANUAL APPLICABLE PMS
C.2.9. IS A GRAM SCALE AVAILABLE FOR WEIGHING CO2 CYLINDERS (SCALE MUST BE SET TO ZERO AND VERIFIED AGAINST A KNOWN STANDARD {VARIANCE +/-4 GRAMS})?REF: AFI 10-3501, AFTTP 3-3.GA, & PMS 5921/038
C.3 FULL FACE MASK
C.3.1 ARE THE FFM COMMUNICATION COMPENENTS CLEAN, DRY, AND FREE FROM TEARS, CUTS AND BROKEN WIRES? REF: NAVSEA SS600-AK-MMO-010
C.3.2 HAS HYGENIC MAINTENANCE BEEN PERFORMED ON THE FFM?REF: NAVSEA SS600-AK-MMO-010 & PMS MIP 5921/172
C.3.3 IS THE FFM MASK FREE OF ALL LOOSE SCALE, RUST, GRIT, FILINGS, OTHER FOREIGN DIRT, AND DETERIORATION?REF: NAVSEA SS600-AK-MMO-010 & PMS MIP 5921/172
C.3.4 IS THE ORAL-NASAL FREE OF CRACKS OR DETERIORATION?REF: REF: NAVSEA SS600-AK-MMO-010 & PMS MIP 5921/172
C.3.5 IS THE HEAD HARNESS IN GOOD CONDITION?NAVSEA SS600-AK-MMO-010/FFM
C.3.6 ARE BOTH THE TEST KIT AND REQUIRED REPAIR TOOLS AVAILABLE?NAVSEA SS600-AK-MMO-010 & PMS MIP 5921/172
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AIR FORCE DIVING: SCUBA
UNIT NAME: _____________________________________________________
LOCATION: ____________________________________________________________
UIC: ___________________________________________________________________
DATE: _________________________________________________________________
SURVEYOR(S): _________________________________________________________
NO. COMPLETE: ______ NO. REQ ACTION: _______ (REPEAT OFFENDERS:______)NO. UNABLE TO INSPECT: ________ NO. NOT APPLICABLE: _______
Scuba Survey Comments Sheet
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PART D - AIR SYSTEMS & STOWAGE
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AIR SYSTEMS & STOWAGED. AIR SYSTEMS & STOWAGE
D.1 AIR COMPRESSORS
D.1.1. ARE TECH MANUALS AVAILABLE FOR ALL PORTABLE AIR COMPRESSORS?REF: AFI 10-3501, AFI 16202, IC-1 TO AFI 16-1202 CL-1, AFTTP 3-3.GA & U.S. NAVY DIVE MANUAL
D.1.2. ARE INTERSTAGE COOLING TUBING AND CRANKCASE FINS CLEAN AND IN GOOD CONDITION?REF: AFI 10-3501 & APPLICABLE PMS
D.1.3. IS THE CORRECT COMPRESSOR OIL BEING USED? (1) 2190 TEP FOR NORMAL OPERATION OR 2135 FOR COLD WEATHER (2) SYNTHETIC BASED OIL THAT IS MANUFACTURER RECOMMENDED? IF NOT, IS THERE A WAIVER?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFTTP 3-3.GA, & U.S. NAVY DIVE MANUAL
D.1.4. ARE COMPRESSOR RELIEF VALVES TESTED AND SET AT REQUIRED PRESSURE EVERY 36 MONTHS?REF: AFI 10-3501, AFTTP 3-3.GA, & APPLICABLE PMS
D.1.5. ARE CHARGING WHIPS SECURED TO PREVENT WHIPPING?REF: AFI 10-3501 & U.S. NAVY DIVE MANUAL
D.1.6. ARE CHARGING WHIPS PROOF TESTED PRIOR TO INITIAL INSTALLATION?ARE RUBBER CHARGING WHIPS REPLACED AT 12 YEARS?REF: AFI 10-3501, AFTTP 3-3.GA, & PMS MIP 5921/033
D.1.7. ARE PULLEY/FANGUARDS INSTALLED ON THE AIR COMPRESSOR(S)?REF: AFI 10-3501 & NAVSEA 10560, 26 JULY 04, AMU LIST
D.2 GAGES AND VALVES
D.2.1. HAVE ALL CRITICAL PRESSURE GAGES BEEN CALIBRATED IN THE PAST 24 MONTHS (I.E. FINAL OUTLET "DISCHARGE" PRESSURE "SCUBA CHARGING/COMPRESSOR OUTLET" GAGES)?REF: AFI 10-3501, AFTTP 3-3.GA, & PMS 5921/032
D.2.2. ARE ALL GAGES LABELED AND NUMBERED?REF: AFI 10-3501, AFI 16-1202, AFTTP 3-3.GA, & NAVSEA SS521-AA-MAN-010
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D.2.3. ARE ALL VALVES LABELED AND NUMBERED?REF: AFI 10-3501, AFI 16-1202, AFTTP 3-3.GA, & NAVSEA SS521-AA-MAN-010 PARA B-9
D.3 INSTALLED CHARGING SYSTEM
D.3.1. HAVE ALL SYSTEM RELIEF VALVES BEEN TESTED DURING THE LAST 36 MONTHS AND TAGGED?REF: AFI 10-3501, AFTTP 3-3.GA, & PMS 5921/34
D.3.2 HAVE ALL VERTICALLY MOUNTED AIR FLASKS WITH DRYER AND BOTTOM BLOW DOWN INSTALLED BEEN HYDROSTATICALLY TESTED IN THE PAST 12 YEARS?
HORIZONTAL FLASKS AND FLASKS WITHOUT A DRYER 6 YEARS?
DOT3A OR3AA INDUSRIAL GAS CYLINDERS EVERY 5 YEARS?
REF: AFI 10-3501, AFTTP 3-3.GA, & PMS MIP 5921/034D.3.3 HAVE APPLICABLE HP MOISTURE SEPARATORS AND FILTER
HOUSINGS BEEN INMSPECTED AND TAGGED IAW PMS?REF: AFI 10-3501, AFTTP 3-3.GA, & PMS MIP 5921/034
D.3.4 HAVE ALL AIR FLASKS BEEN VISUALLY INSPECTED IN THE PAST 12 MONTHS?REF: AFI 10-3501, AFTTP 3-3.GA, & PMS MIP 5921/034
D.3.5 IS THE COMPRESSOR INTAKE LOCATED SO THAT THERE IS NO DANGER OF TAKING IN EXHAUST FUMES FROM THE ENGINE, STACK GAS OR OTHER CONTAMINATED AIR FROM LOCAL SOURCES?REF: AFI 10-3501, AFTTP 3-3.GA, & U.S. NAVY DIVE MANUAL
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AIR FORCE DIVING: AIR SYSTEMS AND STOWAGE
UNIT NAME: _____________________________________________________
LOCATION: ____________________________________________________________
UIC: ___________________________________________________________________
DATE: _________________________________________________________________
SURVEYOR(S): _________________________________________________________
NO. COMPLETE: ______ NO. REQ ACTION: _______ (REPEAT OFFENDERS:______)NO. UNABLE TO INSPECT: ________ NO. NOT APPLICABLE: _______
Air Systems and Stowage Survey Comments Sheet
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PART E - SUPPORT BOAT
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SUPPORT BOAT
E. SUPPORT BOAT
E.1 IS THERE A UNIT OPERATING INSTRUCTION (O/I) FOR SMALL BOAT OPERATIONS AND TRAINING QUALIFICATIONS PROCESS?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, , AFI 10-410, & OPNAVINST 4780.6 SERIES
E.2. IS THERE A SUPPORT BOAT SAFETY CHECKLIST (LOCALLY GENERATED)?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, , AFI 10-410, & U.S. NAVY DIVE MANUAL
E.3. ARE SUPPORT BOATS MAINTAINED IN ACCORDANCE WITH US NAVY 3M PREVENTATIVE MAINTENANCE SYSTEMS PROGRAM?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFI 10-410, AFTTP 3-3.GA, & OPNAVINST 4780.6 SERIES
E.4. IS BOAT EQUIPPED WITH AN INSTALLED/PORTABLE BILDGE PUMP AND DO THEY OPERATE SATISFACTORY?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFI 10-410, AFTTP 3-3.GA, & USCG BOAT SAFETY REGS
E.5. IS A FIRE EXTINGUISHER INSTALLED AND PROPERLY MAINTAINED?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFI 10-410, AFTTP 3-3.GA, & USCG BOAT SAFETY REGS
E.6. IS BOAT EQUIPPED WITH A SECONDARY SOURCE OF PROPULSION (I.E.SECOND ENGINE, PADDELS)?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFI 10-410, AFTTP 3-3.GA, & USCG BOAT SAFETY REGS
E.7 IS AN AMBU BAG OR ALTERNATE METHOD AND FIRST AID KIT AVAILABLE FOR SMALL BOAT OPERATIONS?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFI 10-410, AFTTP 3-3.GA, & U.S. NAVY DIVING MANUAL REV 5
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E.8. IS THE BOAT EQUIPPED WITH A VHF RADIO?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFI 10-410, AFTTP 3-3.GA, & USCG BOAT SAFETY REGS
E.9. IS EMERGENCY LIGHTING (FLASH LIGHT) AVAILABLE?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFI 10-410, AFTTP 3-3.GA, & USCG RULES OF THE ROAD
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E.10. ARE BOATS WITH OUTBOARD ENGINES EQUIPPED WITH EMERGENCY ENGINE CUT OFF SWITCHES?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFI 10-410, AFTTP 3-3.GA, & PMS MIP 5833/100 MANUFACTURES MANUAL
E.11. IS A SOUND PRODUCING DEVICE INSTALLED AND OPERABLE?REF: AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFTTP 3-3.GA, & USCG RULES OF THE ROAD
E.12. ARE NAVIGATIONAL AND TASK LIGHTS INSTALLED, AND ARE THEY IN THE PROPER CONFIGURATION?REF: AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFI 10-410, AFTTP 3-3.GA, & USCG RULES OF THE ROAD
E.13. ARE LIFE JACKETS AVAILABLE FOR ALL MEMBERS OF THE CREW AND PASSENGERS AND ARE THEY FULLY FUNCTIONAL?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFI 10-410, AFTTP 3-3.GA, & USCG BOAT SAFETY REGS
E.14. DOES THE BOAT HAVE A TYPE 4 THROWABLE DEVICE AVAILABLE?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFI 10-410, AFTTP 3-3.GA, & USCG BOAT SAFETY REGS
E.15. ARE INFLATABLE BOATS IN SATISFACTORY CONDITION AND HAS APPLICABLE MAINTENANCE BEEN PERFORMED IAW PMS?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFI 10-410, AFTTP 3-3.GA, & MIP 5833/204
E.16. ARE INFLATABLE BOATS HIGH OR LOW PRESSURE INFLATION SYSTEMS IN SATISFACTORY CONDITION, HOSES INSPECTED PERIODICALLY AND CYLINDERS WITHIN DOT HYDROSTATIC TEST DATES?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFI 10-410, AFTTP 3-3.GA, & MANUFACTURE MANUAL
# ITEM OK Other
E.17. ARE BOAT TRAILERS IN SATISFACTORY CONDITION AND HAS APPLICABLE MAINTENANCE BEEN PERFORMED IAW PMS?REF: AFI 10-3501, AFI 16-1202, IC-1 TO AFI 16-1202 CL-1, AFI 10-410, AFTTP 3-3.GA, & MIP 5833/205
Safety Review Items Page 16
AIR FORCE DIVING: SUPPOT BOAT
UNIT NAME: _____________________________________________________
LOCATION: ____________________________________________________________
UIC: ___________________________________________________________________
DATE: _________________________________________________________________
SURVEYOR(S): _________________________________________________________
NO. COMPLETE: ______ NO. REQ ACTION: _______ (REPEAT OFFENDERS:______)NO. UNABLE TO INSPECT: ________ NO. NOT APPLICABLE: _______
Support Boat Survey Comments Sheet
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Safety Review Items Page 17
OVERALL ANALYSIS
UNIT NAME: _________________________________________________________________
LOCATION: __________________________________________________________________
UIC: _________________________________________________________________________
DATE: _______________________________________________________________________
SURVEYOR(S): _______________________________________________________________
NO. COMPLETE: ______ NO. REQ ACTION: _______ (REPEAT OFFENDERS:______)NO. UNABLE TO INSPECT: ________ NO. NOT APPLICABLE: _______
PART TOTAL COMPLETED
TOTAL REQ ACTION/RPT
OFFENDER
TOTAL UNABLE TO
INSPECT
TOTAL NOT APPLICABL
E
A - ADMIN /
B - TRAINING /
C - SCUBA /
D - AIR SYSTEM & STOWAGE /
E - SUPPORT BOAT /
Safety Review Items Page 18