Dive Plan Form


Dive Form
* indicates required field
Lead Diver* E-mail* Dive Accident Insurance Cert. depth*

(all project divers must be listed)
Project Name* Principal Investigator* Principal Investigator E-mail*
Dive Site of Proposed Research Dives*
Description of Dive Plan - Please be as specific as possible.*
Diving Mode* Breathing Gas* List any special Equipment, Research Gear, Diving Conditions or Boats to be used.
Start Date* End Date*
Number of dives
daily*
Maximum Operating
Depth (fsw)*
Maximum Dive
Time (min)*
Local emergency first responders name/location/phone/radio channel*
Nearest emergency medical facility name/location/phone*
Nearest hyperbaric chamber name/location/phone*
  • USC Wrigley Institute for Environmental Studies
  • 3616 Trousdale Parkway, AHF 410
  • Los Angeles, California 90089-0371