FORM C: SITE REGISTRATION (V.March 2009)

Applicant’s Name: Submission Date: Version:

Section 1

1.1 List of site/s coveredin this document (attach maps)

Country / State / City / Suburb / Specific Location / Site registration approved[1]
Australia / NSW / Sydney

1.2Address, map, and contact number for the hospital/s nearest to these dive sites:

1.3Address, map, and contact numberfor the recompression chamber nearest to these dive sites:

Prince of Wales hospital, Randwick 02 9382 3880.

Address: Anzac Avenue, right turn at Avoca street, left at Barker, right at hospital road.

Map 2: Nearest chamber is at the Prince of Wales hospital, Randwick, Sydney

Section 2

2.1 Hazards and risks that relate to the dive site/s:

Risks and hazards that relate to a specific dive site/s include but are not limited to the following: boating traffic, weather and sea conditions, currents and tides, thermal exposure (heat, cold, UV), visibility (air and water), exposure to altitude (during or after the dive), contaminated waters, water inlets & outlets, underwater terrain, entrapment hazards, dangerous marine animals, isolation (remote area diving), excessive noise.

Use the following table to list the Hazards and Risks associated with the dive site/s and the control measure(s) you will put in place. Please delete any of the example activities that do not apply to your work.

Fieldwork Activity
/
Hazards
/
Potential Outcome
/
Risk
/
Control Measures
Weather and Sea Conditions / High wind or swell / Cant safely enter or exit site, difficulty diving, capsize boat / Check weather and sea conditions before leaving on boat or entering water from shore. Monitor conditions during the activity and be prepared to cancel the activity at any time.
Working in the water/outdoors / Sun
Exposure / Sun burn
Dehydration
Hyperthermia
Hypothermia / Sunscreen, hat, shelter between dives
Have food and drink available
Appropriate clothing/ wetsuit type
Monitor divers for signs of these risks
Boating Traffic / Collision
Boat mooring to dive flag / Minor to serious injury to persons and equipment / Consider anchoring dive flag in vicinity of dive, use jetty dive flag, have a breakable connection to diver if attaching flag directly to BCD. Avoid surfacing in open water when boats can be heard.
Sharks / Bite / Minor to death / Refer to MQ dive policy to help you assess this risk. Shark shields are available for all divers & snorkelers.
Other
Marine Organisms / Blue-ring
Blue-bottle
Cuts and abrasions, and other envenomations / Minor to serious injury to person including respiratory or cardiac arrest / Check for signs of blue bottles (washed up on beach), take due care in lifting rocks, wear protective clothing such as a full wetsuit, hood and gloves.
Overhead environments / Cuts, abrasions, concussion / Minor to serious injury to person / Surface with gloved fist first.
Entry and Exit points / Wave action / Falling over, cuts and abrasions, / Due care on entry and exit particularly in a surge.

Emergency Services Australia PHONE: 000 or 112 (GSM phones)

Divers Emergency Service: Within Australia (Toll Free) 1800 088 200 Outside Australia +61-8-8212 9242

Page 1 of 3

[1] Dive Officer to initial