Guidance on Health, Fitness and Medical Issues in Diving Operations
Appendix 2 – Post-diving Medical Checklist
POST-DIVING MEDICAL CHECK FORM Date: (DD/MM/YY) Time:
This should not take place before completion of the Bend Watch for Saturation diving.
However if it does (for operational reasons), this must be clearly stated and explained. Appropriate follow up
and review should be organised and documented.
This should take place just before the diver leaves the project for a break/time off after Surface Supply (SS)
diving.
Diver’s Name: Age: Date of birth:
If Sat diving: Max storage depth: Max dive depth:
Date/Time entered Sat: Date/Time out of Sat:
This sat exposure: days: hours:
If SS Diving Maximum depth: Number of days diving: Number of dives:
Date started: Date ended:
POST-DIVING MEDICAL HISTORY
Yes No Yes No
Any problems during Any problems during Diving
compression? Operations?
Any medication taken during Any problems after surfacing?
Diving Operations?
If YES to any of the above, give explanation in comments box below (use separate sheet if necessary).
Comments
1) Nature of problem
2) Date and time of problem
3) Medication taken and for what period
4) Storage depth when problem noticed
5) Attach any details recorded by the
LSS/Supervisor
6) Accident/Near Miss Report Number
and Date of Submission etc.
POST-DIVING MEDICAL HISTORY (continued) Yes No
1) Is the diver presently suffering from or has he experienced any unusual aches and
pains, bruising, joint discomfort, weakness, sore or stiff back/neck, skin numbness /
sensation loss / rashes or itchiness, pins and needles, etc. during or since the dive?
2) Does the diver have any current illness such as cough, cold, flu or any other upper
respiratory tract infection, ear infection, skin infection, or other infectious disease,
diarrhoea, nausea or vomiting?
3) Is the diver suffering from any condition/complaint at this time that he believes
requires follow-up/further investigation by the company doctor or other medical
services?
4) Does the diver report having any known adverse signs and symptoms during or
following the dive not recorded/noted elsewhere in this document?
If Yes to any of the above, please detail and use separate sheet if necessary.
Make a note in the Diver’s Logbook (Section 7 of the IMCA Professional Diver’s Logbook).
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Guidance on Health, Fitness and Medical Issues in Diving Operations
POST-DIVING MEDICAL EXAMINATION Yes No
B/P: Pulse:
Temp: Weight (kg):
Are there any abnormalities?
General mobility:
Does the diver have any:
Difficulties touching the toes or performing trunk bends forwards and backwards?
Difficulties performing a number of full knee bends or a similar safe lower body
exercise?
Difficulties performing alternate full arm rotations in both directions?
All of the above or similar should be carried out without pain and/or discomfort. If the diver
appears to be experiencing discomfort or appears to show signs of restricted mobility,
investigate further and consult the Company Doctor.
Respiratory System:
Are there any abnormalities of auscultation (for example, any asymmetry of air entry),
percussion or any abnormal chest movements?
Skin condition:
Are there any skin cuts, abrasions or infection, rashes, or signs of dermatitis?
Ears:
Are there any abnormalities of the tympanic membranes?
Are there any signs of infection?
Neurological:
Are there any abnormalities of motor or sensory systems, including soft touch, sharp
blunt, Romberg, central nervous system or mental state?
Abdomen:
Is there any abnormality or tenderness of the abdomen?
Any abnormalities of urine:
Are the urine dip-stick results normal (minimum sugar, blood, protein)?
Additional information:
If YES to any of the above, consult with/advise Diving Supervisor and Company Doctor
The diver may then need a more detailed examination.
I declare the information given to be true/correct.
Diver name: Signed: Date:
Examiner: Signed: Date:
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Guidance on Health, Fitness and Medical Issues in Diving Operations
PLEASE STAPLE THIS POST-DIVE MEDICAL CHECK FORM TO THE DIVERS PRE-DIVE MEDICAL CHECK
FORM
These documents should be retained as part of the diver’s medical record.
Medical confidentiality legislation would be applicable and all documents/correspondence should be
marked accordingly and stored appropriately.
Disclosure of personal information should be done in compliance with relevant law.
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