Gauntlet Safety Management Plan and Self-Assessment

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This document must be completed prior to participating on a dive charter with NADE aboard the dive vessel, Gauntlet. Self-screening is to be carried out by each individual before boarding the boat. Please answer the questions below. The captains will verify this information with you before boarding.

Email *

Name *

Date *

YYYY

Have you traveled by plane, train or bus within 14 days prior to the planned trip? *

Yes

Required

Have you tested positive for COVID-19 in past 14 days? Passengers or crew with a prior COVID-19 infection must have documentation from a medical doctor confirming a negative test and medical clearance for diving. *

Yes

Required

Have you been in contact with an individual known to be or suspected to be infected with COVID-19 within last 14 days? *

Yes

Required

Have you measured your temperature to determine it is within normal range? CDC defines a high temperature as 100.4F/ 38C. *

Yes

Required

Do you have a facial covering? *

Yes

Required

I agree to wear a facial covering while inside the cabin, I agree to wear a facial covering on the back deck as much as feasible. I agree to maintain at least 6-foot distance from others. *

Yes

Required

Equipment must be contained in totes with a lid and/or a non-mesh bag that can be closed. I agree to maintain my equipment in enclosed bags and/or containers and in the assigned location(s). *

Yes

Required

I agree to follow all crew instructions for loading, dive conduct and off-loading the vessel. *

Yes

Required

Send me a copy of my responses.

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