Scuba Diving Medical Emergency Report
About this free form template

When a medical emergency occurs during a scuba diving charter, proper documentation is critical for medical treatment, insurance claims, regulatory compliance, and future safety improvements. This Scuba Diving Medical Emergency Report template provides dive operators with a structured, DAN-compliant form to capture every essential detail when incidents happen on the water.

Designed specifically for commercial dive charters, liveaboards, and dive resorts, this template walks your crew through documenting the diver's condition, dive profile details, symptoms observed, emergency response actions taken, hyperbaric chamber referrals, and Coast Guard notifications. The form ensures you're capturing the information that emergency medical services, DAN (Divers Alert Network), hyperbaric physicians, and maritime authorities need to respond effectively.

This template is ideal for dive charter operators, dive masters, boat captains, safety officers, and marine tourism businesses in the recreational diving industry. It helps you maintain compliance with maritime safety regulations, support insurance and liability documentation, and provide critical information to medical responders when every minute counts.

Using Paperform, you can customize this template to match your charter's safety protocols, add conditional logic to show relevant fields based on injury type, and automatically route completed reports to your safety officer, insurance provider, or DAN coordinator. With Papersign (papersign.com), you can collect electronic signatures from the injured diver, witnesses, and crew members directly within the report workflow, creating a complete, legally defensible incident record. And with Stepper (stepper.io), you can automate post-incident workflows—like notifying your insurance broker, logging the incident in your safety database, scheduling crew debriefs, and triggering follow-up care coordination with the diver.

Whether you're running a small day-boat operation or managing a fleet of dive vessels, this template helps you respond professionally to emergencies while maintaining the detailed documentation that protects your business, supports injured divers, and improves future safety outcomes.

Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.