Vessel Name:

Call Sign:
IMO No:
VSAT Tel.:
FBB Tel.:
E-Mail:

Master Declaration
I, Capt. (Full Name), being anchored / berthed off Fujairah, declare that I will
comply with all port formalities and instructions while the diving operation is
performed by (Diving Company Name).
I also declare the following:

International Signals will be displayed (A Flag & Diver Down Flag)

Vessel will be secured anchored / moored at jetty
Job requirements will discuss with dive supervisor
Environmental conditions (Weather / Tide forecast) will be supplied to
dive supervisor
Propeller/s Bow thruster will be secured Turning gear engaged
All underwater electrical devices will be shut off
Port Authority / other vessels nearby been will be advised
All machinery related to diving will be isolated
Working channel will be established with dive supervisor
Rudder will be isolated and stationary
All sea intakes / or overboard dishrag lines not in use, will be secured by
double valve protection and locked-out / tagged-out
Lookout men will be posted
Main Engine / turning gear will be disengaged, locked-out, tagged-out
Cathodic protection system, sonar, echo sounder, Doppler log will be
switched off
All applicable emergency tools, materials, equipment will be checked and
be ready for use

Master Signature
Vessel
Stamp