High Risk / Remote Presentation Ascension Island Sub-Aqua Expeditions 2012 ‘Diving defensively, diving conservatively’ High Risk / Remote Presentation Ascension Island Sub-Aqua Expeditions 2012 ‘Developing individual courage and leadership skills through controlled exposure to risk in a challenging outdoor environment in order to enhance operational capability’ JSP 419 Scope • Ascension Island – Location, Orientation, Overview • • • • • • Dive Sites Value of Diving Ascension Typical Expedition and Diving Conduct Equipment Hazards, Risks and Control Measures DCI Risk Location Canary Islands Dakar • • • • 480 nm south of Equator ~ 9 hr flight from UK 810 nm SSW Liberia 1200 nm Brazil (Recife) Ascension Island Brazil Orientation English Bay & Jetty Georgetown • Lifeboat • Hospital Expedition Centre Travellers Hill •Accommodation •Messing Airfield •Ops & Met Office •Medical Centre Expedition Centre • • • • • • • Ablutions Dormitories Kitchen Crewroom/classroom Equipment store Compressor area BBQ / patio area Dive Site Locations North Boatswain Bird Island / Rock Prevailing wind direction – 130o Dive Sites Wall • • • • Volcanic Lava flow reefs, boulders Gradual increase in depth Most scenic sites: ~5-20m • Swim throughs • Gullies • Arches • Flattened wrecks: ~7-20m • 2 ‘wall’ sites - >30m+ Wall Confined Water / Approved Swimming Areas Comfortless Cove SWTA English Bay Value of Diving Ascension • Unique, varied environment & opportunity • Rich, abundant, diverse marine life – ‘Marine Conservation Zone’ – Manta, Turtles, Dolphins, Sharks, Jacks, Morays • Adventurous & challenging – self-help, teamwork, leadership, initiative, planning, organisation, camaraderie, compressor operation, boat and dive management • Sub-tropical, clear water, dependable conditions • British Overseas Territory • CNFP MOD flights – easier overseas expedition & financial approval process • Good value, cost effective Value of Diving Ascension Typical Diving Conditions • • • • • • • • • • Sunny, partially cloudy Water temp: 23-28C Air temp: 21-27C Prevailing winds 130 Tidal range <1m Current - no / slight westerly flow In-water visibility – excellent Boat traffic – very little Netting / lines – little to none Caution – Large surface swells • Forecast safe diving limit ≤ 2.5m Dive Profiles • • • • • • 12 ltr cylinder Open circuit Nitrox / Air Dive computer 30m maximum depth Conservative profiles no planned mandatory decompression stops • Descent / ascent line • 3-minute safety stop Typical Exped Modus Operandi • • • • • • • • • • 12 expeds per year No diving expeds Dec–Feb incl 12 divers / exped 12 days on island Arrive ASI - Mon early am Depart ASI - 2nd Fri night Cease diving – 2nd Thurs pm 2 day dives: • Morning dive • Charge cylinders / refuel / lunch • Afternoon dive Optional night dive ~18-20 total dives per person Equipment • Non-publicly funded • Acquired, maintained, serviced, tested by RAFS-AA ‘working parties’ – General Engineering Flight • Gas purity checks • Annual inspection DSO(AT) – Fully compliant Equipment • 2 RIBs / 55 HP engines • Ferry RIB • Nitrox membrane compressor • Electric air compressors x 2 • Cylinders • Weights • Shot lines / buoys • Mooring buoys • Boat anchors • Fuel cans / bags Exped Responsibility • Personal dive kit Safety Equipment • Nitrox membrane compressor • Emergency Position Indicating Radio Beacons & waterproof canisters • O2 cylinders • RescuEAN pods x 2 Exped Responsibility • Sat Phone • Knife / Line Cutter • Depth sounder • O2 masks / kits • Delayed SMBs • Hand-Held VHF radios • First aid kits • Other signalling aids Hazards & Risk - Risk Assessment Hazard Risk Frequency Severity Risk Evaluation DCI (DCS and / or Barotraumas) Serious injury/death of diver Rare High Large surface swells Damage to boat and diving equipment. Serious injury to divers Risk to boat and passengers Occasional Panic, entrapment, injury to diver, running out of air, serious injury to diver, death Serious injury to diver Deteriorating weather Disorientation / entrapment during swim throughs Diver falling when exiting water or generally during entry/exit Controls Immediate Measures High Thorough and accurate dive planning. Divers should agree a dive plan with the SADS/Dive Manager before the dive. Dive the plan. All divers to use computer or BSAC 88 tables to plan/execute dive profile. Divers should avoid aggressive dive profiles and ensure they have sufficient gas for the planned dive, including 3-minute safety stop. Divers should ensure they are properly weighted and capable of making a safe and controlled ascent, and that inflation and dump systems are working correctly. Divers to remain well hydrated and avoid excessive exercise after diving. If diving on computers, divers to have a contingency plan for computer failure e.g. watch and dive tables SADS to ensure oxygen kit checked and fully functional and O2 administrator on boat. De-kit before getting out of water. Minimize physical activity/exertion after dives. Oxygen kit and trained O2 administrators on site. Dive Manager (or designated diver) to contact Ascension Radio/Ops ASAP. Use Emergency Assistance Plan. Land casualty at Guano Jetty or Georgetown. Incident Procedure/DCI assessment sheet to be completed and accompany diver to emergency services. Incident to be referred to DDMO ASAP. Casualty to be referred to recompression facility. High Medium No diving operations if forecast swell > 2.5m. Post look-outs during ferry boat loading and unloading. Back off ferry boat immediately on notification of a swell by the lookout. Personnel and equipment stay/placed on high ground. Occasional Low Low Usually a good weather factor. Dive Manager to plan dive using updated weather forecast, and to have contingency dive site. Continuously monitor conditions prior to and during dive and abort dive if necessary. Book in/out each dive activity with Ascension. Dive Manager to cancel diving or change to back-up site. Recall divers if dive in progress Rare Medium Medium Divers to avoid entering swim throughs unless they have clear entry and exit, or are suitably trained and equipped. Divers to carry/use guidance line /rope. Gas to be checked immediately prior to penetration. Careful fining technique to minimize silt disturbance. Assistance from buddy Occasional Medium Medium Divers to ensure they are never beneath a diver climbing up a ladder or entering/exiting water. Recover casualty from water and administer first aid. Hospitalise, as required. Risk Mitigation & Control Measures • • • • Fit military population BR1750A periodic medical examination & annual review DVD boat loading procedures Dive planning and organization – Pre-exped risk assessment – Dive planning – identify specific hazards, risks and control measures for dive • Comprehensive dive brief - weather & sea conditions from ASI Met Office • Book in / out by telcon - Ascension Ops • SEEDS brief • Pre-dive BAR(E) safety check • SADS dive manager – dynamic risk assessment • JSSADR • BSAC Safe Diving • Debriefs Emergency Assistance Plan Rescue / Emergency Services • EAP Medical Centre – RAFS-AA website – On-island procedures rehearsed & tested annually – No recompression chamber • Ascension Island Fire & Rescue Lifeboat – – – – 24-hr cover, 30-33 kts GPS, Radar, VHF, EPIRB 2 x 60-man life rafts No SAR helicopter • Ascension Radio / Base Ops – VHF 16 / Sat Phone • • Mil Med Centre Georgetown Hospital Georgetown Hospital DCI Risk – Control Measures • • • • Medicals Nitrox 30m maximum depth Conservative profiles - no mandatory decompression stops • 24-hr break after 4 days diving • 3-minute safety stop • Nitrox – use air nostop decompression limits • Descent / ascent line • JSSADR • BSAC Safe Diving • O2 kit • RescuEAN pods DCI Incident Rate • 1982 - first exped • 1984 - regular expeds ~ 12 expeds of 12 divers / year ~ 2,800 dives / year 28 years of expeds Total Dives ~ 88,000 DCI Incidents – 0 Probability of DCI Incident Next Dive 3 Total No of dives occurred so far without mishap = 3.4 x 10-5 Very small DCI risk Risk in Perspective • 1 in 1000 as the ‘just about tolerable risk’ for any substantial category of workers for any large part of a working life • • 1 in 10,000 as the ‘maximum tolerable risk’ for members of the public from any single non-nuclear plant • • 1 in 100,000 as the ‘maximum tolerable risk’ for members of the public from any new nuclear power station • • 1 in 1,000,000 as the level of ‘acceptable risk’ at which no further improvements in safety need to be made DCI Risk Mitigation New Control Measures • Mandatory 24-hr breaks after 4 days diving Recommended that no more than 3 dives be performed in any 24 hrs. Any dive series involving consecutive days diving to 30m+ should be limited to 4 days, after which a 24-hr break should be taken Maximum depth in ASI ≤30m More cautious, greater margin of safety • Mandatory 3-minute safety stop • Nitrox – mandatory use of air no-stop decompression profiles Flight Schedule 2012 • Ascension to Brize Norton – 2 flights per week – Tues & Fri – evening • Ascension to Falklands – 2 flights per week – Mon & Thurs – morning • USAF flights 4+ flights / week for potential CASEVAC tasking AT Medical / CASEVAC ‘MOD will facilitate medical treatment for personnel whilst on AT, including, if necessary, medical evacuation. This may include rescue/recovery from the accident site when necessary’ ‘MOD will bear the cost of medical/rescue treatment and worldwide aero-medical evacuation for Service personnel on authorised AT 2009DIN01-050 Summary Diving Defensively, diving conservatively • • • • • Unique location, opportunity, facilities Adventurous - controlled exposure to risk Comprehensive risk mitigation and controls Proven, excellent safety record No DCI incidents Summary Diving cautiously, diving conservatively ‘The value of AT lies in the recognition and effective management of risk through a systematic approach to recognizing risk and taking preventative or controlling action’ Questions