Kirby Morgan Dive Systems

Dive Evaluation Form:

Overall evaluation for diving helmet or mask
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* Diver's First Name

* Diver's Last Name

* Product Name

* Serial Number

Preferred Method of Contact

E-mail: Mail:
Mail used for Safety Notices only.

Notification Options

Safety Notices:
Product Bulletins:
Press Releases:

* E-mail

Address

Apt. or Ste. #

City

State/Province

Postal Code

Country

Dive Environment:

Company:

Location of Dive Site:

Job Type:

Type of Water

Depth:	Max: Min:
Water Conditions:

Average Temperatures:	Topside: Water:
Weather:	Clear Other

Wind:	Y N
Estimated Workrate:	Light Moderate Heavy Extreme
How Many Hours of Dive Time Using the Helmet

Equipment:
	H.P. Banks w/L>P> Control Panel: KMACS Panel: L.P. Compressor: Other If other describe:
Length of Umbilical and Diameter Length:	Length Diameter
Type of Communication:	2 Wire 4 Wire Wireless
Type of Suit:	Drysuit Wetsuit Other
Additional Helmet Accessories:	(lights, video etc.)
Auxiliary Gas Supply setup:	Tank Size: Regulator Type:
Other Gas Supply:

General:
Yes: No:	Did the diver take time to adjust the head cushion via trimming or adding foam
Yes: No:	If equipped with such, was the neck pad adjusted to the divers comfort
After Diving how would you rate the balance of the helmet:

Regulator Function:
Did the Reg breathe Smoothly:	Yes: No: If no Please Describe.
Was the adjustment knob used:	Yes: No: If Yes, did it seem to work properly. Yes: No:
Were there any problems with the regulator. (i.e. Unwanted air flow,uncomfortable or extreme flow, Freeflow etc). Describe.
Any air noise issues on either inhalation or exhaust:	Yes: No:
How would you rate the exhaust bubble deflection:
Was the regulator DRY:	Yes: No:
Had the regulator or helmet taken any impact:	Yes: No:
If Yes Any problems Describe:
How would you rate this breathing system:
What would be your overall rating of the helmet be
Additional Comments:

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