The commercial dive physical: what to expect
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Not medical advice. Fitness to dive is decided by a qualified diving medical examiner. This page explains where the requirement comes from and how to keep your paperwork in order. Checked on 21 Oct 2026.
Who asks for it
Commercial diving schools and employers ask for a diving medical examination before you train or work. Many US employers work to the consensus standards for commercial diving published by the Association of Diving Contractors International (ADCI), which is why many people call the exam the "ADCI physical". Get the current requirements and form from ADCI, your employer or your school.
What the federal rules say
- OSHA. 29 CFR 1910.410 says the employer shall not permit a dive team member to dive or be otherwise exposed to hyperbaric conditions for the duration of any temporary physical impairment or condition that is known to the employer and is likely to affect the member's safety or health adversely.
- U.S. Coast Guard. For operations under 46 CFR Part 197 Subpart B, section 197.410 requires the diving supervisor to ensure that each diver is instructed to report any physical problems or physiological effects.
Neither rule tells you what the examination contains. The examining physician and the standards your employer works to decide that.
Before the appointment
- Ask your employer or school which form and which standard to use.
- Book with a physician who examines divers. Ask your school or employer if they have a list.
- Bring the form, photo ID, and any medical records the physician asks for.
- Ask how long the certificate is valid for, and write the expiry date down.
Keep the certificate and its expiry date with you
DIVEOPS PRO is a digital companion to your official logbook. In the documents wallet you can store a copy of your medical certificate next to your other tickets. It asks for your explicit consent before storing a medical document, and it reminds you 60, 30 and 7 days before the expiry date and on the day itself. It does not assess fitness to dive. Create your account, or read how to become a commercial diver.
Frequently asked questions
Who decides if I am fit to dive?
A qualified diving medical examiner. This article is not medical advice, and DIVEOPS PRO does not assess fitness to dive.
How often do I need a dive physical?
That is set by the standards your employer works to and by the examining physician. If your employer works to the ADCI consensus standards, read the current edition from ADCI and ask your employer which requirements apply to you.
Where do I find the ADCI physical form?
Get the current form and requirements from ADCI or from your employer or school. Forms are revised, so do not rely on an old copy.
Can I keep my medical certificate in DIVEOPS PRO?
Yes, if you choose to. The documents wallet asks for your explicit consent before it stores a medical document, and it reminds you before the certificate expires. Keep the original as your employer requires.