diving does not have a centralised certifying or regulatory agency and is mostly self-regulated. There are, however, several international organisations of varying size and market share that train and certify divers and dive instructors, and many diving related sales and rental outlets require proof of diver certification from one of these organisations prior to selling or renting certain diving products or services. Not only is the underwater environment hazardous but the diving equipment itself can be dangerous. There are problems that divers must learn to avoid and manage when they do occur. Divers need repeated practice and a gradual increase in the challenge to develop and internalise the skills needed to control the equipment, to respond effectively if they encounter difficulties, and to build confidence in their equipment and themselves. Diver practical training starts with simple but essential procedures and builds on them until complex procedures can be managed effectively. This may be broken up into several short training programmes, with certification issued for each stage, or combined into a few more substantial programmes with certification issued when all the skills have been mastered. Many organizations exist, throughout the world, offering diver training leading to certification: the issuing of a "Diving Certification Card," also known as a "C-card," or qualification card. This diving certification model originated at Scripps Institution of Oceanography in 1952 after two divers died while using university-owned equipment and the SIO instituted a system where a card was issued after training as evidence of competence. Diving instructors affiliated to a diving certification agency may work independently or through a university, a dive club, a dive school or a dive shop. They will offer courses that should meet, or exceed, the standards of the certification organization that will certify the divers attending the course. Certification of the diver is done by the certification organisation on application by the registered instructor. The International Organization for Standardization has approved six recreational diving standards that may be implemented worldwide, and some of the standards developed by the World Recreational Scuba Training Council are consistent with the applicable ISO Standards, as are equivalent standards published by the Confédération Mondiale des Activités Subaquatiques and the European Underwater Federation The initial open water training for a person who is medically fit to dive and a reasonably competent swimmer is relatively short. Many dive shops in popular holiday locations offer courses intended to teach a