Debrief Details

Debrief Conducted By

The person conducting the debrief

First Name

Last Name

Phone Number

Debrief Location

Debrief Date

YYYY

Debrief Time

Hour

Minute

Second

Debrief Participants

Enter the names of all debrief participants, their contact number and their surf club or service name

Patrol Captain Email Address

If different from details of person completing form. The Patrol Captain will be sent a copy of the Debrief Form.

Incident Details

Incident Number

Incident Number can be obtained from the State Operations Centre (SOC) on (08) 8354 6924.

Incident Location

Incident Description

Incident Outcome

Rescue/Found/Not Located

What went well?

What are the opportunities to improve?

Recommendations

Actions to be Raised

Have all debrief participants been provided with the Traumatic Sress Reactions pamphlet before leaving?

Traumatic Stress Reactions pamphlet is available on the Members Poral, from the Lifesaving Department or the State Operations Centre.

Yes

No - more required (record contact details)

Additional Traumatic Stress Reactions Pamphlets Required

Name, contact number and surf club or service name

Follow-up Contacts

Person responsible to liaise with club management to develop welfare plan

Name, contact number and surf club or service name

Person responsible for contacting persons not present for debrief

Name, contact number and surf club or service name

Person responsible for providing overview of incident to nominated adult for any youths involved in the incident

Name, contact number and surf club or service name

Additional Comments