Debrief Details Debrief Conducted By * The person conducting the debrief First Name Last Name Phone Number * Email * Debrief Location * Debrief Date * MM DD YYYY Debrief Time * Hour Minute Second AM PM 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 The debrief notes have been submitted.
