Debrief Conducted By *

The person conducting the debrief

First Name

Last Name

Debrief Date *

MM

DD

YYYY

Debrief Time *

Hour

Minute

Second

AM PM

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)