Team Name/ Call Sign	Date	Radio Frequency/Channel		

Mission
Type of Search:	□ 1  □ 2  □ 3  □ 4  □ wide-spaced sound sweep   other:
	□ Confinement  □ Rover/Relay	Desired P.O.D.		
Assignment
in Segment(s): _____________	
Time	Check In/Assignment Changes	

Execution
Type of Team	□ Ground	□ Dog	□ Quad	□ Helicopter	other:
	□ Tracking	□ Horse	□ Snowmobile	□ Road Vehicle	
Name	Resource Name	Special Skills	Cell Phone	
1.	Team Leader			
2.				
3.				
4.				
5.				
6.				
How Traveling To and From Assignment	
	□ Briefed	□ Heading to Segment	□ Start Assignment	□ Finished Asgmnt	□ Returning	□ Debriefed (□ see over)	□ Confirmed All Back	
Date/
Time								
By
Whom								
Team Name	Date	Time Went Out	Time Returned	Time in Segment(s)		
Team Members Present At Debriefing	
Assignment (as team understood it)

in Segment(s) _________________	
What Was Accomplished	
Gaps in Coverage	
Percentage of Assigned Area Not Covered _______	
What Was Critical Separation Spacing?	POD	Responsive	Non-Responsive	
	Team reports			
	Manager assessed			
Log Clues	
Describe Segment	
Things NOT on Map (Attach Map)	
Hazards	Injuries/Near Misses/Equipment loss or damage	
Best Way to Access Assigned Area	
Suggestions, Ideas for Future Actions (same segment or any part of search)	
All team members are back to base and accounted for as of Date:	Time:	
Debriefed By:	Date/Time:

Information transferred to:  □ Clue log  □ Segment description  □ Segment cumulative POD  □ Suggested actions