Inquiry Search
Rec-ID | Code | Recommendation |
---|---|---|
REC327-4350 | 32 - Doctrine, standards, and reform | By December 2023, the Rural Fire Service should: develop a fleet enhancement framework and strategy that is informed by an assessment of current fleet capability to respond to fire incidents, and research into the most appropriate technologies and appliances to address emerging and future fire risks across NSW. |
REC327-4345 | 32 - Doctrine, standards, and reform | By December 2023, the Rural Fire Service should: review and improve processes for timely recording of fleet asset movements, locations, and maintenance status. |
REC327-4346 | 32 - Doctrine, standards, and reform | By December 2023, the Rural Fire Service should: establish a fleet maintenance framework to ensure regular update of District Service Agreements with local councils. |
REC327-4348 | 38 - Agency/Department Reporting | By December 2023, the Rural Fire Service should: report annually on fleet allocations to RFS Districts, and identify the ways in which fleet resources align with district-level fire risks |
REC327-4349 | 38 - Agency/Department Reporting | By December 2023, the Rural Fire Service should: develop performance measures to assess the performance and capabilities of the fleet in each RFS District by recording and publicly reporting on: fire response times and fire response outcomes; and, completions of fire hazard reduction works. |
Rec-ID | Code | Recommendation |
---|---|---|
REC326-4344 | 24 - Govt responsibility | To promote integrity and transparency, the Department of Regional NSW should ensure that for all future grant programs it: establishes and follows guidelines that align with relevant good practice guidance including accountabilities, key assessment steps and clear assessment criteria. |
REC326-4340 | 24 - Govt responsibility | To promote integrity and transparency, the Department of Regional NSW should ensure that for all future grant programs it: documents all key decisions and approvals in line with record keeping obligations. |
REC326-4341 | 24 - Govt responsibility | To promote integrity and transparency, the Department of Regional NSW should ensure that for all future grant programs it: ensures regular monitoring is in place as part of funding deeds. |
REC326-4342 | 24 - Govt responsibility | To promote integrity and transparency, the Department of Regional NSW should ensure that for all future grant programs it: ensures staff declare conflicts of interest prior to the commencement of a grants stream, and that these conflicts of interest are recorded and managed. |
REC326-4343 | 24 - Govt responsibility | To promote integrity and transparency, the Department of Regional NSW should ensure that for all future grant programs it: ensures a communications plan is in place, including the communication of guidelines to potential applicants. |
Rec-ID | Code | Recommendation |
---|---|---|
REC322-4255 | 42 - Culture and Heritage | The Inspector-General Emergency Management recommends a set of guiding principles that reflect a unified response to World Heritage listed sites in Queensland be included in the Queensland State Disaster Management Plan and reflected in the Queensland Bushfire Plan. |
REC322-4224 | 17 - Assets and technology | The Inspector-General Emergency Management recommends the Department of Environment and Science examines the utilisation of technology, in consultation with relevant stakeholders, to improve the collection of visitor numbers and movement data. This could include, for example, expanding the use of Automatic Number Plate Recognition technology to K’gari and examining the suitability of mobile phone check-in applications. |
REC322-4247 | 32 - Doctrine, standards, and reform | The Inspector-General Emergency Management recommends a collaborative review of firelines, tracks and trails on K’gari be undertaken by the Department of Environment and Science, in collaboration with the Locality Specific Area Fire Management Group and the Butchulla people, to ensure an adequate network is agreed by relevant stakeholders, and roles and responsibilities for maintenance are agreed and documented. |
REC322-4238 | 32 - Doctrine, standards, and reform | The Inspector-General Emergency Management recommends the Department of Environment and Science ensure that all Queensland Parks and Wildlife Service regions develop a Disaster Management Operations Plan based on a standardised format. The plans should include provision for annual review to ensure they remain contemporary, interoperable with relevant disaster management plans and aligned to the Department of Environment and Science Emergency Management Plan. |
REC322-4226 | 9 - Community education | The Inspector-General Emergency Management recommends the Bushfire Risk Mitigation Plan for Fraser Coast Area Fire Management Group include a schedule of planned engagement activities, or a community engagement sub-plan outlining these activities, and be publicly available. |
REC322-4249 | 9 - Community education | The Inspector-General Emergency Management recommends all Area Fire Management Groups in Queensland make their Bushfire Risk Mitigation Plans, bushfire risk mapping and methodology easily understood and available to the community. All public plans should be dated to ensure currency and incorporate mechanisms for community feedback. |
REC322-4218 | 25 - Inquiry, audit, lessons management and after action review | The Inspector-General Emergency Management recommends this report be returned to the IGEM to monitor, evaluate and report on progress and implementation of the recommendations that are accepted in whole or in part by government. |
REC322-4239 | 42 - Culture and Heritage | The Inspector-General Emergency Management recommends entities with responsibilities for land and fire management consider the establishment of roles for Traditional Owner and First Nations representatives in incident management structures for significant bushfire or disaster events including those that may impact on cultural heritage in Queensland’s World Heritage sites. |
REC322-4233 | 32 - Doctrine, standards, and reform | The Inspector-General Emergency Management recommends Queensland Fire and Emergency Services and the Department of Environment and Science review the current description of Level 1, 2, and 3 bushfire incidents and the implied meaning of property in the Queensland Bushfire Plan. This review should identify and agree on clear criteria and decision points for the transfer of control and develop a standard process and templates. |
REC322-4252 | 25 - Inquiry, audit, lessons management and after action review | The Inspector-General Emergency Management recommends Queensland Fire and Emergency Services regularly review and evaluate the effectiveness of the Queensland Bushfire Plan with land managers and stakeholders, including disaster management groups. A review should occur in line with any material change to the Queensland State Disaster Management Plan, the Disaster Management Act 2003, the Prevention Preparedness Response and Recovery Guideline, or after major bushfire events, to ensure appropriate alignment and currency. |
REC322-4219 | 25 - Inquiry, audit, lessons management and after action review | The Inspector-General Emergency Management recommends should a Queensland Government Action Plan be considered, clarity about the intent of the recommendations be sought from the Inspector-General Emergency Management to assist in informing this process. |
REC322-4240 | 25 - Inquiry, audit, lessons management and after action review | The Inspector-General Emergency Management recommends the next review of the Queensland State Disaster Management Plan examines and provides guidance in respect to the application of Queensland’s disaster management arrangements to support hazard specific events such as bushfire. |
REC322-4234 | 32 - Doctrine, standards, and reform | The Inspector-General Emergency Management recommends the Department of Environment and Science review its suite of operational doctrine to ensure arrangements for situational reporting and requests for assistance are aligned to recognised multi-agency practices used in disaster management. |
REC322-4253 | 42 - Culture and Heritage | The Inspector-General Emergency Management recommends the Queensland State Disaster Management Plan and the Queensland Bushfire Plan be reviewed to enhance appropriate arrangements for the management of bushfire and disaster events where a threat is posed to significant environmental and cultural heritage sites. |
REC322-4220 | 25 - Inquiry, audit, lessons management and after action review | The Inspector-General Emergency Management recommends Queensland Fire and Emergency Services and the Department of Environment and Science monitor the progress of relevant improvement activities resulting from the K’gari (Fraser Island) Bushfire Review, through their respective lessons management programs. |
REC322-4241 | 32 - Doctrine, standards, and reform | The Inspector-General Emergency Management recommends Queensland Fire and Emergency Services consider expanding specialist Remote Area Firefighting Team capability to assist in responding to significant bushfire events which occur in rugged or inaccessible terrain. |
REC322-4236 | 32 - Doctrine, standards, and reform | The Inspector-General Emergency Management recommends the arrangements and requirements for situational reporting when an incident is under the control of the Department of Environment and Science be detailed in the Queensland Bushfire Plan. These arrangements should also be outlined in relevant joint entity agreements and operational doctrine. |
REC322-4254 | 42 - Culture and Heritage | The Inspector-General Emergency Management recommends that the Queensland Government works with the Commonwealth Government to review the Project Agreement for World Heritage Management to ensure Queensland and Australia continue to meet their obligations under the World Heritage Convention to protect, conserve and present our World Heritage properties. |
REC322-4221 | 9 - Community education | The Inspector-General Emergency Management recommends Department of Environment and Science implement an awareness and engagement strategy aimed at deterring the lighting of campfires to encourage behavioural change amongst visitors. |
REC322-4246 | 25 - Inquiry, audit, lessons management and after action review | The Inspector-General Emergency Management recommends the Interagency Protocol for Fire Management be reviewed by all relevant entities, including representatives of the Butchulla people, and be updated as a matter of priority. Entities responsible for the protocol should implement a process for regular review and evaluation of its effectiveness. This review process should be conducted after a major bushfire event, or to reflect any material change to applicable legislation and policy. It should also consider pre-arranged approvals and a range of agreed fiscal protocols between the agencies. |
REC322-4237 | 32 - Doctrine, standards, and reform | The Inspector-General Emergency Management recommends the Department of Environment and Science develop and implement a Wildfire Response Plan for Queensland Parks and Wildlife Service Coastal and Islands Region, to be included in the region’s Disaster Management Operations Plan. |
Rec-ID | Code | Recommendation |
---|---|---|
REC315-3802 | 26 - Research | That Government establish NSW as a major world centre of bush fire research, and technology development and commercialisation. This should include: |
REC315-3836 | 17 - Assets and technology | That, in order to ensure frontline personnel have appropriate personal protective clothing during bush fires: |
REC315-3812 | 25 - Inquiry, audit, lessons management and after action review | That Government commit to: |
REC315-3845 | 26 - Research | That Government commission further research on the potential risks and benefits of backburning during severe, extreme and catastrophic conditions and/or in particular terrain, and that the NSW RFS use this research to inform future backburning protocols and training. |
REC315-3820 | 32 - Doctrine, standards, and reform | That Government amend the Rural Fires Act 1997 so that all public land management agencies be required to forward complaints received about bush fire hazards to the Commissioner of the NSW RFS. As an interim measure, heads of agencies should commence this practice immediately. |
REC315-3858 | 25 - Inquiry, audit, lessons management and after action review | That, in order to improve cross-agency communication and coordination during bush fires, the NSW RFS review Fire Control Centres (FCCs) in areas that were heavily affected by fire. The results should be combined with the Emergency Operations Centre (EOC) Facilities Review to identify areas that would benefit from a purpose-built FCC, enabling co-location with the EOC. |
REC315-3801 | 13 - Mapping and data quality | That, in order to improve capability to detect ignitions and monitor accurately all fire edge intensity and progression automatically across the State in near real time, Government establish a spatial technology acceleration program to maximise the information available from the various remote sensing technologies currently in use and to plan for inclusion of new remote sensing systems that can sense precisely and rapidly through heavy smoke, cloud, fog and dust. This will require work within the State and with partners nationally and internationally. |
REC315-3833 | 3 - Biodiversity | That Government invest in long-term ecosystem and land management monitoring, modelling, forecasting, research and evaluation, and harness citizen science in this effort. This will include, among other things: |
REC315-3873 | 25 - Inquiry, audit, lessons management and after action review | That Resilience NSW review existing functional area arrangements to ensure they are closely aligned to agencies responsible for direct service delivery. |
REC315-3810 | 24 - Govt responsibility | That, to ensure updated resource-sharing arrangements are in place, the NSW and Victorian Governments progress and finalise a multi-agency Memorandum of Understanding before the 2020-21 fire season commences. |
REC315-3844 | 32 - Doctrine, standards, and reform | That, in order to enhance fire fighting strategies in severe conditions, the NSW RFS implements the following in respect to backburning: |
REC315-3819 | 13 - Mapping and data quality | That, as part of the spatial technology acceleration program, Government support deployment of remote sensing and picture processing technologies to monitor and audit how well Asset Protection Zones and defendable space are being maintained, especially around towns. |
REC315-3850 | 3 - Biodiversity | That Government develop and implement a policy on injured wildlife response, rescue and rehabilitation including: |
REC315-3800 | 13 - Mapping and data quality | That the NSW Government, along with other Australian governments, ask AFAC to establish a national bush fire database. This database would enable: |
REC315-3831 | 26 - Research | That, in order to capture and understand the impacts of bush fire smoke better, Government invest in operational air quality forecasting and alert systems, and public health research and policy development. This would involve investment to: |
REC315-3869 | 42 - Culture and Heritage | That, in order to ensure Aboriginal people can access appropriate support during evacuation, Resilience NSW work with Local Emergency Management Committees and Aboriginal Affairs to ensure: |
REC315-3808 | 22 - Role of local Gvt | That, in order to strengthen the capability of local councils in future emergency events: |
REC315-3843 | 17 - Assets and technology | That, in order to improve early fire suppression, the NSW RFS trial initial aerial dispatch in areas of high bush fire risk. The trial should identify the most appropriate and cost-effective mix of aircraft, and any associated infrastructure improvements that would be required. |
REC315-3818 | 26 - Research | That, in order to improve understanding of optimal hazard reduction techniques and their application in the landscape: |
REC315-3849 | 17 - Assets and technology | That, in order to enhance NSW’s fire fighting capacity, Government trial aerial fire fighting at night in the 2020-21 season with a view to full implementation if successful. |
REC315-3799 | 9 - Community education | That at the start of each fire season, based on advice from the Bush Fire Coordinating Committee, Government provide a public statement with an evaluation of the likely fire season risk and the effectiveness of the planning and preparation for the upcoming season. This should be based on sophisticated monitoring of the key risk factors and signals for an extreme fire season. It should form the basis for clear public communication about these risks on a regional basis and the actions that Government proposes in preparation. |
REC315-3828 | 9 - Community education | That, in order to improve bush fire planning and protection of road infrastructure and to ensure communities, freight movers and fire fighting agencies have appropriate access and egress in a bush fire event, Government, working with local government as needed: |
REC315-3864 | 9 - Community education | That, in order to ensure people can access clear information on cross-border fires, the NSW RFS: |
REC315-3805 | 32 - Doctrine, standards, and reform | That, to strengthen cross-agency accountability and deliver improved bush fire risk management outcomes: |
REC315-3842 | 24 - Govt responsibility | That, in order to prioritise early suppression and keep fires small: |
REC315-3815 | 17 - Assets and technology | That, in order to equip NSW RFS with comprehensive information on all structures and assets at risk of bush fire, Government ensures that: |
REC315-3848 | 17 - Assets and technology | That, in order to enhance NSW’s ability to improve situational awareness, Government expand FRNSW’s Remotely Piloted Aerial Systems (RPAS) capability (both capital assets and trained operators) to major regional centres and ensure the NSW RFS and other NSW government agencies can access this capability as required. |
REC315-3798 | 25 - Inquiry, audit, lessons management and after action review | That, in order to ensure recommendations accepted by the Government are implemented in a timely and transparent manner, Government establish a central accountability mechanism to track implementation of recommendations from bush fire-related reviews and inquiries and consider expanding this to other policy areas. |
REC315-3823 | 42 - Culture and Heritage | That, in order to increase the respectful, collaborative and effective use of Aboriginal land management practices in planning and preparing for bush fire, Government commit to pursuing greater application of Aboriginal land management, including cultural burning, through a program to be coordinated by Aboriginal Affairs and Department of Planning, Industry and Environment working in partnership with Aboriginal communities. This should be accompanied by a program of evaluation alongside the scaled-up application of these techniques. |
REC315-3860 | 25 - Inquiry, audit, lessons management and after action review | That, in order to ensure the guiding principles and approval processes are contemporary, streamlined and more flexible, the NSW and Commonwealth Governments review the Defence Assistance to the Civil Community (DACC) arrangements. This review should include the circumstances in which the State can request Commonwealth assistance, and the level of information provided by the ADF to the State on available resources and capabilities. |
REC315-3804 | 32 - Doctrine, standards, and reform | That the NSW RFS Commissioner consult with the Fire and Rescue NSW Commissioner and other emergency services to develop a protocol in the event that simultaneous emergency events necessitate the re-allocation of resources while a Section 44 declaration is in place. |
REC315-3837 | 17 - Assets and technology | That, in order to improve firefighter safety, Government fire authorities: |
REC315-3813 | 35 - Business and Industry in relation to industry | That, in order to ensure tourism businesses are prepared for natural disasters including bush fires, Resilience NSW work with NSW RFS and Destination NSW to develop bush fire preparedness support for tourism businesses, based on research into existing models. Over time, this support could be expanded to include other natural hazards. |
REC315-3847 | 17 - Assets and technology | That, in order to ensure Australia’s fire fighting aerial capacity capitalises on existing assets and is made up of the right mix, Government: |
REC315-3822 | 42 - Culture and Heritage | That Government adopt the principle that cultural burning is one component of a broader practice of traditional Aboriginal land management and is an important cultural practice, not simply another technique of hazard reduction burning. |
REC315-3859 | 25 - Inquiry, audit, lessons management and after action review | That, in order to ensure State Emergency Operations Centre (SEOC) interoperability during all natural disasters, Resilience NSW review the current SEOC arrangements and location including responsibilities for ongoing resourcing and maintenance. |
Rec-ID | Code | Recommendation |
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REC309-2477 | 21 - Role of Commonwealth Government | The Department of Housing and Public Works should be included within Local Disaster Management Group evacuation centre planning and plans and assist with decision making around the relocation of evacuees from evacuation centres. |
REC309-2473 | 22 - Role of local Gvt | Councils, with the support of stakeholders, continue to develop and promote local disaster dashboards as the ‘point of truth’ for community information and messaging during disaster events. Greater use during recovery should be considered. |
REC309-2472 | 38 - Agency/Department Reporting | A single point of truth be established for accurately capturing and reporting on disaster management group activation levels for any given timeframe. |
REC309-2471 | 17 - Assets and technology | As part of the annual Emergency Action Plan review for the Ross River Dam, consideration should be given to the potential impacts of operating the gate outside automatic mode and whether this event has provided any new information and learnings which can be incorporated into the Emergency Action Plan. This should occur prior to the 2019/20 wet season. |
REC309-2480 | 22 - Role of local Gvt | Councils should formalise arrangements with entities that have the skills, capability and capacity to effectively manage spontaneous volunteers. These should be documented and integrated into planning and exercising. |
REC309-2467 | 9 - Community education | Further work be undertaken to develop effective public flood risk messaging and community education materials that are easy to understand and tested with the community to ensure flood risk is understood. |
REC309-2478 | 25 - Inquiry, audit, lessons management and after action review | The progress of recovery for this event be reviewed incrementally over the next 2 to 3 years, with a formal, independent report provided on the effectiveness of the recovery after 3 years. |
Rec-ID | Code | Recommendation |
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REC308-2461 | 24 - Govt responsibility | A strategy should be developed between the key tourism and transport operators, and local and state government. It should address the arrival of visitors and tourists after a disaster, and should ensure that their arrival matches communities’ needs for recovery and return to normal business. The Department of Tourism, Major Events, Small Business and the Commonwealth Games should monitor its implementation. |
REC308-2449 | 25 - Inquiry, audit, lessons management and after action review | Queensland should implement and maintain a system-wide lesson management program. |
REC308-2456 | 22 - Role of local Gvt | A Local Government Association of Queensland representative should be included on the Crisis Communications Network to enhance the delivery of consistent information across and between levels of government. |
REC308-2455 | 32 - Doctrine, standards, and reform | The Queensland Offers of Assistance Policy, particularly for corporate donations, should be updated and exercised prior to the next season. |
REC308-2453 | 32 - Doctrine, standards, and reform | Business continuity planning should feature permanently in disaster management doctrine. |
REC308-2451 | 17 - Assets and technology | Queensland should examine the feasibility of the installation of storm tide markers in prominent public places and the exploration of new technology to highlight storm tide risk to the community and its visitors. |
REC308-2450 | 17 - Assets and technology | The operation and maintenance of flood gauges should be developed and planned for on a catchment basis. |
Rec-ID | Code | Recommendation |
---|---|---|
REC307-2432 | 32 - Doctrine, standards, and reform | Legislation at state and local level requiring landholders to reduce fire risk on their property should be actively applied |
REC307-2441 | 32 - Doctrine, standards, and reform | Hazard-specific and disaster management guidelines and plans should explain the circumstances and process for hazard-specific activation of the disaster management arrangements in support of an incident. They should be relevant to local authorities and local and district groups, and used during events. |
REC307-2431 | 9 - Community education | Area Fire Management Groups should share seasonal risk information with local groups and actively and appropriately contribute to disaster management planning. |
REC307-2439 | 9 - Community education | Education on bushfires should include information about: |
REC307-2448 | 9 - Community education | Targeted education about the short- and long-term effects of chemical suppressants should reach those likely to be exposed to them before aerial chemical suppressants are used in Queensland again. |
REC307-2430 | 9 - Community education | All Area Fire Management Groups should adopt and be guided by a good neighbour policy. |
REC307-2437 | 13 - Mapping and data quality | The ability to share, analyse, interrogate and display information from disparate entities should be progressed as a matter of some urgency. |
REC307-2447 | 9 - Community education | Clear public messaging regarding risks (if any) from the use of suppressants, including to 'organic' producers, should be developed and socialised before the next fire season and be readily available for dissemination when needed. |
REC307-2429 | 9 - Community education | A good neighbour policy such as that of the Queensland Parks and Wildlife Service, setting out clear expectations, be developed to guide all landholders. |
REC307-2434 | 32 - Doctrine, standards, and reform | Given an increasing risk of intense fires, the framework of legislation relating to vegetation management, bushfire mitigation and preparation priorities should be re-assessed. The re-assessment should aim to enable more appropriate and flexible means at the local level for the reduction of intense fires. |
REC307-2443 | 32 - Doctrine, standards, and reform | Planning for response to bushfire risk should identify all stakeholders to be engaged in the response phase and their roles and responsibilities should be clearly documented. |
REC307-2427 | 32 - Doctrine, standards, and reform | Wherever possible, the antecedents that will lead to catastrophic fire weather conditions existing for a particular area should be identified and documented within fire management plan relevant to the area. |
REC307-2433 | 24 - Govt responsibility | To make planned burning and land clearing easier to understand and implement for landholders, a single point of contact for all bushfire mitigation inquiries and permits should be established. |
REC307-2442 | 32 - Doctrine, standards, and reform | Hazard-specific plans and guidelines should be published on external websites for access by relevant stakeholders. |
REC307-2426 | 32 - Doctrine, standards, and reform | Queensland's plans and arrangements for heatwave should be reviewed to provide for an intergrated multi-agency approach to their management. A single agency should lead and oversee this process. |
Rec-ID | Code | Recommendation |
---|---|---|
REC302-2402 | 17 - Assets and technology | Explore better options for call and dispatch, telecommunications and information sharing capability across the emergency management portfolio including the adoption of a multi-agency emergency management operations complex |
REC302-2399 | 24 - Govt responsibility | Implement a fully integrated civilianised single call and dispatch centre, that includes a redundancy option outside the Sydney CBD, which will adopt an agnostic approach to deploy the quickest most suitable resource to an emergency. Such a centre should be managed by either a non uniformed public servant staffed organisation like the Office for Emergency Management, or the NSW Police Force |
REC302-2398 | 17 - Assets and technology | As a matter of priority commence the roll out of AVL capability for the Rural Fire Service fleet, completing as much work as possible before the 2018/19 bushfire season, capitalising where necessary on current and future work undertaken with the NSW Government Radio Network to ensure both officer safety and situational awareness |
REC302-2395 | 32 - Doctrine, standards, and reform | Remove those policies, guidelines, memoranda of understanding and committees that are made redundant as a result of adopting recommendation #2 while updating any remaining policies that are considered to still be relevant |
Rec-ID | Code | Recommendation |
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REC002-4006 | 17 - Assets and technology | The Commisison would not insist upon a barometer being provided at each mine. Experience has proved that this is a tardy index to atmospheric conditions. Serious changes in the atmospheric pressure occur and are felt before they are indicated by a barometer. |
REC002-4013 | 19 - Offences | Infringement of the regulations by either party should be followed by a summary form of justice, instituted before two Magistrates. |
REC002-4004 | 35 - Business and Industry in relation to industry | Where safety-lamps are used, and the obligation is laid upon the men to cleanse the same, all examinations, tests, and repairs to these should be done by the owners. |
REC002-4012 | 38 - Agency/Department Reporting | Complete sets of daily-report books should be provided, and kept in the mine or office, to be overlooked by the Inspector during his periodical visits. |
REC002-4003 | 35 - Business and Industry in relation to industry | Where gas exists, and no provisions are made for its constant removal, no shots should be fired, and, where permitted in a gassy mine, shots should be fired only by a man specially appointed, and at such hours when the miners are not within the mine. All shots should be tamped by stone well damped, and only copper or wooden tools should be employed. As far as possible the use of explosives should be discouraged, and skilful mining encouraged. Danger-boards should be placed further from the faces whence gas issues (say), where practicable, 50 yards. |
REC002-4011 | 32 - Doctrine, standards, and reform | The Commission feel that the 4th clause in the present Act, relating to the spacing of cut-throughs, should be amended to admit of any convenient or safe system of mining being pursued. This is a matter of detail that would be better out of the Act. The Commission would advise that the word should not occur at all, and that, if bratticing be used, or the air by some other satisfactory device be conveyed to the face, scope would be given to Managers to introduce systems of mining adapted to the circumstance of each particular coal-seam, with advantage to all concerned. |
REC002-4002 | 19 - Offences | Where safety-lamps are necessary - gas being present for (say) one month after being found in dangerous quantity - they should be securely locked by a man duly appointed, and tampering with them must be punishable by a simple and inexpensive process of law. |
REC002-4010 | 35 - Business and Industry in relation to industry | The Commission do not approve of removing any responsibility from the management by increasing the power or number of the Inspectors. The visits of these officials should, so far as possible, be visits of surprise. |
REC002-4001 | 35 - Business and Industry in relation to industry | The Commission consider that in all mines where gas exists the course of the air should be directed to sweep along the working-faces; in mines worked by Pillar and Stall, bratticing must be resorted to to carry the gas from the face as it issues, and so prevent any accumulation of explosive gases or of gases inimical to life. In cases where gas exists it would be better that no bords should be broken off the back or return heading or supplied with air fouled by dangerous gases. The panel system of working by confining and localising districts, or some modification thereof, might be pursued with advantage. |
REC002-4008 | 35 - Business and Industry in relation to industry | Where dust exists in quantity, and under conditions favourable for ignition, it should be periodically and sufficiently dampened by water |
Rec-ID | Code | Recommendation |
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REC281-1203 | 22 - Role of local Gvt | Impact Assessment Data Sharing The Office of Emergency Management: · with the SEOCON, jointly provides further guidance to Regional Emergency Management Officers about their role in facilitating local council access to the Impact Assessment Data Base · with REMOs and the SEOCON jointly provides further information to local councils about Impact Assessment Data Sharing Arrangements and the data available through this mechanism · includes information about the Impact Assessment Data Sharing Arrangements in the Local Recovery Toolkit · develops a mechanism to allow local councils to have direct access to the collated impact data. |
REC281-1202 | 13 - Mapping and data quality | Impact Assessment Data Collection: The Office of Emergency Management continues to progress the Impact Assessment Data Collection Project and: · incorporate recovery schema in Rapid Impact Assessments · review procedures for collection of Rapid Impact Assessment Data · review and combine current templates into one, single template for Impact Assessment Reports that is used by all agencies · further develop Impact Assessment Guidelines for agency personnel undertaking impact assessments |
REC281-1201 | 25 - Inquiry, audit, lessons management and after action review | Preventing Flood Related Fatalities: The NSW Government consider the recommendations from the Preventing Flood Related Fatalities Report when it is released. |
Rec-ID | Code | Recommendation |
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REC280-1396 | 25 - Inquiry, audit, lessons management and after action review | That the Minister for Police and Emergency Services review the communications technologies used by the NSW Rural Fire Service, Fire and Rescue NSW, the NSW National Parks and Wildlife Service and Forestry NSW during fire fighting operations, to ensure that systems are standardised and effective. Within this context, the potential value of satellite phone technology should be investigated. |
REC280-1380 | 13 - Mapping and data quality | That the NSW Rural Fire Service investigate mechanisms to enhance the predictability of megafires and how this information is communicated easily to the public. |
REC280-1395 | 32 - Doctrine, standards, and reform | That the NSW Rural Fire Service reassess the protection of pastoral assets during bush fires to ensure that priority for protection is not simply afforded to the homestead, and that land holders are, within reason, able to request which of their own assets are protected. |
REC280-1379 | 9 - Community education | That the NSW Rural Fire Service develop and implement a comprehensive community education campaign aimed at increasing community understanding of and support for hazard reduction burns. |
REC280-1391 | 32 - Doctrine, standards, and reform | That the NSW Rural Fire Service review its procedures, systems and infrastructure for notifying community members of bush fires, both when a fire has broken out and as it proceeds, to ensure the provision of timely and adequate information. |
REC280-1390 | 32 - Doctrine, standards, and reform | That the NSW Government consider enabling the default position during catastrophic and extreme fire danger periods to be the same as for section 44 fires, so that fire control centres have the same systems and resources ready to deploy should a fire break out. |
REC280-1403 | 32 - Doctrine, standards, and reform | That the Ministry for Police and Emergency Services urgently review its policies for the provision of disaster welfare services to ensure that in the event of a bush fire emergency and the declaration of a fire under section 44 of the Rural Fires Act 1997, adequate funding and services, especially recovery centres and mental health services, are provided for an adequate length of time, with gradual transition to normal service delivery when those services are no longer required. |
REC280-1389 | 32 - Doctrine, standards, and reform | That the NSW Government, as a matter of urgency, amend the Rural Fires Act 1997 to codify the current interim arrangements for command and notification requirements for class 1 and class 2 fires, which clarify that the NSW Rural Fire Service or Fire and Rescue NSW: |
REC280-1397 | 32 - Doctrine, standards, and reform | That the NSW National Parks and Wildlife Service adopt an interim fencing agreement in the immediate aftermath of a fire. This will enable emergency and interim works to commence, but features such as length, fencing components and site of the fence line are not binding. A final fencing agreement would be negotiated no earlier than six months following a major national park fire. |
REC280-1388 | 25 - Inquiry, audit, lessons management and after action review | That the NSW Rural Fire Service: |
Rec-ID | Code | Recommendation |
---|---|---|
REC272-1417 | 32 - Doctrine, standards, and reform | That the following disaster management doctrine are reviewed and reissued to ensure consistency and improved guidance to local government: |
REC272-1416 | 24 - Govt responsibility | A state-wide strategy, including a common definition, is developed for identifying and engaging vulnerable people in emergencies. |
REC272-1415 | 25 - Inquiry, audit, lessons management and after action review | An audit of all local government areas vulnerable to storm tide events is completed and opportunities identified to resolve gaps in evacuation zone planning to ensure consistency with the Queensland Evacuation Guidelines for Disaster Management Groups and neighbouring local government areas. |
REC272-1420 | 24 - Govt responsibility | The Department of Housing and Public Works should consider preparing an annual communique to asset owners of, and local governments with access to public cyclone shelters, outlining the maintenance and certification process and pre-season status. |
REC272-1419 | 22 - Role of local Gvt | Opportunities should be identified through the Local Government Association of Queensland council to council arrangement to share structural engineers to assess potential places of refuge against the Department of Housing and Public Works’ structure classification criteria. |
REC272-1418 | 24 - Govt responsibility | A state-wide engagement strategy is coordinated to ensure community messaging is consistent across all levels of Queensland’s disaster management arrangements. |
Rec-ID | Code | Recommendation |
---|---|---|
REC270-1147 | 9 - Community education | improves engagement with communities to prepare for and respond to bushfires by: |
Rec-ID | Code | Recommendation |
---|---|---|
REC267-1150 | 9 - Community education | Media Engagement Consideration should be given on future recovery operations to adopting a more structured approach to media engagement, with regular media briefings undertaken at a frequency dependent upon the phase of the recovery activities and the level of media interest. These briefings could be conducted at different locations around the region, if appropriate, and would provide the opportunity for communication of key messages and provide journalists with the opportunity to ask questions regarding the recovery. This could be complemented by media coverage of community engagement visits. For all recovery operations, |
REC267-1159 | 9 - Community education | Improving Community Preparedness and Resilience |
REC267-1158 | 28 - Personal responsibility | Farm Management Deposits |
REC267-1157 | 35 - Business and Industry in relation to industry | Improvements to the Targeting of Government Support to Build Primary Industry Resilience |
REC267-1152 | 13 - Mapping and data quality | Impact Assessment Data Sharing Project |
REC267-1151 | 24 - Govt responsibility | Government Communications Coordination |
Rec-ID | Code | Recommendation |
---|---|---|
REC261-1516 | 32 - Doctrine, standards, and reform | That the NSW National Parks and Wildlife Service remove from its boundary fencing policy and standard contract the condition that requires adjoining land owners to maintain a fence that has been damaged by trees falling from national park land. |
REC261-1505 | 25 - Inquiry, audit, lessons management and after action review | That the NSW Rural Fire Service: |
REC261-1513 | 17 - Assets and technology | That the Minister for Police and Emergency Services review the communications technologies used by the NSW Rural Fire Service, Fire and Rescue NSW, the NSW National Parks and Wildlife Service and Forestry NSW during fire fighting operations, to ensure that systems are standardised and effective. Within this context, the potential value of satellite phone technology should be investigated. |
REC261-1496 | 9 - Community education | That the NSW Rural Fire Service develop and implement a comprehensive community education campaign aimed at increasing community understanding of and support for hazard reduction burns. |
REC261-1512 | 32 - Doctrine, standards, and reform | That the NSW Rural Fire Service reassess the protection of pastoral assets during bush fires to ensure that priority for protection is not simply afforded to the homestead, and that land holders are, within reason, able to request which of their own assets are protected. |
REC261-1508 | 25 - Inquiry, audit, lessons management and after action review | That the NSW Rural Fire Service review its procedures, systems and infrastructure for notifying community members of bush fires, both when a fire has broken out and as it proceeds, to ensure the provision of timely and adequate information. |
REC261-1507 | 24 - Govt responsibility | That the NSW Government consider enabling the default position during catastrophic and extreme fire danger periods to be the same as for section 44 fires, so that fire control centres have the same systems and resources ready to deploy should a fire break out. |
REC261-1506 | 32 - Doctrine, standards, and reform | That the NSW Government, as a matter of urgency, amend the Rural Fires Act 1997 to codify the current interim arrangements for command and notification requirements for class 1 and class 2 fires, which clarify that the NSW Rural Fire Service or Fire and Rescue NSW: |
Rec-ID | Code | Recommendation |
---|---|---|
REC260-1056 | 32 - Doctrine, standards, and reform | That the Rural Fire Service and National Parks and Wildlife Service consider adopting the approach to fire classification suggested by Mr Conway that “classification and resourcing of the fire ground response and incident management capability should reflect the potential of the fire rather than observed fire behaviour. |
REC260-1050 | 13 - Mapping and data quality | Alternatively, I recommend that the RFS consider developing such capacity to deploy weather balloons itself, in conjunction with mobile weather stations, for this purpose. |
REC260-1069 | 32 - Doctrine, standards, and reform | That NPWS conduct a review of its hazard reduction policies to ensure all assets within and on the boundary of the Park are clearly identified and an adequate policy or management plan exists for the protection of all assets, including a procedure pursuant to which progress in meeting hazard reduction targets is regularly and comprehensively assessed. |
REC260-1049 | 13 - Mapping and data quality | That the Rural Fire Service consider proposing an arrangement with the Bureau of Meteorology to deploy weather balloons specifically for the purpose of assessing atmospheric instability during periods of severe to catastrophic fire danger in locations most likely to be severely affected, for example, areas in which a very high C-Haines index reading is registered and local fires have been identified. |
REC260-1065 | 32 - Doctrine, standards, and reform | That the National Parks and Wildlife Service review its procedures for monitoring Class 1 fires occurring in ‘severe’ or worse fire conditions that cannot be reconnoitred at ground level adequately due to terrain or dangerous conditions, and consider including aerial surveillance (if reasonably practicable) as a standard procedure in such circumstances. |
REC260-1064 | 32 - Doctrine, standards, and reform | That the National Parks and Wildlife Service review its protocols for control of Class 1 fires under its control to ensure that incident controllers managing fires in ‘severe’ or worse fire conditions receive as much incident management planning support as is reasonably practicable in the circumstances. |
REC260-1058 | 28 - Personal responsibility | That NPWS and the RFS consider developing a land management policy that requires active engagement with property owners adjoining the Park to ensure that hazard reduction and asset protection is encouraged and undertaken before the bush fire season commences |
Rec-ID | Code | Recommendation |
---|---|---|
REC259-1045 | 9 - Community education | That recovery policy incorporates the need for regular public meetings which give access to officials and representatives of agencies, as required |
REC259-1044 | 9 - Community education | That where, in the future a similar process for land clearing is adopted, the rationale and process is better explained and widely promulgated. |
Rec-ID | Code | Recommendation |
---|---|---|
REC241-0973 | 17 - Assets and technology | That all land on which rural fire brigade sheds are located be re-evaluated to formalise enforceable lease agreements. |
REC241-1029 | 17 - Assets and technology | That a policy be developed around the ownership, insurance and safe use and operation of All Terrain Vehicle 4WD vehicles by brigades for fire fighting purposes. |
REC241-1003 | 13 - Mapping and data quality | The Manager of the Geographic Information Systems unit conduct an audit of the Firecom mapping system to ensure that rural Brigade and road addressing is up to date. |
REC241-1042 | 17 - Assets and technology | The issue of red and blue lights for RFSQ and SES vehicles be further pursued by the Department of Community Safety |
REC241-1023 | 13 - Mapping and data quality | That Rural Fire Service Queensland develops a simple data collection system to record the activities of brigades. |
REC241-0971 | 13 - Mapping and data quality | That the RFSQ central office undertake a review of Firecom procedures in relation to Rural Fire Service callouts. Each Rural Fire Service Queensland district office should also undertake a review of the Firecom data sets/callout information for their district to establish call out protocols are correct. |
REC241-1028 | 17 - Assets and technology | That vehicles are fit for the purpose and the Brigade locality for which they are intended. A group of two volunteers, in conjunction with the Rural Fire Brigades Association Queensland, should be charged with reviewing current models and providing Recommendations on vehicle suitability. |
REC241-1002 | 13 - Mapping and data quality | That the Rural Fire Service Queensland upgrades its subscription to technology for the Brigade Mapping Toolset to make it available to all Brigades who want it. |
REC241-1039 | 17 - Assets and technology | That the State Government supply and logistics for Personal Protective Equipment and other equipment be urgently reviewed with a focus on timely and cost effective delivery to volunteer members. |
REC241-1013 | 32 - Doctrine, standards, and reform | That Rural Fire Service Queensland undertake a risk management process for rural fire Brigade profiles across Queensland based on the principles in the Rural Fire Brigade Risk Management Guide, July 1999, and updated as necessary. |
REC241-1027 | 17 - Assets and technology | That Rural Fire Service Queensland, in consultation with Primary Producer Brigade volunteers, redesign and reconfigure slip-on units to bring the total cost below the level required for asset registration. The redesign should allow for the foam system to be optional. |
REC241-0970 | 17 - Assets and technology | That RFSQ retain responsibility for Air Operations and re-evaluate avenues for cost recovery when aircraft are used by other agencies. The coordination of incendiary tasking to support mitigation should sit with the RFSQ in coordination with other agencies |
REC241-1001 | 24 - Govt responsibility | That the extent of forest and plantation fuel load fire risk in South East Queensland requires a designated government resources fire team to manage this risk and proactively conduct fuel mitigation burning; and provide a wildfire response to government land. |
REC241-1036 | 17 - Assets and technology | That each District Inspector prepare a report on vehicles required over the next ten years based on current age of fleet. |
REC241-1012 | 17 - Assets and technology | Use of private aircraft to be at the discretion of District Inspector or Incident Control and reimbursement of fuel to be authorised accordingly. |
REC241-1026 | 17 - Assets and technology | That the Rural Fire Service Queensland catalogue accurately reflects the range of equipment available. |
REC241-0967 | 26 - Research | That a Rural Fire Research and Investigation Team be established to coordinate and communicate fire research knowledge, including fire behaviour as well as coordinate fire investigations and complaints for the state. |
REC241-0999 | 28 - Personal responsibility | That on all land where fuel load creates a fire risk, the owner shall be responsible for the construction and maintenance of effective firebreaks. Failure to provide effective and accessible firebreaks will result in the cost of firebreak construction to control a wildfire on this land being debited to the land owner |
REC241-1031 | 32 - Doctrine, standards, and reform | That the State Government recognises the legal status of rural fire brigades as per Crown Law advice and addressed by Recommendations from this Review. |
REC241-1011 | 32 - Doctrine, standards, and reform | That the focus of Rural Fire Service Queensland will be the protection of life, property and the environment from the threat and impact of wildfire. |
REC241-1025 | 17 - Assets and technology | That an ‘Options Paper’ be developed by District Inspectors on the suitability and supply of PPE and equipment to volunteers for their district. |
REC241-0954 | 24 - Govt responsibility | That a Ministerial Advisory Council be established to inform the Minister of matters relating to Rural Fire Service and SES volunteers. |
REC241-0979 | 24 - Govt responsibility | That the Queensland Government liaise with the Federal Government with a view to securing incentives for employers that recognise loss of income and employee time for emergency operations. |
REC241-1030 | 25 - Inquiry, audit, lessons management and after action review | That Rural Fire Brigades only be required to conduct an audit of finances if the Brigades income exceeds $5,000 for a financial year. RFSQ District offices should investigate options for savings on the costs of auditing Brigades in their district through either an in-house or external provider. Legal Status of Brigades |
REC241-1009 | 17 - Assets and technology | That the reflective livery on Rural Fire Service Queensland staff vehicles be kept to a minimum of a light bar and affixed Rural Fire Service Queensland logo. These vehicles are to be appropriate to the task and location. |
REC241-1024 | 17 - Assets and technology | That the Rural Fire Service Queensland revoke its current 20 year maximum age policy on volunteer Brigade vehicles to allow Brigades wanting to retain their vehicle to do so, providing the vehicle has an annual mechanical certificate. A 30 year maximum age policy for vehicles will replace the 20 year policy. |
Rec-ID | Code | Recommendation |
---|---|---|
REC208-0530 | 32 - Doctrine, standards, and reform | That, if necessary, regulation be amended to require Health to approve any script used by any party concerned, for door knocking or other information dissemination, if Health is not the first source of information to affected residents. |
REC208-0529 | 32 - Doctrine, standards, and reform | That, when developing requirements concerning pollution incident response management plans pursuant to the recent legislative amendments, the Office of Environment and Hertiage include appropriate definitions as to the meaning of ‘immediately’, and when ‘material harm to the environment is caused or threatened’. |
REC208-0528 | 32 - Doctrine, standards, and reform | That, as part of the Pollution Incident Management Response Plan to be developed for Orica’s Kooragang Island site, or by another appropriate mechanism, the Office of Environment and Heritage ensure that Orica’s incident-response procedures address the need to consider all relevant factors when assessing potential impacts, including the height and force of emissions as well as the location of any onsite fallout and whether there are off-site impacts following all serious incidents. |
REC208-0527 | 35 - Business and Industry in relation to industry | That the Office of Environment and Heritage require Orica to engage and fund appropriate independent experts to oversee any modifications to the plant in the next major maintenance overhaul of the plant in 2016 and in any upgrades to the plant prior to that date. |
REC208-0526 | 25 - Inquiry, audit, lessons management and after action review | That OEH’s testing procedures for determining the impact of pollution incidents incorporate additional requirements for the checking and verification of results before those results are released. |
Rec-ID | Code | Recommendation |
---|---|---|
REC191-0267 | 9 - Community education | that the Deputy Premier, Attorney-General, Minister for Local Government and Special Minister of State establish with local government a communication strategy to inform all residents about their fire prevention responsibilities. |
REC191-0265 | 13 - Mapping and data quality | that QFRS undertake a thorough review of Firecom’s systems, including data integrity and dispatch procedures. |
Rec-ID | Code | Recommendation |
---|---|---|
REC163-1940 | 19 - Offences | That legislation be prepared by the Criminal Law Review Division of the Attorney General’s Department allowing designated officers of the Rural Fire Service to apply for a warrant in certain circumstances. |
REC163-1937 | 19 - Offences | That the Attorney General’s Department’s Crime Prevention Division consider the causes of, and any solution to, the high number of juveniles involved in causing bushfires. |
REC163-1936 | 19 - Offences | The prescribed penalty notice penalty amount for section 66(7) of the Rural Fires Act 1997 be increased to $1,100. |
REC163-1935 | 19 - Offences | The prescribed penalty notice penalty amount for section 99(6) of the Rural Fires Act 1997 be increased to $1,100. |
REC163-1934 | 19 - Offences | The prescribed penalty notice penalty amount for section 100(2) of the Rural Fires Act 1997 be increased to $1,100. |
REC163-1941 | 19 - Offences | A working group be established to consider methods of preventing criminal firestarting. |
Rec-ID | Code | Recommendation |
---|---|---|
REC150-3125 | 38 - Agency/Department Reporting | QFRS introduce a system to collate and analyse performance information for use in management reporting and to support effective decision making processes. |
REC150-3115 | 32 - Doctrine, standards, and reform | QFRS establish a structured risk management process for rural fire management, which involves regional and area offices, to enhance decision making processes and ensure opportunities are maximised and losses are minimised. This process should be linked to forward planning and incorporate existing processes such as: |
Rec-ID | Code | Recommendation |
---|---|---|
REC137-3533 | 21 - Role of Commonwealth Government | Accordingly I recommend that the Federal Minister for Transport, consider engaging an external consultant to assess whether high level intervention is warranted. |
REC137-3531 | 32 - Doctrine, standards, and reform | I recommend that CASA consider creating firm guidelines that require consideration of workload, lines of authority, potential conflicts of interest and any other factors that impact upon the ability of “key personnel” to discharge their responsibilities within an aviation organisation when its officers are approving appointments to those positions. |
Rec-ID | Code | Recommendation |
---|---|---|
REC136-3523 | 38 - Agency/Department Reporting | This Report should be considered for publication so that the insights, data, conclusions and recommendations are available within Queensland and other jurisdictions to assist with disaster management issues in the future. |
REC136-3529 | 24 - Govt responsibility | The Queensland Government should consider the endorsement of transitional arrangements proposed in this report, in order to ensure as far as possible the smooth completion of the recovery and the ultimate return to government operations as usual in the cyclone-affected area. |
REC136-3525 | 24 - Govt responsibility | In any future disaster of comparable proportions, consideration should be given to the co-location of the Building Coordination Centre and the principal One Stop Shop. |
Rec-ID | Code | Recommendation |
---|---|---|
REC121-3724 | 13 - Mapping and data quality | The ITSRR should establish a data and information management system, containing all data and information that it requires, to continually monitor the safety of the New South Wales rail system. |
REC121-3763 | 32 - Doctrine, standards, and reform | The ITSRR should publish guidelines to be followed by accredited organisations. |
REC121-3656 | 17 - Assets and technology | Satellite telephones should be provided by RailCorp to all rail commanders at any emergency. |
REC121-3692 | 32 - Doctrine, standards, and reform | Communications protocols and procedures should be standardised and mandated by regulations making them a condition of accreditation. |
REC121-3729 | 38 - Agency/Department Reporting | All reports of the Chief Investigator of OTSI should be delivered, upon completion and without being reviewed, to ITSRR and the Minister for Transport Services. |
REC121-3770 | 32 - Doctrine, standards, and reform | A safety management system regulation should be promulgated, specifying the requirements of safety management systems in all accredited organisations, using Annexure I to this report as a guide |
REC121-3667 | 32 - Doctrine, standards, and reform | RailCorp should develop and implement an emergency response plan for management of all rail accidents. Such a plan should be subsumed by the rail displan in the case of serious accidents or incidents. |
REC121-3698 | 32 - Doctrine, standards, and reform | No RailCorp train should enter into revenue service or remain in service if, in the opinion of the driver in charge of that train, any defect in it creates a risk of injury. |
REC121-3753 | 25 - Inquiry, audit, lessons management and after action review | The RailCorp Board should establish independent external safety auditing processes to regularly audit and report to the Board on the implementation of an integrated safety management system by RailCorp and on safety performance generally. |
REC121-3775 | 38 - Agency/Department Reporting | The Minister for Transport Services must table in Parliament, each such quarterly report by ITSRR. |
REC121-3679 | 32 - Doctrine, standards, and reform | The rail safety regulator should set standards for the design, manufacture, testing and commissioning of rolling stock to ensure that the rolling stock is fit for its purpose. |
REC121-3712 | 38 - Agency/Department Reporting | RailCorp and ITSRR should co-operate with national programs for the collection, collation, trend analysis and dissemination of safety critical information. |
REC121-3723 | 38 - Agency/Department Reporting | All ATSB accident investigation reports should be made public. |
REC121-3762 | 32 - Doctrine, standards, and reform | The Chief Executive of ITSRR should have sole accountability and responsibility for the regulation of rail safety in New South Wales. |
REC121-3655 | 32 - Doctrine, standards, and reform | Procedures should be put in place by RailCorp to ensure that electrical power supply to the area of an accident can be immediately isolated, if necessary, in the event of a rail accident, so as to reduce any risk of exposure of emergency response personnel to injury or harm. |
REC121-3691 | 25 - Inquiry, audit, lessons management and after action review | The ITSRR should audit the RMC to ensure communications protocols are being followed. The sanction for non-compliance with communications protocols should be identical to that in the aviation industry and involve immediate removal from duty. Any RailCorp employee not following communications protocols should be required to undertake further training. If, following return to duties after such training, the officer continues to fail to comply with communications protocols, that officer is not to be employed in communications related work. |
REC121-3728 | 32 - Doctrine, standards, and reform | Any barriers to communication between OTSI and ITSRR should be removed, so as to ensure that any findings made by OTSI in relation to any investigation it conducts are reported immediately to ITSRR. |
REC121-3769 | 32 - Doctrine, standards, and reform | The ITSRR should continue to participate in the development of a national system for rail safety regulation, provided that any ultimate agreement between the States and Territories and the Australian Government does not produce a safety outcome for New South Wales that is less than would be achieved by the implementation of all the recommendations contained in this report. |
REC121-3662 | 32 - Doctrine, standards, and reform | The rail displan should provide for the site controller to have complete control of the site, with other agencies co-ordinating with and supporting him or her, until the rescue phase of the emergency response has been completed. |
REC121-3697 | 38 - Agency/Department Reporting | All train drivers’ defects reports should be entered by RailCorp into a computerised record and tracked to finalisation. |
REC121-3750 | 32 - Doctrine, standards, and reform | ITSRR should initiate and/or participate in the development of a national standard for crashworthiness of all passenger trains. |
REC121-3774 | 38 - Agency/Department Reporting | The ITSRR must provide a quarterly report to the Minister for Transport Services on the progress made by RailCorp in implementing these recommendations, including: |
REC121-3678 | 35 - Business and Industry in relation to industry | All railway owners and operators should have a quality assurance program for the design and construction of rolling stock and regular review of construction to ensure that the rolling stock satisfies the original functional performance specifications. |
REC121-3705 | 32 - Doctrine, standards, and reform | The ITSRR should develop standards for periodic medical examinations which include the following: |
REC121-3722 | 38 - Agency/Department Reporting | The ATSB should deliver any report of any such rail accident which it investigates to the Board of any rail organisation involved in the accident, ITSRR and the Minister for Transport Services. |
REC121-3761 | 32 - Doctrine, standards, and reform | Legislative changes should be enacted to ensure the complete independence of ITSRR from the Minister for Transport Services. |
REC121-3690 | 32 - Doctrine, standards, and reform | All communications protocols must be strictly enforced by all accredited rail organisations. |
REC121-3727 | 32 - Doctrine, standards, and reform | The relevant legislation should be amended to provide expressly that OTSI and the Chief Investigator have the power to initiate a rail accident or incident investigation. |
REC121-3768 | 25 - Inquiry, audit, lessons management and after action review | The ITSRR, when considering a re-application for accreditation, should conduct a field audit of the organisation to ensure that it is carrying on its activities in accordance with the basis upon which it seeks accreditation. |
REC121-3661 | 32 - Doctrine, standards, and reform | The rail displan should include provision for the appointment of a rail emergency management co-ordinator at the RMC, and an on-site rail commander with the sole function of assisting and supporting the emergency services during the rescue phase of the emergency response. |
REC121-3696 | 32 - Doctrine, standards, and reform | Defects reporting, recording and rectification should be integrated with the RailCorp regimes for train maintenance. |
REC121-3742 | 19 - Offences | The risk of abuse of internal passenger emergency door releases should be further reduced by introducing significant penalties for any improper use of such an emergency facility. It should be a criminal offence for anyone to use or tamper improperly with an emergency escape facility in a train. |
REC121-3773 | 32 - Doctrine, standards, and reform | The ITSRR should ensure that RailCorp establishes a safety management system containing the 29 elements identified in the SMSEP report, and ensure the ongoing monitoring and improvement of the safety management system established. |
REC121-3674 | 32 - Doctrine, standards, and reform | Uniform verbal descriptions identifying that power has been isolated should be developed by RailCorp and utilised by all railway personnel, electrical service providers and all emergency response personnel. |
REC121-3704 | 28 - Personal responsibility | RailCorp should continue its system of voluntary self-identification and rehabilitation of employees with alcohol or drug related problems. |
REC121-3721 | 24 - Govt responsibility | The ITSRR should ensure that OTSI, as a division of ITSRR, co-operates and assists the ATSB in the conduct of any independent investigation by the ATSB of any rail accident or incident in New South Wales. |
REC121-3760 | 32 - Doctrine, standards, and reform | The Advisory Board established under the Transport Legislation Amendment (Safety and Reliability) Act 2003 must be abolished. |
REC121-3688 | 32 - Doctrine, standards, and reform | Communications procedures must be standardised throughout the rail network, so that all railway employees describe the same subject matter in an identical way. |
REC121-3726 | 25 - Inquiry, audit, lessons management and after action review | The OTSI should continue to conduct rail accident investigations on behalf of ITSRR and report directly to the Chief Executive of ITSRR. |
REC121-3767 | 24 - Govt responsibility | All accredited rail organisations should be required to re-apply every three years to ITSRR for accreditation. |
REC121-3660 | 32 - Doctrine, standards, and reform | The rail displan should include the use by all emergency response personnel of a uniform incident command system, involving procedures for such matters as the establishment of inner and outer perimeters, control of access to the site, orderly evacuation of injured passengers and the establishment of a staging area remote from the accident site, in a unified command structure with the site controller co-ordinating the various emergency services through representatives of each service. |
REC121-3694 | 25 - Inquiry, audit, lessons management and after action review | The ITSRR should conduct random audits of accredited rail organisations for compliance with communications protocols. |
REC121-3736 | 32 - Doctrine, standards, and reform | The RailCorp passenger containment policy must be abandoned. |
REC121-3772 | 32 - Doctrine, standards, and reform | RailCorp should establish a safety management system containing the 29 elements identified in the SMSEP report which is in volume 2 of this report. |
REC121-3671 | 32 - Doctrine, standards, and reform | The RailCorp emergency response plan should include a requirement for the debriefing of all senior rail and emergency response personnel involved in any rail accident, so as to determine the way or ways in which emergency response arrangements for rail accidents can be continually improved, and thereafter implement such improvements. |
REC121-3701 | 32 - Doctrine, standards, and reform | Train inspections should be carried out at the time of stabling RailCorp trains, as well as a part of train preparation prior to entering service. |
REC121-3758 | 25 - Inquiry, audit, lessons management and after action review | Following completion of any external audit, a corrective action plan to remedy any identified safety deficiencies should be developed by RailCorp, implemented and followed up within the business groups affected, to ensure appropriate and timely completion of the action plan, by a formal examination of the effectiveness of the controls put in place. Senior management personnel should certify that the corrective action plan has been implemented and is effective. Senior management personnel should be accountable for any such certification. |
REC121-3686 | 32 - Doctrine, standards, and reform | The standard in relation to the collection and use of data from data loggers should provide that such information must be accessed in the circumstances of any accident or incident and can be accessed to monitor driver performance generally. |
REC121-3720 | 24 - Govt responsibility | The New South Wales Government should make the necessary arrangements with the Australian Government, including any necessary legislation, for the Australian Transport Safety Bureau (ATSB) to have the power to investigate all rail accidents occurring on the New South Wales rail network the investigation of which may advance the knowledge of the causes of rail accidents in Australia. |
REC121-3725 | 13 - Mapping and data quality | The data and information management system should be compatible with any data and information management system established by the ATSB for the designated interstate rail network, provided that the establishment of a compatible system does not reduce the amount or quality of the information obtained by ITSRR below the optimum levels which it needs to conduct trend analysis, and otherwise properly manage the safety of rail operations in New South Wales. |
REC121-3765 | 25 - Inquiry, audit, lessons management and after action review | The ITSRR should conduct field audits to satisfy itself that all accredited rail organisations conduct their activities in accordance with the safety management system on the basis of which each was accredited. |
REC121-3659 | 32 - Doctrine, standards, and reform | A railway disaster plan, or rail displan, should be developed by RailCorp and the emergency services to ensure co-ordinated inter-agency response to rail accidents and incidents on the RailCorp network. |
REC121-3693 | 25 - Inquiry, audit, lessons management and after action review | ITSRR should ensure that, as a condition of accreditation, each of these recommendations is carried into effect and should audit against them to enforce compliance. |
REC121-3730 | 32 - Doctrine, standards, and reform | Legislation should be enacted and any necessary arrangements made, to enable the ATSB to review any reports of any investigation by a rail organisation or the OTSI into any serious incident or accident in New South Wales. |
REC121-3771 | 32 - Doctrine, standards, and reform | RailCorp should establish an integrated safety management system which includes the following: |
REC121-3668 | 32 - Doctrine, standards, and reform | The RailCorp emergency response plan should include action checklists of the steps that each employee is required to take, and the order for specific employees to follow in case of emergency. |
REC121-3699 | 32 - Doctrine, standards, and reform | All reported train defects should be certified by a person in a supervisory position in RailCorp as having been rectified. |
REC121-3757 | 25 - Inquiry, audit, lessons management and after action review | RailCorp should conduct internal and external safety audits to evaluate the adequacy of its safety management system and to ensure that any risk control measures are effective. |
REC121-3776 | 38 - Agency/Department Reporting | The Minister for Transport Services should retain, independently of ITSRR, safety auditors to provide a report to the Minister confirming or qualifying the contents of each such ITSRR quarterly report. |
REC121-3685 | 32 - Doctrine, standards, and reform | The ITSRR should impose a standard in relation to the collection and use of data from data loggers. |
REC121-3713 | 25 - Inquiry, audit, lessons management and after action review | Recommendations one to seven of the final report of the Special Commission of Inquiry into the Glenbrook Rail Accident should be fully implemented, save that the random auditing referred to in recommendations five and seven should be carried out by ITSRR. |
Rec-ID | Code | Recommendation |
---|---|---|
REC013_3967 | 22 - Role of local Gvt | Each Shire Council shall divide the lands within their respective shires into suitable areas for the formation of Bush Fire Brigades as requested. |
REC013_3983 | 19 - Offences | To prohibit persons throwing lighted cigarettes, cigars and tobacco among any straw, stubble, grass or herbage during the months of September to March in any Bush Fire area, under a penalty not exceeding $10. |
REC013_3982 | 19 - Offences | To prohibit persons taking into a harvest field or through any grass or bush lands any motor, tractor, harvester, &c., which is not supplied with an approved fire extinguisher or without the exhaust being properly fitted and protected, under a penalty not exceeding $50. |
REC013_3981 | 3 - Biodiversity | To prohibit the preparation of baits for the destruction of rabbits and other noxious animals in which stick phosphorus is used at the time of mixing on any farm, pastoral or grazing area. |
REC013_3979 | 32 - Doctrine, standards, and reform | That burning off by "occupiers" on any lands be regulated by permit or by regulation. |
REC013_3968 | 22 - Role of local Gvt | Any number of persons, wishing to form a Bush Fire Brigade, may, by a majority vote of the ratepayers in the particular area, requisition the Shire Council to proclaim such area a Bush Fire Brigade area, and the Council may then impose, with the concurrence of a majority of such ratepayers, a special levy for the purpose of equipping such brigades and carrying out its neccessary functions. |