Inquiry Search
Rec-ID | Code | Recommendation |
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REC317-4102 | 25 - Inquiry, audit, lessons management and after action review | Australian, state and territory governments should review Australian Medical Assistance Team capabilities and procedures and develop necessary training, exercising and other arrangements to build capacity for domestic deployments. |
REC317-4074 | 25 - Inquiry, audit, lessons management and after action review | The Australian Government should review the content of the Defence Assistance to the Civil Community manual to ensure consistency of language and application with a revised COMDISPLAN. |
Rec-ID | Code | Recommendation |
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REC291-1233 | 25 - Inquiry, audit, lessons management and after action review | The State Government to explore options for streamlining the functions and the independence of the State Emergency Management Committee Secretariat and the Office of Bushfire Risk Management with a view to including an inspectorate function, and appointing a person who is dedicated to that role. The purpose is to provide assurance and reporting, and to inquire into, monitor and report transparently on emergency management standards, preparedness, capability, service delivery and investment performance outcomes. Within two years of the establishment of this arrangement the State Government to review and assess whether it is meeting the desired outcomes. |
REC291-1242 | 15 - Inter-service cooperation | The Departments of Fire and Emergency Services and Parks and Wildlife to investigate and adopt an emergency services resource management system that will enable the registration, tasking, tracking, management and coordination of emergency management personnel, vehicles, plant and aircraft. |
REC291-1249 | 25 - Inquiry, audit, lessons management and after action review | The Department of the Premier and Cabinet to conduct an independent review of the current arrangement for the management and distribution of the Emergency Services Levy. The review will have the specific purpose of: · seeking input from key entities including the Departments of Treasury, Finance, Fire and Emergency Services, Lands, and Parks and Wildlife, WA Local Government Association, and the Office of Bushfire Risk Management. · ensuring the arrangement has the flexibility and agility to deal with emerging bushfire risk priorities. · establishing a budget process that enables a shift in investment towards prevention, mitigation and building community resilience and capability. |
Rec-ID | Code | Recommendation |
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REC290-1210 | 15 - Inter-service cooperation | Co‐designed arrangements that support a unified response to fire |
REC290-1218 | 7 - Inter-agency communication | Cross-agency resource management system |
REC290-1209 | 15 - Inter-service cooperation | Coordinated and targeted mitigation of fire risk |
Rec-ID | Code | Recommendation |
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REC277-1166 | 7 - Inter-agency communication | Develop an integrated inter-agency resource management system: Large and complex fire incidents require resources from multiple agencies. Developing an integrated inter-agency resource management system will have three main benefits: identifying potential resources will be more straightforward • the status and location of resource deployments can be tracked • planning of deployments can take into account all relevant information |
Rec-ID | Code | Recommendation |
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REC265-1111 | 15 - Inter-service cooperation | All agencies engaged in bushfire response should develop expeditious procedures for the mobilisation of resources in support of other agencies. See discussion in Section 7.1. |
REC265-1106 | 15 - Inter-service cooperation | In addition to regular meetings of the DFES/DPaW Interagency Bushfire Management Committee, the two organisations should use joint exercises to identify agreed firefighting approaches for common or likely scenarios. |
REC265-1102 | 25 - Inquiry, audit, lessons management and after action review | SEMC Secretariat Community Emergency Management Officers should work with the Shire to document the Shire of Mundaring’s learnings from the Parkerville Stoneville Mt Helena fire with a view to sharing this with other local authorities particularly those facing similar situations in order to extend the range of tools available to assist local governments to understand their roles and responsibilities in future emergencies. |
REC265-1105 | 15 - Inter-service cooperation | The Executive Teams of both DFES and DPaW should meet quarterly to review and agree joint improvements relating to issues of interoperability, complementarity and the alignment of firefighting doctrine. The establishment of a unified command in joint State Operations Centre, Regional Operations Centre and Incident Management Teams should be pursued as an overarching goal. |
Rec-ID | Code | Recommendation |
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REC258-2552 | 25 - Inquiry, audit, lessons management and after action review | The Civil Aviation Safety Authority implements a system of using third-party commercial audits as a supplementary tool to its surveillance system. |
REC258-2559 | 15 - Inter-service cooperation | The Civil Aviation Safety Authority’s Director of Aviation Safety meet with industry sector leaders to jointly develop a plan for renewing a collaborative and effective Standards Consultative Committee. |
REC258-2551 | 25 - Inquiry, audit, lessons management and after action review | The Civil Aviation Safety Authority assures consistency of audits across all regions, and delivers audit reports within an agreed timeframe. |
REC258-2549 | 25 - Inquiry, audit, lessons management and after action review | The Civil Aviation Safety Authority provides full disclosure of audit findings at audit exit briefings in accordance with international best practice. |
REC258-2528 | 25 - Inquiry, audit, lessons management and after action review | The Australian Transport Safety Bureau investigates as many fatal accidents in the sport and recreational aviation sector as its resources will allow. |
REC258-2556 | 25 - Inquiry, audit, lessons management and after action review | The Civil Aviation Safety Authority structures all regulations not yet made with the three-tier approach, and subsequently reviews all other Civil Aviation Safety Regulation Parts (in consultation with industry) to determine if they should be remade using the three-tier structure. |
Rec-ID | Code | Recommendation |
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REC257-1547 | 15 - Inter-service cooperation | The Marrangaroo Training Area Regional Environmental Officer confer with the local Rural Fire Service at least annually and determine a hazard reduction regime capable of implementation. It is furter recommended all ranges be reviewed in relation to the same issue, that is, that personnel involved in the management of each range under Defence control be directed to confer with local firefighting authorities on at least an annual basis to assess hazard reduction responses to be pursued for that range in subsequent years. |
REC257-1545 | 15 - Inter-service cooperation | Range Control Officer Marrangaroo Training Area liase with the local Rural Fire Service units to develop a map indicating the areas of the range likely to contain unexploded ordnance. |
REC257-1548 | 25 - Inquiry, audit, lessons management and after action review | The Regional Director-Defence Support-Northern NSW, make contact with Deputy Commissioner ~~~~~ Director of Operational Services Rural Fire Service, to arrange a headquarters driven bipartite review of the events of 16 October 2013 with a review to mitigation of future fire events generally, and with specific reference to: |
REC257-1546 | 25 - Inquiry, audit, lessons management and after action review | Defence undertake a review of its ability to respond to a fire within Marrangaroo Training Area, whether bushfire or structural. The underlying assumption should be that the only response available to fight a fire within Marrangaroo Training Area will be provided by Defence. Further, such response must occur while a fire is in its initial stages. A review must either acknowledge the risk of fire occurring in th future, or upgrade Defence's firefighting capability at Marrangaroo Training Area. |
REC257-1539 | 25 - Inquiry, audit, lessons management and after action review | Defence Security Authority conduct an investigation into the whereabouts of items of anaccounted explosive ordnance issued to Defence Explosive Ordnance Training School Exercise Marrangaroo. |
Rec-ID | Code | Recommendation |
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REC254-1586 | 15 - Inter-service cooperation | Future coordination/support/control of integrated emergency management across all agencies in Albany needs to be merged and located in a single joint facility. This issue needs to be reviewed statewide. |
Rec-ID | Code | Recommendation |
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REC236-2801 | 25 - Inquiry, audit, lessons management and after action review | The committee recommends that the ATSB review its process to track the implementation of recommendations or safety actions to ensure it is an effective closed loop system. This should be made public, and provided to the Senate Regional and Rural Affairs and Transport Committee prior to each Budget Estimates. |
REC236-2795 | 25 - Inquiry, audit, lessons management and after action review | The committee recommends that a short inquiry be conducted by the Senate Standing Committee on Rural and Regional Affairs and Transport into the current status of aviation regulatory reform to assess the direction, progress and resources expended to date to ensure greater visibility of the processes. |
REC236-2793 | 25 - Inquiry, audit, lessons management and after action review | The committee recommends that CASA processes in relation to matters highlighted by this investigation be reviewed. This could involve an evaluation benchmarked against a credible peer (such as FAA or CAA) of regulation and audits with respect to: non-RPT passenger carrying operations; approach to audits; and training and standardisation of FOI across regional offices. |
REC236-2792 | 25 - Inquiry, audit, lessons management and after action review | The committee recommends that the investigation be re-opened by the ATSB with a focus on organisational, oversight and broader systemic issues. |
REC236-2806 | 25 - Inquiry, audit, lessons management and after action review | The committee recommends that the relevant agencies investigate appropriate methods to ensure that information about the incidence of, and variable weather conditions at, Norfolk Island is available to assist flight crews and operators managing risk that may result from unforseen weather events. |
REC236-2805 | 25 - Inquiry, audit, lessons management and after action review | The committee recommends that the relevant agencies review whether any equipment or other changes can be made to improve the weather forecasting at Norfolk Island. The review would include whether the Unicom operator should be an approved meteorological observer. |
Rec-ID | Code | Recommendation |
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REC227-2847 | 15 - Inter-service cooperation | I recommend that Border Protection Command implement a surveillance strategy, possibly with the assistance of other Commonwealth authorities and organisations on the island such as the AFP, which heightens its coverage at times when the weather and sea conditions are rough. |
Rec-ID | Code | Recommendation |
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REC226-0578 | 15 - Inter-service cooperation | There would be benefit in progressively aligning the geographic boundaries of each of the agencies and seeking to co-locate their headquarters within those boundaries. |
REC226-0577 | 7 - Inter-agency communication | A system of vehicle tracking should be fitted to all fire appliances and linked to the common operating picture. Good communications planning is essential for good command and control. |
REC226-0560 | 15 - Inter-service cooperation | There would be value in progressively aligning the geographical boundaries of emergency management agencies and co-locating where possible within regions and districts. |
REC226-0552 | 7 - Inter-agency communication | Communications planning for geographic regions with recognised black spots and specific communications challenges should be prepared in advance of an emergency in order to support the IMT Communications Planning Officer |
REC226-0548 | 15 - Inter-service cooperation | Inter-agency cooperation to manage fire precincts in a tenure-blind fashion is necessary for effective fire suppression. |
Rec-ID | Code | Recommendation |
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REC225-0537 | 7 - Inter-agency communication | Future coordination/support/control of integrated emergency management across all agencies in Albany needs to be merged and located in a single joint facility. This issue needs to be reviewed statewide. |
REC225-0540 | 25 - Inquiry, audit, lessons management and after action review | : In due course, acts of bravery are considered and recommendations for awards are submitted, including commendations for the delivery of First Aid. |
Rec-ID | Code | Recommendation |
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REC223-0523 | 25 - Inquiry, audit, lessons management and after action review | The Government consider enacting legislation to facilitate the review of all future major incidents, including but not limited to fire, earthquake, storm and marine inundation, and the emergency response to them. |
REC223-0522 | 25 - Inquiry, audit, lessons management and after action review | The response operation to the Margaret River bushfire in November 2011 be the subject of a review with independent oversight. |
REC223-0516 | 25 - Inquiry, audit, lessons management and after action review | The Department of Environment and Conservation review its implementation of the findings of the Ferguson Review conducted in 2010. |
Rec-ID | Code | Recommendation |
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REC203-0288 | 15 - Inter-service cooperation | The State Duty Officer from DEC and the State Duty Director, FES A need to confer whenever a Level 2 or 3 incident is declared to satisfy themselves that they have appropriate incident management structures and resources across the state are at an appropriate level of preparedness. |
REC203-0287 | 15 - Inter-service cooperation | On a regional basis there would be value in closer working relationship between DEC crews and VBFBs to build mutual trust and confidence. This could be done by opportunity engagement of VBFBs in DEC fire management or through exercises. |
REC203-0301 | 15 - Inter-service cooperation | Early in an incident, close and effective liaison needs to be established with local government agencies. |
REC203-0299 | 15 - Inter-service cooperation | The state should converge on a single communications platform for all emergency management and support agencies. |
REC203-0298 | 15 - Inter-service cooperation | The state should progressively align on a shared platform, such as WebEO C , to establish a Common Operating Picture (COP). |
Rec-ID | Code | Recommendation |
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REC202-0497 | 25 - Inquiry, audit, lessons management and after action review | The Minister for Local Government have urgent discussions with the Western Australian Local Government Association (WALGA) as to why they are not supporting the full Recommendations addressed to local government in the Keelty Report. The Minister ensure that by May 2012 WALGA and its member councils have the resources to fully implement theimplementation of the Recommendations. |
REC202-0504 | 15 - Inter-service cooperation | The Minister for Emergency Services ensure that the annual budget of FESA contains the funds it requires to coordinate an annual multi-agency bushfire field exercise, alongside other desktop exercises, to be held in different regions of the State each year. The outcomes of this field exercise should be included in the proposed annual Ministerial statement to Parliament on bushfire readiness before each season. |
REC202-0495 | 25 - Inquiry, audit, lessons management and after action review | At the conclusion to the 2011-12 bushfire season, the Minister for Emergency Services institute a thorough review of the operations of FESA, the Police and DEC in protecting the State from bushfires and other natural disasters, with a primary focus on: · staffing levels; · equipment levels and coordination; and · training needs. The Minister report to Parliament by June 2012 on any changes that need to be made to the current departmental structures to optimise the State’s preparedness for the 2012-13 bushfire season. |
REC202-0505 | 7 - Inter-agency communication | The Minister for Emergency Services makes it a priority that the annual budgets of FESA and WA Police are sufficient to bring forward the completion dates of the current radio projects now underway. |
REC202-0493 | 25 - Inquiry, audit, lessons management and after action review | The Minister for Emergency Services report to Parliament every six months on the progress made in completing all of the outstanding Recommendations of the Keelty Report. |
Rec-ID | Code | Recommendation |
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REC201-0260 | 15 - Inter-service cooperation | There are a range of opportunities identified from reviewing the three fires that will improve coordination between FESA and DEC, requiring limited resources, potentially generating some efficiencies and reflecting a joint, tenure blind approach to fire management in WA. The MIR acknowledges the progress made through the IBMC in these matters and notes these measures will require ongoing strong leadership. These include: · Clarification and consistent application of the Zone 2 and 2A mobilisation protocols; · Duplicating available information on websites; · Establishing a single State air desk and cross-utilising Air Attack Supervisors; · Completing common training for the conduct of public meetings;· Coordinating IMT training and exercises; · Operating joint IMT‘s during interface fires; FESA utilising the DEC mobile ICC when suitable ICPs are not available; · FESA engaging in daily weather teleconferences with DEC; Engaging a permanent BoM officer to support a common FESA and DEC SOC; · Developing a common ‗Tool Box‘ of forms and operational procedures for fire response; · Developing common jurisdictional arrangements to accommodate interstate support; · Developing a joint FESA/DEC SOC at the new (FESA) Emergency Services facility at Cockburn; · Adopting common and transparent Level 3 IC accreditation · Using a single mapping capability across both agencies and · Using common naming conventions for fires. |
REC201-0252 | 7 - Inter-agency communication | FESA must actively manage the transition to WAERN and provide alternative means for regional crews to communicate when in areas where WAERN is not operated. |
Rec-ID | Code | Recommendation |
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REC200-1701 | 25 - Inquiry, audit, lessons management and after action review | The Fire and Emergency Services Authority convene a facilitated debriefing session between the families who remained behind to protect their properties, and the incident controllers. |
REC200-0386 | 15 - Inter-service cooperation | Emergency service agencies undertake more consultation and joint exercising involving the Fire and Emergency Services Authority, the Department of Environment, the Western Australian Police, the Department for Child Protection, local governments and volunteers – including Volunteer Bush Fire Brigades. This should include field exercises which test: Evacuation centres Critical infrastructure (including at the local level) Traffic management, including road blocks. Consideration should also be given to involving the community in exercising (see Recommendation 7) and using prescribed burns as exercises (see Recommendation 14) More detailed planning for exercises should be included in a revised WESTPLANBUSHFIRE to be endorsed by the State Emergency Management Committee. |
REC200-0372 | 7 - Inter-agency communication | FESA and local governments jointly review radio communications capability prior to the 2011/12 bushfire season with a view to improving the current delivery of service to firefighters. |
REC200-1708 | 15 - Inter-service cooperation | The Fire and Emergency Services Authority and the Western Australian Police ensure they receive all necessary legal clarification in relation to Bushfire Responsibilities of Police Officers – Powers Used in Assisting Fire Authorities in Responding to Bushfires, to be promulgated across FESA and WAPOL. |
REC200-0338 | 15 - Inter-service cooperation | The Fire and Emergency Services Authority and the Department of Environment and Conservation develop and finalise their Memorandum of Understanding and commit to working in partnership. |
REC200-0392 | 25 - Inquiry, audit, lessons management and after action review | The State Government review implementation of the Special Inquiry’s Recommendations in two years. |
REC200-1680 | 15 - Inter-service cooperation | Emergency Management Western Australia establish an inter-agency working group to continue the development of the new single emergency services Act. |
REC200-1713 | 7 - Inter-agency communication | The Department for Child Protection, the Western Australian Police and the Fire and Emergency Services Authority develop improved arrangements for communicating the loss of home and possessions to persons gathered at evacuation centres with a view to increasing privacy. |
REC200-0384 | 25 - Inquiry, audit, lessons management and after action review | Emergency Management Western Australia develop mechanisms to calculate the estimated total cost of a fire to the community. |
REC200-1679 | 15 - Inter-service cooperation | The Fire and Emergency Services Authority and the Department of Environment and Conservation develop and finalise their Memorandum of Understanding and commit to working in partnership. |
REC200-0361 | 25 - Inquiry, audit, lessons management and after action review | The Fire and Emergency Services Authority convene a facilitated debriefing session between the families who remained behind to protect their properties, and the incident controllers. This session should include open discussion and explain the decisions of all parties – including how the incident controllers determined priorities, and why residents chose not follow their advice to evacuate. The learning outcomes should be promulgated across all agencies and incorporated in future level 3 incident controller training programs. |
REC200-1732 | 25 - Inquiry, audit, lessons management and after action review | The State Government review implementation of the Special Inquiry's recommendations in two years. |
Rec-ID | Code | Recommendation |
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REC183-0118 | 15 - Inter-service cooperation | A Memorandum of Understanding signed by the Chief Executives of DEC and FESA would be a valuable statement of joint commitment between the two agencies. |
REC183-0117 | 15 - Inter-service cooperation | The Interagency Bushfire Management Committee and its sub-committees are the logical central platform for developing and strengthening future joint bushfire strategies and common systems of work between bushfire management agencies in Western Australia. |
REC183-0116 | 15 - Inter-service cooperation | Triggers and a process for transfer of command and control from DEC to FESA should be developed and documented. |
Rec-ID | Code | Recommendation |
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REC182-0124 | 15 - Inter-service cooperation | FESA and DEC take a whole of capability approach to joint operations, including developing joint doctrine that provides a common and articulated understanding of roles and responsibilities, resources and capabilities |
REC182-0129 | 15 - Inter-service cooperation | FESA maintains inter-agency relationships and arrangements, and develops formalised arrangements across the entire emergency management cycle for joint activities such as training, exercises and procedure development. |
REC182-0125 | 15 - Inter-service cooperation | FESA, in partnership with other agencies and the community, develops Western Australia’s urban interface fire fighting capability and capacity. |
Rec-ID | Code | Recommendation |
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REC172-0022 | 15 - Inter-service cooperation | The declaration of a potential Level 3 incident should be notified to FESA who can facilitate an early warning to CFCO’s in the Shire and surrounding LGA’s. |
REC172-0043 | 7 - Inter-agency communication | There needs to be a system that allows laptop computers brought to an incident to be configured at the start of the season and allow them to be easily activated to the correct configuration when they arrive at the incident. |
REC172-0042 | 7 - Inter-agency communication | Portable, reliable mobile repeaters are required to provide radio communications into areas not covered by existing repeater networks. These repeaters need the capacity to be linked. |
Rec-ID | Code | Recommendation |
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REC149-3145 | 25 - Inquiry, audit, lessons management and after action review | NOPSA should consider an audit regime that targets Greenfields operations at commencement of operations. |
Rec-ID | Code | Recommendation |
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REC098-2165 | 7 - Inter-agency communication | The Committee recommends that Emergency Management Australia and the Australian Communications Authority work with state and territory bush fire authorities to ensure that that district communication plans |
REC098-2164 | 7 - Inter-agency communication | The Committee recommends that: |
REC098-2153 | 7 - Inter-agency communication | The Committee recommends that the state and territory bushfire agencies ensure that, on a district basis, communications are addressed within the district operations plans and that the plans are capable of easy adoption to incident action plans. |
REC098-2155 | 25 - Inquiry, audit, lessons management and after action review | The Committee recommends that Emergency Management Australia initiate a process involving Australasian Fire Authorities Council and the Australian Assembly of Volunteer Fire Brigades Association to review |