Inquiry Search
Rec-ID | Code | Recommendation |
---|---|---|
REC290-1218 | 7 - Inter-agency communication | Cross-agency resource management system |
REC290-1211 | 32 - Doctrine, standards, and reform | Review of institutional arrangements in the fire sector |
Rec-ID | Code | Recommendation |
---|---|---|
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 |
REC277-1165 | 32 - Doctrine, standards, and reform | Clarify the role of the ROC and SOC and their reporting relationships: The ROC and SOC have important coordination roles under the State Emergency Management Arrangements to support both the incident and the broader region and state. Clarifying the role of the ROC and SOC, their reporting relationships, and how the command structures of other agencies are integrated, will have three main benefits: the ROC and SOC can perform their functions effectively • no inconsistencies, gaps or duplication in the activities of the IMT, ROC and SOC • transparency of incident management |
Rec-ID | Code | Recommendation |
---|---|---|
REC276-1178 | 16 - Training and behaviour | Within six months, consider improved processes for consulting with and engaging volunteers and continue to work with LGs to improve information sharing and communication. Specifically, DFES should improve communication around its decisions on equipment and training as well as provide better information about access to services. |
Rec-ID | Code | Recommendation |
---|---|---|
REC265-1103 | 16 - Training and behaviour | DFES should review its training courses and Standard Operating Procedures to satisfy itself that all incident management personnel have the required level of understanding of WA emergency management arrangements, including those that relate to the roles of the Incident Management Team and Incident Support Group and the declaration of incident levels. |
REC265-1115 | 16 - Training and behaviour | Training and awareness raising should be conducted to enhance the appreciation and understanding of DFES State and Regional operational personnel, including potential Incident Management Team members, of the nationally adopted Bushfire Alert and Messaging Matrix, in order to ensure that the most appropriate alert levels and associated community messaging are applied during bushfire incidents. |
REC265-1100 | 32 - Doctrine, standards, and reform | The forthcoming review by SEMC of SEMP 4.4 Recovery Coordination and Westplan – Recovery Coordination and SEMP 4.1 Incident Management should include consideration of: |
REC265-1114 | 32 - Doctrine, standards, and reform | Procedures should be reviewed to address the risks associated with response aircraft all working from one forward operating base, including the need for a designated fire protection unit to be available in the event of an aircraftrelated fire or other emergency incident |
REC265-1113 | 32 - Doctrine, standards, and reform | The role of the Ground Controller should be reaffirmed in operational doctrine and reinforced in Incident Management Team training. During incidents involving aircraft the appointment of a Ground Controller should be confirmed by the Incident Controller |
REC265-1110 | 32 - Doctrine, standards, and reform | Whenever a Bush Fires Act 1954 section 13 transfer of control is invoked, the Incident level of an event should also be reviewed and any changes documented. |
REC265-1107 | 32 - Doctrine, standards, and reform | Standard Operating Procedure 1 (Mobilisation Zone 2, Perth Hills area) should be reviewed to ensure that appropriate escalation triggers and levels of operational readiness are in place for future periods when severe fire weather conditions are forecast. |
REC265-1124 | 32 - Doctrine, standards, and reform | EMP 4.4 and Westplan – Recovery Coordination should be amended to: clarify the wording around handing over control of the incident from the Controlling Agency to local government and the transition from response to recovery; include principles and criteria that will assist the Controlling Agency and local government to determine the best time to effect a hand over of control of the incident; make explicit the roles and responsibilities of the parties involved in the handover of control of the incident; specify the information required in the needs and impact assessments provided to local government by the Controlling Agency so that local government is given sufficient information to take control of incidents; clarify the roles, responsibilities and the title of the State Recovery Controller and ensure that the appropriate wording is reflected in Westplans and State Emergency Management Policies; Hazard Management Agencies, combat and support agencies and local governments need to fully inform themselves of the role of the State Recovery Controller and implement a more effective approach to communicating |
Rec-ID | Code | Recommendation |
---|---|---|
REC254-1588 | 32 - Doctrine, standards, and reform | WA fire agencies adopt a common set of standing orders, operational procedures, training and competencies for rural firefighting that are produced in hard copy, leading to integrated multi-agency training, IMTs, Regional and State coordination/control centres. |
REC254-1584 | 32 - Doctrine, standards, and reform | DFES or DEC (depending on land tenure) is mandated to take over control of emergency incidents from Local Government once they have been declared Level 2 incidents. WESTPLAN BUSHFIRE and legislation to be amended accordingly. |
REC254-1583 | 16 - Training and behaviour | Once Recommendation 1 has been actioned, all agencies give greater priority to the promulgation of Red Flag warnings in order to enhance situational awareness on the fireground. |
REC254-1581 | 16 - Training and behaviour | All agencies ensure fire managers are trained to correctly interpret the new Spot Fire Weather Forecast and to familiarise themselves with the entire format – ensuring consideration of the whole forecast - not just the tabular data containing the 12 hour forecast. |
REC254-1580 | 32 - Doctrine, standards, and reform | Critical operational procedures such as ‘Red Flag Warnings’, on a common fireground need to be consistent across DFES, DEC and Local Government. In particular, the operational procedure of Red Flag Warnings needs to be adopted by all WA fire agencies. |
Rec-ID | Code | Recommendation |
---|---|---|
REC252-2571 | 38 - Agency/Department Reporting | St John Ambulance should develop quantitative performance targets for community paramedics and report these to Western Australia Health |
REC252-2569 | 32 - Doctrine, standards, and reform | Western Australia Health should consider publishing information on St John Ambulance’s complaints processes to assist Western Australia Health staff. |
REC252-2566 | 38 - Agency/Department Reporting | Western Australia Health should require service providers to report more comprehensive performance data using additional cost and clinical indicators |
REC252-2565 | 38 - Agency/Department Reporting | Western Australia Health should include in contracts minimum standards for emergency and secondary ambulance services and effective mechanisms to monitor these |
REC252-2574 | 32 - Doctrine, standards, and reform | St John Ambulance should ensure the positive gains in clinical governance achieved since the Inquiry become embedded throughout the whole organisation. |
Rec-ID | Code | Recommendation |
---|---|---|
REC228-1612 | 32 - Doctrine, standards, and reform | The Emergency Services Agency should develop a strategy for monitoring the development and implementation of all Government land managers’ operational plans. |
REC228-1611 | 32 - Doctrine, standards, and reform | The Emergency Services Agency should specify preparation and approval requirements for bushfire operational plans, particularly those for lands in the Bushfire Abatement Zone. |
REC228-1608 | 32 - Doctrine, standards, and reform | The Emergency Services Agency should review the operations of the Strategic Bushfire Management Plan Implementation Working Group to determine if it is the most appropriate mechanism for ‘monitoring the scope and effectiveness’ of the Strategic Bushfire Management Plan. If it is retained, ways to improve its effectiveness should be identified and implemented. |
REC228-1621 | 32 - Doctrine, standards, and reform | The Emergency Services Agency should improve its management of the Community Fire Unit Program by: |
REC228-1607 | 32 - Doctrine, standards, and reform | The Justice and Community Safety Directorate, in managing future amendments to the Emergencies Act 2004, should propose amendments which require the Emergency Services Agency to maintain information on privately-owned assets of public interest that are vulnerable to bushfire without the need to include this information in the Strategic Bushfire Management Plan. |
REC228-1615 | 38 - Agency/Department Reporting | The Territory and Municipal Services Directorate, as part of its Bushfire Operations Plan monitoring and reporting, should assess and publicly report on cumulative progress against broader outcomes identified in the Regional Fire Management Plans and the Strategic Bushfire Management Plan. |
REC228-1606 | 32 - Doctrine, standards, and reform | The Emergency Services Agency should comply with the Emergencies Act 2004 requirements for the Strategic Bushfire Management Plan by including in this Plan an explicit statement of all resources needed to meet the objectives of the Plan. |
REC228-1613 | 32 - Doctrine, standards, and reform | The Emergency Services Agency should continue to work with National Land managers and develop a National Land bushfire management framework to address bushfire risks on National Land. |
Rec-ID | Code | Recommendation |
---|---|---|
REC227-2855 | 32 - Doctrine, standards, and reform | I recommend that arrangements be put in place which would remove the requirements for Masters of Volunteer Marine Rescue vessels to hold a commercial certificate of competency. Operators could then be qualified through the FESA Volunteer Marine Rescue Training pathway as skippers and crew. This would increase the number of available skippers in the event of a search and rescue incident and would make appropriate training easier to arrange. |
Rec-ID | Code | Recommendation |
---|---|---|
REC226-0580 | 32 - Doctrine, standards, and reform | The role of district and local emergency management committees should be reviewed to ensure they are appropriately engaged in the active management of emergencies across the PPR R continuum |
REC226-0579 | 32 - Doctrine, standards, and reform | Legislative change may be needed to enable FES A to better manage fire- fighting resources across the state. |
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. |
REC226-0569 | 32 - Doctrine, standards, and reform | Section 13 arrangements need to be clarified across key agencies. |
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 |
Rec-ID | Code | Recommendation |
---|---|---|
REC225-0531 | 32 - Doctrine, standards, and reform | Critical operational procedures such as ‘Red Flag Warnings’, on a common fireground need to be consistent across DFES, DEC and Local Government. In particular, the operational procedure of Red Flag Warnings needs to be adopted by all WA fire agencies. |
REC225-0539 | 32 - Doctrine, standards, and reform | WA fire agencies adopt a common set of standing orders, operational procedures, training and competencies for rural firefighting that are produced in hard copy, leading to integrated multi-agency training, IMTs, Regional and State coordination/control centres. |
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. |
REC225-0536 | 32 - Doctrine, standards, and reform | DFES and Local Government Bushfire Brigades ensure that only those with the required AIIMS competence have the authority to manage Level 1 incidents, noting they may not be Fire Control Officers. |
REC225-0534 | 32 - Doctrine, standards, and reform | Once Recommendation 1 has been actioned, all agencies give greater priority to the promulgation of Red Flag warnings in order to enhance situational awareness on the fireground. |
REC225-0532 | 16 - Training and behaviour | All agencies ensure fire managers are trained to correctly interpret the new Spot Fire Weather Forecast and to familiarise themselves with the entire format – ensuring consideration of the whole forecast - not just the tabular data containing the 12 hour forecast. |
Rec-ID | Code | Recommendation |
---|---|---|
REC221-2862 | 38 - Agency/Department Reporting | Housing should use risk based analysis of its tenant and property information, job order data and quality assurance results to better inform target setting for KPIs, job order controls, and the sampling used for completed work inspections before and after payment. This analysis should synthesise information from all sources and include a risk assessment of tenants and properties, as well as consideration of the various types of maintenance work being done (emergency, priority and routine, and planned maintenance). |
REC221-2861 | 38 - Agency/Department Reporting | Housing should further develop its Head Contractor key performance indicators to include quality, cost and tenant satisfaction. Currently performance reporting is focused entirely on timeliness indicators. |
Rec-ID | Code | Recommendation |
---|---|---|
REC203-0297 | 32 - Doctrine, standards, and reform | The role of district and local emergency management committees should be reviewed to ensure they are appropriately engaged in the active management of emergencies across the PPR R continuum |
REC203-0296 | 32 - Doctrine, standards, and reform | Legislative change may be needed to enable FES A to manage fire-fighting resources across the state. |
Rec-ID | Code | Recommendation |
---|---|---|
REC173-0100 | 32 - Doctrine, standards, and reform | The prioritising of the critical amendments to the Bush Fires Act 1954 recommended by the Community Development and Justice Standing Committee that relate to fire management, ie: a. Fire and Emergency Services Authority (FESA)‘s ability to assume control of a fire in specific circumstances b. Amendments to the definition of property c. Providing FESA with the authority to declare a total fire ban |
REC173-0102 | 32 - Doctrine, standards, and reform | That further amendments be made to the Bush Fires Act 1954 be drafted to provide fire response agencies with the necessary authorisation and statutory protection to respond to a fire on private property, or land that Local Government, Department of Environment and Conservation (DEC) or FESA is responsible for, until such time as the responsible agency is able to attend and take control. The amendments to be drafted, in conjunction with the urgent progression of critical amendments as recommended by the Community Development and Justice Standing Committee. |
Rec-ID | Code | Recommendation |
---|---|---|
REC172-0041 | 16 - Training and behaviour | Media liaison personnel are needed to ‘ride’ shotgun’ on media personnel to facilitate them getting their stories without imposing on the effectiveness of operations. |
REC172-0001 | 32 - Doctrine, standards, and reform | The Emergency Management Regulations 2006 be urgently amended to determine a HMA(s) for bushfire. |
REC172-0021 | 32 - Doctrine, standards, and reform | Unassigned resources arriving at incidents should be encouraged to make themselves known and to undertake alternate duties. |
REC172-0031 | 16 - Training and behaviour | Pre-season refresher training to include an emphasis on check in/out procedures |
REC172-0018 | 32 - Doctrine, standards, and reform | The Interagency Guidelines need to be amended to reflect what is operationally possible with regard to risk management rather than what is required to achieve an absence of risk. |
REC172-0003 | 32 - Doctrine, standards, and reform | All incidents where the HMA delegates the authority to manage suppression operations to another agency on its behalf, should be achieved via a written delegation setting out the scope, limitations and duration of the delegation. |
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. |
REC172-0002 | 32 - Doctrine, standards, and reform | The Emergency Management Act 2005 is amended to provide a mechanism for one HMA to transfer responsibility to another HMA and ensure that both HMA’s are provided the powers and protection necessary under that Act. |
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. |
REC172-0023 | 16 - Training and behaviour | Pre-season multi- agency refresher training for Ground Controllers should be undertaken each year. |
Rec-ID | Code | Recommendation |
---|---|---|
REC171-0070 | 32 - Doctrine, standards, and reform | That a review be conducted of DEC’s ability to manage major fires and consideration be given to increased direct involvement by FESA in fire management role in the case of major fires on reserves or on unallocated Crown lands. |
REC171-0068 | 32 - Doctrine, standards, and reform | That if the Bushfires Amendment Bill 2009 is to be enacted, procedures be put in place which would ensure that in the event of an escalating fire, FESA would receive sufficient information to make an informed judgment as to whether or not to take control of all operations. |
Rec-ID | Code | Recommendation |
---|---|---|
REC170-0053 | 32 - Doctrine, standards, and reform | SEMC and EM WA should: submit outstanding legislative changes to Parliament as a matter of priority |
REC170-0063 | 32 - Doctrine, standards, and reform | Agencies should: ensure their Westplans and support plans have supporting local arrangements in place |
REC170-0052 | 32 - Doctrine, standards, and reform | SEMC and EM WA should: ensure agencies fulfil their obligations under the Act |
REC170-0061 | 32 - Doctrine, standards, and reform | Agencies should: identify overlaps between Westplans and develop written procedures for these circumstances |
REC170-0051 | 32 - Doctrine, standards, and reform | SEMC and EM WA should: review procedures for plan preparation and approval so that agencies can prepare their plans in a more timely way |
REC170-0060 | 32 - Doctrine, standards, and reform | Agencies should: update out-of-date Westplans and support plans as a matter of urgency |
REC170-0057 | 7 - Inter-agency communication | SEMC and EM WA should: ensure that agencies have a common or compatible crisis information management system in place |
REC170-0065 | 16 - Training and behaviour | Agencies should: train their staff who will be involved in emergencies in incident management. |
REC170-0056 | 32 - Doctrine, standards, and reform | SEMC and EM WA should: define key roles within the emergency management framework |
REC170-0064 | 32 - Doctrine, standards, and reform | Agencies should: ensure their internal emergency management arrangements are up-to-date and regularly reviewed |
Rec-ID | Code | Recommendation |
---|---|---|
REC159-3051 | 32 - Doctrine, standards, and reform | ACTAS should: |
REC159-3059 | 38 - Agency/Department Reporting | ACTAS should establish a clinical information database that: |
REC159-3050 | 38 - Agency/Department Reporting | ACTAS should log all emergency calls on CAD to document non-ambulance dispatch decisions, and to provide more complete data on demand. |
REC159-3057 | 32 - Doctrine, standards, and reform | ACTAS should conduct formal reviews of its clinical procedures manuals in consultation with its Clinical Advisory Committee, and develop guidance to oversight these reviews. |
REC159-3047 | 38 - Agency/Department Reporting | ACTAS should develop a comprehensive performance management framework that includes key performance indicators and targets aligned to its service delivery activities, to help inform management and stakeholders of its performance. |
REC159-3056 | 32 - Doctrine, standards, and reform | ACTAS should specify and document the role of each of its various clinical governance processes, how they relate to each other, and how these will be managed, measured and monitored within an overarching clinical framework. |
REC159-3062 | 38 - Agency/Department Reporting | ACTAS should develop a set of standards to measure and monitor patient satisfaction, so that improvements to the service can be made, based on patient satisfaction information. |
REC159-3055 | 38 - Agency/Department Reporting | ACTAS should implement systems to enable the accurate collection and measurement of non-emergency ambulance service bookings to facilitate monitoring of performance and the provision of accurate advice to Government. |
REC159-3061 | 32 - Doctrine, standards, and reform | ACTAS should develop and implement policies and guidance to staff on how complaints should be assessed and actioned, including timeliness targets. |
REC159-3053 | 32 - Doctrine, standards, and reform | ACTAS should develop policies and guidelines to assist ambulance officers’ decisions on whether or not to transport a patient to hospital. This guidance might include appropriate responses when a mentally impaired patient declines transport or treatment, and when to call on management or clinical guidance. |
REC159-3060 | 32 - Doctrine, standards, and reform | ACTAS should develop a policy that provides direction on what type of feedback it will seek, from whom it will seek the feedback, and how this feedback will be used to improve the patient care experience. |
Rec-ID | Code | Recommendation |
---|---|---|
REC126-1945 | 32 - Doctrine, standards, and reform | That s. 47 of the ACT Coroners Act 1997 be expanded to explicitly state that an inquest and the inquiry are not adversarial in nature and are solely inquisitorial, with a view to establishing the truth |
REC126-1989 | 32 - Doctrine, standards, and reform | That formal protocols be developed and agreed with NSW authorities, so that a concerted effort that combines the resources of both NSW and the ACT can be brought to bear in the future - without impediment caused by lines on a map that make the ACT an island within the state of NSW |
REC126-1962 | 32 - Doctrine, standards, and reform | That version 2 of the Strategic Bushfire Management Plan be completed and introduced without delay |
REC126-1968 | 16 - Training and behaviour | That land managers ensure their staff are properly trained in the effective use of large bulldozers at wildfires and that staff are available to be assigned to supervise bulldozer operations |
REC126-1944 | 32 - Doctrine, standards, and reform | That s. 59 of the ACT Coroners ACT 1997 be amended by deleting the words ‘by instrument’ in s. 59(1) and by deleting the words ‘by his or her instrument of appointment’ in s. 59(2)(b) |
REC126-1987 | 7 - Inter-agency communication | That measures be taken to ensure that ACT and NSW Rural Fire Service radio communications systems are integrated, so that ACT and NSW firefighting units can communicate with each other |
REC126-1961 | 7 - Inter-agency communication | That the Emergency Services Agency review the communications systems used by the four services (the ACT Ambulance Service, the ACT Rural Fire Service, the ACT State Emergency Service and the ACT Fire Brigade), by the Australian Federal Police, by NSW emergency services and by aircraft and ensure the systems are compatible |
REC126-1966 | 32 - Doctrine, standards, and reform | That the Emergency Services Agency investigate and implement arrangements that will provide the capacity to use fire retardant in remote areas |
REC126-1943 | 32 - Doctrine, standards, and reform | That the ACT’s Director of Public Prosecutions Act 1990 be amended by repealing s. 6(d) of the Act |
REC126-1983 | 16 - Training and behaviour | That the Australian Federal Police and the Emergency Services Agency ensure that personnel in their respective organisations are fully briefed on the agreed policy on evacuations |
REC126-1957 | 16 - Training and behaviour | That the Emergency Services Agency review the level of understanding among firefighting personnel of the latest information available nationally and internationally about wildfire behaviour and suppression and provide additional training if warranted |
REC126-1965 | 32 - Doctrine, standards, and reform | That helicopters be used wherever possible to facilitate the rapid deployment of remote area firefighting crews |
REC126-1980 | 16 - Training and behaviour | That public land management agencies ensure that their senior personnel have appropriate experience in fire management and are provided with adequate resources and suitable experienced and trained staff to effectively implement fire management programs |
REC126-1955 | 16 - Training and behaviour | That training of all personnel involved with emergency services be under constant review |
REC126-1964 | 32 - Doctrine, standards, and reform | That remote area firefighting resources be deployed to a fire in a remote area as a matter of priority and in preference to the deployment of large tankers |
REC126-1978 | 32 - Doctrine, standards, and reform | That it be a matter of policy and practice that the relevant land management agency is responsible for the initial response to any fire or fires on the land under its care or management – within the overall operational response of the ACT Rural Fire Service |
REC126-1946 | 32 - Doctrine, standards, and reform | That the ACT Government consider amending the Coroners Act 1997 to include what were ss. 56(1)(d) and 56(2)(c) of the 1956 Coroners Act |
REC126-1964 | 32 - Doctrine, standards, and reform | That all firefighting agencies adopt a policy and practice that all fires in remote areas of the ACT be responded to as quickly as possible, with vigorous and sustained efforts made to suppress the fires and not leave them unattended – especially at night – unless there are compelling reasons relating to firefighter safety or lack of resources |
REC126-1969 | 16 - Training and behaviour | That a review be conducted of the adequacy of training and the numbers of firefighters experienced in performing effective, safe large-scale back-burning operations |
Rec-ID | Code | Recommendation |
---|---|---|
REC113-3905 | 16 - Training and behaviour | Firefighting organisations should: address their key training and development issues |
REC113-3903 | 32 - Doctrine, standards, and reform | Government should: establish emergency management legislation which clarifies State and local government responsibilities, and which rectifies the deficiencies in the State’s bushfire Emergency Management Plan, Westplan Wildfire. |