Inquiry Search
Rec-ID | Code | Recommendation |
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REC288-1191 | 32 - Doctrine, standards, and reform | The Committee finds that on the evidence presented, that a review and reform of the Fire Services Act 1979 is necessary. An investigation should be undertaken to assess how the legislation can be amended or replaced to best service the organisations subject to the Act and should be undertaken and completed within 12 months. The Fire Services Act 1979 must be reformed or replaced to allow for: (1) A centralised funding model for the State Emergency Services; (2) Streamlined approach to fire fighting between Tasmania Fire Service, Tasmania Parks and Wildlife Service, Forestry Tasmania and other relevant agencies; (3) Resources to be allocated according to the risk and not according to local government municipal boundaries; (4) The continuation of Tasmania having a singular fire service; (5) Clear reporting lines; (6) Improved governance structure; and, (7) Include the fire permit system and inter- agency protocols. |
REC288-1200 | 32 - Doctrine, standards, and reform | The Committee finds that on the evidence presented, that the State Government should establish an independent Chair to govern the State Fire Commission and that this governance arrangement should be included in the reform of the governing legislation. |
REC288-1192 | 32 - Doctrine, standards, and reform | The Committee finds that on the evidence presented, that section 107 of the Fire Service Act should be amended to provide greater clarity in relation to discretionary spending by the Chief Officer or alternatively, the Act should be amended to include the authorisation for the State Fire Commission to directly fund the State Emergency Service. |
Rec-ID | Code | Recommendation |
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REC285-2523 | 32 - Doctrine, standards, and reform | The report recommends that Ambulance Tasmania regularly reviews its emergency and urgent determinants methodology to ensure that it continues to be best practice and in accordance with requirements of the National Academy of Emergency Medical Dispatch. |
REC285-2520 | 25 - Inquiry, audit, lessons management and after action review | The report recommends that Ambulance Tasmania investigate whether the additional resources in the North and North West regions were effective in reducing average response times. |
REC285-2524 | 25 - Inquiry, audit, lessons management and after action review | The report recommends that Ambulance Tasmania investigate why the level of multiple responses had increased. |
Rec-ID | Code | Recommendation |
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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. |
REC252-2570 | 25 - Inquiry, audit, lessons management and after action review | Western Australia Health should carry out targeted clinical audits in volunteer country sub-centres until longer term solutions are in place |
REC252-2570 | 25 - Inquiry, audit, lessons management and after action review | Western Australia Health should carry out targeted clinical audits in volunteer country sub-centres until longer term solutions are in place |
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. |
Rec-ID | Code | Recommendation |
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REC246-0777 | 32 - Doctrine, standards, and reform | TFS finalise and sign off the State Fire Protection Plan (SFPP). All the documents named in the SFPP should be finalised and available to relevant stakeholders to support the SFPP. |
REC246-0776 | 32 - Doctrine, standards, and reform | All Tasmanian fire agencies seek to have the State Bushfire Policy finalised and signed-off at the required level of government. |
REC246-0788 | 25 - Inquiry, audit, lessons management and after action review | TFS seek to address the following outstanding items from the recommendations of the Victorian Bushfires Royal Commission. § 45 out of 53 Community Bushfire Response Plans for “at risk” communities have been finalized. The remaining eight should be completed as a priority action. § That TFS progress the development of Community Bushfire Mitigation Plans for the 53 at risk communities, possibly as an action for reactivated Fire Management Area Committees. § TFS, together with other ESOs and local government, should develop a common comprehensive approach to the option of planned evacuation from dangerous or potentially dangerous areas to safer areas and eventual return. § TFS should include factors for consideration for evacuation during a bushfire into their training doctrine for Incident Controllers. § The IAP Template and its application be reinforced as an important operational requirement for IMT’s during the 2013-14 pre-season briefing program. 10 § That TFS review their use of IRMS to ascertain if either its full potential is not being realized through a lack of operator training or it is in fact not providing the required functionality and there is a need to research an improved resource management system which enhances interoperability. § The TFS Publication: Guidelines for Development in Bushfire Prone Areas of Tasmania http://www.fire.tas.gov.au/userfiles/stuartp/file/Publications/BushDeve… s2012.pdf requires an update to reflect the provisions of Planning Directive #5 Bushfire-Prone Areas Code. |
REC246-0780 | 32 - Doctrine, standards, and reform | TFS develop MOUs with interstate fire agencies and land management authorities to formalise agency to agency resource sharing/mutual aid protocols that ensure the effective deployment of interstate resources for all roles from fire ground to state control, and management of those resources within pre-established criteria. |
REC246-0779 | 32 - Doctrine, standards, and reform | TFS review all areas in which the SFOC has a role and ensure that robust policy and protocols are finalised to ensure that corporate knowledge is widely accessible and is not held solely by individuals. |
REC246-0778 | 32 - Doctrine, standards, and reform | TFS review the Inter-Agency Fire Management Protocol and the Terms of Reference (ToR) of the Multi-Agency Coordination Group (MAC), to ensure that the Inter-Agency Fire Management Protocol accurately reflects the role and functions of the State Fire Operations Centre (SFOC) and clearly establishes and communicates the role and functions of the MAC Group. |
Rec-ID | Code | Recommendation |
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REC245-2596 | 24 - Govt responsibility | That the Whole of Government project’s objectives should include meeting entity requirements and the consultant be asked to reevaluate the revised set of objectives. |
REC245-2598 | 24 - Govt responsibility | That government considers the establishment of a separate unit to implement and operate a Whole of Government network if existing stakeholders fail to make significant progress toward an agreed Whole of Government solution. |
Rec-ID | Code | Recommendation |
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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. |
REC228-1613 | 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. |
REC228-1628 | 8 - Communications and warnings | The Emergency Services Agency should develop and test administrative procedures for the communications systems used for the distribution of public warning and emergency alerts. |
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. |
REC228-1612 | 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. |
REC228-1621 | 32 - Doctrine, standards, and reform | The Emergency Services Agency should improve its management of the Community Fire Unit Program by: |
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. |
REC228-1611 | 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. |
REC228-1620 | 25 - Inquiry, audit, lessons management and after action review | The Emergency Services Agency, in consultation with the Territory and Municipal Services Directorate, should review the Farm FireWise Program, including: |
REC228-1605 | 24 - Govt responsibility | The Justice and Community Safety Directorate should continue to review its strategic and accountability indicators and the Territory and Municipal Services Directorate should commence a review of its strategic and accountability indicators. The directorates should consult to develop complementary measures which better assess their bushfire management activities. |
REC228-1610 | 24 - Govt responsibility | The Emergency Services Agency should annually review fire management zones and the Territory and Municipal Services Directorate should subsequently update the Regional Fire Management Plans. |
REC228-1618 | 24 - Govt responsibility | The Emergency Services Agency, the Environment and Sustainable Development Directorate and the Territory and Municipal Services Directorate should strengthen across-Government delivery of major projects in the Strategic Bushfire Management Plan and Regional Fire Management Plans by collectively: |
REC228-1609 | 25 - Inquiry, audit, lessons management and after action review | The Emergency Services Agency should undertake audits to meet the requirements in the Strategic Bushfire Management Plan for the preparation, sharing and publication of annual progress reports. Annual progress reports should be made available to the ACT Bushfire Council. |
REC228-1614 | 25 - Inquiry, audit, lessons management and after action review | The Emergency Services Agency, in consultation with the ACT Bushfire Council, should conduct a review of the ACT Bushfire Council against its recently developed terms of reference (July 2013) within two years. |
Rec-ID | Code | Recommendation |
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REC224-1631 | 24 - Govt responsibility | The State Government prepare a strategy before the 2013-14 bushfire season on how the main firefighting agencies should deal with a drier South West region where fewer prescribed burns can be completed each year. |
REC224-1629 | 24 - Govt responsibility | The Minister for Emergency Services must ensure that future post-incident analyses are completed and made public within eight weeks of a natural disaster. |
Rec-ID | Code | Recommendation |
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REC222-1864 | 32 - Doctrine, standards, and reform | The Chief Executive Officer of the Fire and Emergency Services Authority request the Australasian Fire and Emergency Services Authorities Council to include a new module in the Australasian Inter-service Incident Management System to guide the provision of welfare services for emergency service workers during a disaster. |
REC222-1863 | 8 - Communications and warnings | The Fire and Emergency Services Authority should expand their use of social media to better inform the Western Australian community. |
REC222-1862 | 25 - Inquiry, audit, lessons management and after action review | The Minister for Emergency Services request the State Emergency Management Committee to review by June 2013 the sharing of data between the State’s emergency response agencies using the WebEOC software and any further enhancements that can be made to this process. |
REC222-1847 | 25 - Inquiry, audit, lessons management and after action review | The Ministers for Emergency Services, Environment and Police ensure their departments undertake a formal review by 30 June 2013 of the welfare services addressing stress and trauma provided to both their career and volunteer members. |
REC222-1869 | 25 - Inquiry, audit, lessons management and after action review | The Ministers for Emergency Services, Environment and Police ensure their departments include provisions for regular external audits of invoices for payment in their next round of Employee Assistance Program contract negotiations. |
Rec-ID | Code | Recommendation |
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REC204-1915 | 24 - Govt responsibility | The Department of Regional Development and Lands should ensure that event organisers and government agencies responsible for sponsoring and approving events have a greater level of awareness about the requirements of section 91 licences under the Land Administration Act 1977 (WA). |
REC204-1913 | 25 - Inquiry, audit, lessons management and after action review | The Department of the Attorney General consider conducting a review of the Civil Liability Act 2002 (WA) in light of the 2011 Kimberley Ultramarathon. Such a review should consider issues such as the effectiveness given to competitor waivers under the Act and the potential difficulties of establishing proceedings and enforcing a judgement against foreign‐based providers of recreational activities. |
REC204-1911 | 24 - Govt responsibility | As part of the review of its due diligence processes, Tourism WA should ensure that: |
REC204-1921 | 32 - Doctrine, standards, and reform | The Coroner’s Act 1996 should be amended to give the Coroner jurisdiction to investigate fires that do not cause death, and that the Coroner should be suitably resourced to undertake investigations of the kind the subject of this Report. |
REC204-1907 | 32 - Doctrine, standards, and reform | The Department of Sport and Recreation facilitate the development of an Adventure Activity Standard for ultramarathons in order to determine a minimum safety standard for the sport. |
REC204-1917 | 32 - Doctrine, standards, and reform | The review of the Health Act 1911 (WA) should include the following amendments: |
REC204-1916 | 25 - Inquiry, audit, lessons management and after action review | Local Emergency Management Committee (LEMC) processes should be reviewed to ensure that: |
Rec-ID | Code | Recommendation |
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REC202-0498 | 24 - Govt responsibility | The Minister for Planning report to Parliament by May 2012 on the urgent actions undertaken by the Department of Planning and the Western Australian Planning Commission (WAPC) to transfer responsibility for declaring bushfire prone areas to the WAPC. |
REC202-0513 | 8 - Communications and warnings | The Minister for Emergency Services report to Parliament by May 2012 on the resources required to ensure a ‘One Source One Message’ multi-layered information system, as recommended by the Keelty Report, including any upgrades required for FESA’s current State Alert system. |
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. |
REC202-0503 | 24 - Govt responsibility | The Minister for Police and Emergency Services and the Minister for the Environment report to Parliament by December each year as to the state of readiness of the main State Government agencies tasked with fighting bushfires. |
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. |
REC202-0502 | 32 - Doctrine, standards, and reform | The Minister for Environment bring to Parliament by June 2012 amendments to the Conservation and Land Management Act 1984 that reflect the use by the Department of Environment and Conservation of prescribed burns for both biodiversity conservation and community protection purposes. |
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. |
REC202-0500 | 24 - Govt responsibility | In implementing the Keelty Report’s Recommendation 42, the Ministers for Emergency Services and Environment jointly report to Parliament by May 2012 on the likely impacts on, and implications for, the future bushfire operations of the State Government of the drying climate in the State’s South West region. |
REC202-0499 | 32 - Doctrine, standards, and reform | The Minister for Emergency Services institute a thorough review by December 2012, including a comparison to other jurisdictions, of the risk analysis processes used by FESA, the Police and DEC to prepare them to protect the State from bushfires and other natural disasters. |
Rec-ID | Code | Recommendation |
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REC193-0224 | 32 - Doctrine, standards, and reform | The State Fire Management Council work with all entities with responsibility for bushfire management to develop a state-wide position on performance indicators and promote that view nationally. |
REC193-0223 | 32 - Doctrine, standards, and reform | The State Fire Management Council support the further development of the Bushfire Risk Assessment Model with a view to it becoming the central information source for use by all entities with responsibility for fire management and mitigation. |
REC193-0228 | 8 - Communications and warnings | Tasmanian entities with responsibilities for bushfire management actively pursue national consistency of warning systems and emergency warning signals through national bodies such as the National Emergency Management Committee. |
Rec-ID | Code | Recommendation |
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REC170-0061 | 32 - Doctrine, standards, and reform | Agencies should: identify overlaps between Westplans and develop written procedures for these circumstances |
REC170-0050 | 24 - Govt responsibility | SEMC and EM WA should: assess the state’s level of preparedness at least annually, identifying gaps and significant risks |
REC170-0060 | 32 - Doctrine, standards, and reform | Agencies should: update out-of-date Westplans and support plans as a matter of urgency |
REC170-0056 | 32 - Doctrine, standards, and reform | SEMC and EM WA should: define key roles within the emergency management framework |
REC170-0049 | 24 - Govt responsibility | SEMC and EM WA should: formally and regularly assess which hazards the state should prepare for |
REC170-0064 | 32 - Doctrine, standards, and reform | Agencies should: ensure their internal emergency management arrangements are up-to-date and regularly reviewed |
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 |
REC170-0062 | 25 - Inquiry, audit, lessons management and after action review | Agencies should: annually assess their capability to respond to emergencies and take measures to address any shortfalls |
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 |
Rec-ID | Code | Recommendation |
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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. |
REC159-3053 | 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. |
REC159-3061 | 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. |
REC159-3060 | 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. |
REC159-3051 | 32 - Doctrine, standards, and reform | ACTAS should: |
REC159-3058 | 25 - Inquiry, audit, lessons management and after action review | ACTAS should improve patient care processes by: |
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. |
Rec-ID | Code | Recommendation |
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REC144-3380 | 32 - Doctrine, standards, and reform | The Committee recommends that the ACT Government develop and publish an operational policy document which spells out the command and control structures and procedures should an emergency event arise. |
REC144-3388 | 24 - Govt responsibility | If the Auditor-General does not undertake a review in the near future, the Committee recommends that the ACT Government re-investigate the suitability of the Fairbairn site as a proposed centralised accommodation facility for emergency services. |
REC144-3394 | 32 - Doctrine, standards, and reform | The Committee recommends that the ACT Government develops a joint strategic bushfire management plan with the NSW Government and the NSW Rural Fire Service in relation to those areas which have the potential to impact on both jurisdictions. |
REC144-3379 | 25 - Inquiry, audit, lessons management and after action review | The Committee recommends that a thorough review be undertaken of the communications and coordination between the separate agencies which make up the Emergency Services Agency, to assess the extent to which cultural factors are detrimental to the effective operation of the ESA. |
REC144-3386 | 24 - Govt responsibility | The Committee considers that the ACT Government should table in the ACT Legislative Assembly the cost-benefit analysis and business plan for Fairbairn as a central site for emergency services in the ACT. |
REC144-3392 | 32 - Doctrine, standards, and reform | The Committee recommends that the ACT Government finalise Version 2 of the Strategic Bushfire Management Plan as required under the Emergencies Act. |
REC144-3383 | 32 - Doctrine, standards, and reform | The Committee recommends that, if the Bushfire Council is to have an advisory role generally in emergency management, it should be renamed to reflect a general emergency role rather than a role specifically in relation to bushfires. |
REC144-3391 | 32 - Doctrine, standards, and reform | The Committee recommends that the ACT Government explain its reasons to the Legislative Assembly for not proceeding with the release of Version 2 of the Strategic Bushfire Management Plan in July 2005. |
REC144-3382 | 24 - Govt responsibility | The Committee recommends that responsibility for oversighting the progress of the implementation of agreed recommendations of the Coroner be undertaken by a truly independent body and not by the Bushfire Council. |
REC144-3390 | 24 - Govt responsibility | If the ACT Government decides to proceed with the site as the emergency services headquarters, that it accord a high priority to the finalisation of the site preparations for the ESA at Fairbairn as a matter of urgency. |
REC144-3381 | 32 - Doctrine, standards, and reform | The Committee recommends that the Bushfire Council consultative requirements under the Emergencies Act 2004 be reviewed, with a view to removing the requirement to consult with the Bushfire Council on operational matters, such as staff appointments and matters prescribed by regulation. |
REC144-3389 | 24 - Govt responsibility | If the Auditor-General does not undertake a review in the near future, the Committee recommends that the ACT Government make a public announcement about the future accommodation plans for the Emergency Services Agency and its component parts so that both the ESA and the ACT public are informed about current proposals and timeframes. |
Rec-ID | Code | Recommendation |
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REC143-3577 | 8 - Communications and warnings | That following the declaration of a natural disaster, complete and accurate information on Western Australian Natural Disaster Relief Arrangements assistance measures and application processes is disseminated through public communications channels, including the media. |
REC143-3584 | 32 - Doctrine, standards, and reform | That the guidelines of WANDRA be revised to provide for the inclusion of the cost of materials expended in the repair of boundary fences. |
REC143-3578 | 32 - Doctrine, standards, and reform | That Fire and Emergency Services Authority of Western Australia (FESA), in consultation with local governments, develop and make broadly available Western Australian Natural Disaster Relief Arrangements (WANDRA) guidelines with a view to improving pre-disaster awareness of assistance measures and application processes. |
Rec-ID | Code | Recommendation |
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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. |