Consideration be given to developing alternate website contingency in the event of a critical failure and an assurance review across all community facing Government websites.

Continue to explore options in the short term to improve the functionality and relationship with NSW RFS ‘Fires Near Me’ with respect to ACT specific information before the 2020-21 bushfire season.

ACT Government continues to develop the concept for an ACT specific emergency app whilst also using national coordination mechanisms to support an affordable nationally standard all-hazards mobile app.

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.

That, in order to equip NSW RFS with comprehensive information on all structures and assets at risk of bush fire, Government ensures that:
- there is a single whole-of-government procurement and acquisition program for imagery and LiDAR and that Government accelerate the building of the State Digital Twin and associated Digital Workbench
- owners/managers of assets (apart from private home owners whose information will be provided through local councils) in bush fire prone land are required to provide to the Digital Twin at least the following information/metadata with quality control certification on an annual basis (with annual census at least two months before the start of the fire season):
* precise geolocation
* description of asset including picture
* value level
* fire treatment on asset
* Asset Protection Zone (APZ) details and how it is maintained
* access details
* what redundancy is available if relevant
* any metadata requirements specific to the asset class
* emergency contact and instructions on how to access where more information is held
* any restrictions on data access and sharing.
The Digital Twin must also be able to incorporate:
- information about the hazard reduction results for road verges, fire trails, APZs and other defendable space
- local information supplied by organisations such as local NSW RFS brigades.

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.

That, in order to ensure Australia’s fire fighting aerial capacity capitalises on existing assets and is made up of the right mix, Government:
a) request the Commonwealth to conduct a trial with NSW RFS on the feasibility of retrofitting RAAF C130 aircraft with modular airborne fire fighting systems to provide the Australian Defence Force with the capacity to augment aerial fire fighting during major disasters
b) work with states and territories through the National Aerial Firefighting Centre to review the current mix of aviation assets and determine whether it is fit-for-purpose, noting the current lack of mid-sized fire fighting aircraft.

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.

That, in order to improve firefighter safety, Government fire authorities:
a) ensure all light tankers used as part of active frontline bush fire fighting operations are fitted with a single point crew protection safety spray system and radiant heat protection blankets as a minimum standard across all NSW fire authorities
b) ensure all medium/heavy tankers are fitted with radiant heat protection blankets, wheel and ‘halo’ sprays fitted as a minimum standard across all NSW fire authorities
c) undertake additional research to determine the most appropriate cabin protection for the different frontline vehicles.
d) provide ongoing investment for NSW RFS fleet upgrades.

That, in order to ensure frontline personnel have appropriate personal protective clothing during bush fires:
a) FRNSW review the current design of its bush fire jacket, noting improvements that have been made since 2002 that meet AS/NZS4824:2006 Protective clothing for firefighters, and increase the allocation of bush fire coats to two jackets per member
b) NSW RFS issue two sets of personal protective clothing to operational members, and others as appropriate.

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

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

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.

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.

I recommend that if it has not already done so, the New South Wales Police Force acquires the audio surveillance technology that in similar circumstances would allow a device to be monitored in the Police Forward Command Post and/or the Police Operations Centre and that the organisation ensures that its capacity in this regard keeps pace with technological advances in the area.

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.

That the NSW Rural Fire Service, in order to ensure greater respect for volunteer fire fighters’ knowledge and experience in the management of fires:
- examine its plans of operations to provide for the use of local knowledge at every level of decision making down the chain of command
- require a local fire fighter to be stationed in every command vehicle, where possible 
- ensure that every out of area crew includes at least one local fire fighter
- require officers to engage more effectively and regularly with volunteers during the periods between fires
- consider any further strategies to address the entrenched conflict between officers and volunteers, including additional ways to empower volunteers and utilise them more effectively.

That the Rural Fire Service together with other land managers develop a program whereby local stakeholders come together regularly (every 2 months during non-fire season and monthly during the fire season) to share intelligence and to consider hazard and incident management measures for implementation.

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.

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.

ACTAS should establish a clinical information database that:
• enables the tracking and analysis of patient care records;
• facilitates improvements to the clinical care of patients; and
• provides an evidence based dataset to inform the future planning of the delivery of ambulance services.

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.

ACTAS should log all emergency calls on CAD to document non-ambulance dispatch decisions, and to provide more complete data on demand.

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.

We recommend that NSW Health continue with its good work and establish a performance management framework with targets and indicators to assess progress in preparing for infectious disease emergencies.

The Department of Primary Industries continue to consult local community about emergency planning and sites for disposal to retain confidence in the event of a genuine emergency.

That the Department of Primary Industries should ensure the roles and capacities of Rural Lands Protection Boards and industry are effectively monitored to enable assessment of the effectiveness of animal health programs.

That the Department of Primary Industries make every effort to meet its targets for the TSE program and encourage public and private sector veterinarians across the State to submit samples. The Department should include reports on its performance against these targets in annual reports.

That the Department’s performance against tactical and strategic benchmarks be regularly reported in annual reports or animal and plant health emergency evaluation reports and compared to other jurisdictions where possible.

That, as a matter of principle, the NSW Government provide public reports on the lessons learned from emergency exercises which it manages or in which it participates. If necessary, such reports should exclude material which might jeopardise security.

That, if he is willing to participate, Mr John Lowe be made a member of the implementation taskforce to which I refer in recommendation 70

That the views and concerns expressed by the ACT Sustainable Rural Lands Group be taken into account when implementing the recommendations in this report

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.

All ATSB accident investigation reports should be made public.

Satellite telephones should be provided by RailCorp to all rail commanders at any emergency.

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.

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.

RailCorp and ITSRR should co-operate with national programs for the collection, collation, trend analysis and dissemination of safety critical information.

The Minister for Transport Services must table in Parliament, each such quarterly report by ITSRR.

All train drivers’ defects reports should be entered by RailCorp into a computerised record and tracked to finalisation.

The ITSRR must provide a quarterly report to the Minister for Transport Services on the progress made by RailCorp in implementing these recommendations, including:
(a) a statement as to whether or not the recommendation has been implemented and, if so, is working effectively; and
(b) if the recommendation has not been implemented, the me

It is recommended that providers supply data to the Board:
- for each rescue attended, the location and type of incident, turnout time, response time and time when available for re- tasking (page 30)
- on the cost of rescue (page 25).