INQ126

TitleLong
The Canberra Firestorm: Inquests and Inquiry into Four Deaths and Four Fires between 8 and 18 January 2003 Volume 1 & Volume 2
INQAuthor
M. Doogan, ACT Coroner’s Court
Year
InquiryType
DisasterType
State
Status

Recommendations for this Inquiry

INQ-ref REC-UID CODE SubCode SrcNUM Recommendation
INQ126 REC126-2012 A - Responsibility 24 - Govt responsibility Recommendation 74

If they are willing and available to participate, that the taskforce's membership include Mr Phil Cheney, Mr Tony Bartlett, Mr Val Jeffery and Mr John Lowe

INQ126 REC126-1993 A - Responsibility 9 - Community education Recommendation 54

That consulations and negotiations occur between the Emergncy Services Agency and the NSW Rural Fire Service to ensure that fire risk and safety messages to the community are coordinated.

INQ126 REC126-1992 A - Responsibility 9 - Community education Recommendation 53

That implementation of the Bushfire Wise Program continue and include a letterbox drop of the updated Bushfire Information Booklet

INQ126 REC126-1991 A - Responsibility 9 - Community education Recommendation 52

That the Emergency Services Agency establish annual targets for the introduction of community education programs and provide resources to conduct regular independent assessments of the level of community preparedness engendered as a result of the programs

INQ126 REC126-1990 A - Responsibility 9 - Community education Recommendation 51

That the Emergency Services Agency take measures to ensure that the community regularly receives up-to-date information on the risks of bushfires

INQ126 REC126-1989 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 50

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

INQ126 REC126-1988 B - Preparedness 39 - Disaster Risk Management Recommendation 49

That protocols and arrangements between the ACT and NSW require that each jurisdiction be fully involved in examining and planning for the threat posed by any fire likely to affect one or other jurisdiction and in coordinating the response to that fire

INQ126 REC126-1987 C - Response 7 - Inter-agency communication Recommendation 48

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

INQ126 REC126-1986 B - Preparedness 39 - Disaster Risk Management Recommendation 47

That the ACT and NSW authorities conduct a comprehensive risk analysis based on the most up to date knowledge relating to fire behaviour and spread in order to establish the degree of risk to each others' jurisdiction from fires ignitting in the other jurisdiction and to ensure that both jurisdic

INQ126 REC126-1985 A - Responsibility 24 - Govt responsibility Recommendation 46

That the Emergency Services Agency, with the suport of the ACT Government, seek to establish with the NSW Department of Environment and Conservation and the NSW Rural Fire Service a protocol that will provide for the establishment of a joint incident management team as part of unified control arr

INQ126 REC126-1984 A - Responsibility 24 - Govt responsibility Recommendation 45

That the Emergency Services Agency, with the support of the ACT Government, develop a single, new memorandum of understanding with the NSW Department of Environment and Conservation and the NSW Rural Fire Service, providing for liaison and joint operations as soon as it becomes apparent to whiche

INQ126 REC126-1983 E - Agency Organisation 16 - Training and behaviour Recommendation 44

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

INQ126 REC126-1982 C - Response 8 - Communications and warnings Recommendation 43

That the Australian Federal Police and the Emergency Services Agency agree on a policy on community safety and evacuation during bushfires, based on the Australasian Fire Authorities Council position outlined in its paper Community Safety and Evacuation during Bushfires.

INQ126 REC126-1981 C - Response 15 - Inter-service cooperation Recommendation 42

That senior officers in the Australian Federal Police and the Emergency Services Agency maintain regular and meaningful contact during fire emergencies, to ensure full dissemination of information and thus facilitate the making of good operational decisions

INQ126 REC126-1980 E - Agency Organisation 16 - Training and behaviour Recommendation 41

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

INQ126 REC126-1979 A - Responsibility 24 - Govt responsibility Recommendation 40

That the policy and practice just recommended be the subject of a memorandum of understanding between the Emergency Services Agency and the Department of Territory and Municipal Services (previously the Department of Urban Services) or other relevant department or agency, so as to ensure that the

INQ126 REC126-1978 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 39

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

INQ126 REC126-1994 C - Response 8 - Communications and warnings Recommendation 55

That the Emergnecy Services Agency publicise and demonstrate the use of the Standard Emergency Warning Signal and provide to the community adequate explanation of the application of the signal. This should occur at least annually, in conjunction with any pre-summer fire awareness initiatives

INQ126 REC126-1995 E - Agency Organisation 12 - EM agency and authority Recommendation 56

That the Emergency Services Agency staff the Media Unit within its planning Section with profesisonal, experienced information officers skilled in dissemination of information and media management and liaison

INQ126 REC126-2011 A - Responsibility 25 - Inquiry, audit, lessons management and after action review Recommendation 73

That the taskforce review the recommendations of the seven reviews of the Emergency Services Bureau carried out before the McLeod inquiry and ensure implementation of any of those recommendations that remain relevant but have not been implemented 

INQ126 REC126-2010 A - Responsibility 25 - Inquiry, audit, lessons management and after action review Recommendation 72

That the taskforce review the extent to which the recommendations in the McLeod report have been implemented in order to ensure implementation of those not yet implemented

INQ126 REC126-2009 A - Responsibility 24 - Govt responsibility Recommendation 71

That a taskforce be established to give effect to the recommendations in this report

INQ126 REC126-2008 C - Response 34 - Local knowledge Recommendation 70

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

INQ126 REC126-2007 C - Response 34 - Local knowledge Recommendation 69

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

INQ126 REC126-2006 A - Responsibility 24 - Govt responsibility Recommendation 68

I recommend that, as appropriate, the ACT cooperate with the Commonwealth in the implementation of the committee's recommendations and, in particular, give careful consideration to adoption of the following recommendations:

INQ126 REC126-2005 A - Responsibility 9 - Community education Recommendation 66

That community education programs include unambiguous information that at times of unusually high water demand there might be a drop in or loss of water pressure and it might be appropriate for residents who intend to remain and fight a fire to have auxilary water pumps or booster pumps

INQ126 REC126-2004 A - Responsibility 35 - Business and Industry in relation to industry Recommendation 65

That the ACT Government and ActewAGL jointly develop and implement protocols that will create a procedure whereby each of the water and sewerage, electricity and gas distribution networks, or parts thereof, can safely and promptly be manipulated, controlled, shut off, isolated or disconnected und

INQ126 REC126-2003 A - Responsibility 9 - Community education Recommendation 64

That the community be made aware of the risk presented by heavy loads of garden fuels and certain types of vegetation around their houses and take active, regular measures to reduce that risk

INQ126 REC126-2002 B - Preparedness 1 - Land-use and building regs Recommendation 63

That consideration be given when building to the positioning of outbuildings around residential structures such that their potential impact on the main structure is reduced

INQ126 REC126-2001 A - Responsibility 9 - Community education Recommendation 62

That community education programs provide information about fire behaviour, urban design principles that contribute to a specific level of risk, and the benefits of fitting basic ember protection materials in areas at risk from bushfire

INQ126 REC126-2000 B - Preparedness 1 - Land-use and building regs Recommendation 61

That the ACT Government consider taking measures to implement the provisions of Australian Standard 3959, Construction of Buildings in Bushfire Prone Areas, for the ACT urban area

INQ126 REC126-1999 A - Responsibility 9 - Community education Recommendation 60

That the Canberra Urban Development Working Group referred to in Mr Peter Dunn's letter consider the report prepared by Mr Leonard and note particularly that the community awareness information currently available to householders in connection with measures they can take to better protect their h

INQ126 REC126-1998 C - Response 8 - Communications and warnings Recommendation 59

That a system of public warnings that uses grid references shown on the maps in the Canberra telephone directory be adopted

INQ126 REC126-1997 C - Response 8 - Communications and warnings Recommendation 58

That the Emergency Services Agency conduct investigations - and liase with emergency services agencies in other jurisdicions - in order to ascertain what technologies exist and are effective for use in disseminating warnings and associated information to the community of the ACT

INQ126 REC126-1996 A - Responsibility 9 - Community education Recommendation 57

That the Emergency Services Agency develop a clear policy for disseminating information to the public and the media in times of emergency and that, as required, that policy incorporate advance door-knocking of homes in the area affected, as well as regular broadcasts by local radio and television

INQ126 REC126-1977 B - Preparedness 4 - Fire season preparation Recommendation 38

That a program be implemented to ensure that existing fire tracks and trails are cleared and accessible at all times and that a network of additional fire trails be established so as to allow direct fire suppression operations without undue delay in the event of a wildfire

INQ126 REC126-1976 A - Responsibility 24 - Govt responsibility Recommendation 37

That the Emergency Services Agency have authority over the land management agencies and other landholders in order to implement preparedness and prevention measures – including fuel-reduction works where there are failures in compliance

INQ126 REC126-1975 B - Preparedness 5 - Hazard reduction burns Recommendation 36

That prescribed burning operations be conducted according to agreed standard burning prescriptions

INQ126 REC126-1958 E - Agency Organisation 37 - Funding Recommendation 17

That the ACT Government allocate sufficient funds to enable full-time and volunteer firefighters to participate in relevant courses and programs

INQ126 REC126-1957 E - Agency Organisation 16 - Training and behaviour Recommendation 16

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

INQ126 REC126-1956 C - Response 15 - Inter-service cooperation Recommendation 14

That courses and programs be conducted to increase the level of Incident Control System training and augment the expertise of people who are likely to perform functions in an incident management team

INQ126 REC126-1955 E - Agency Organisation 16 - Training and behaviour Recommendation 14

That training of all personnel involved with emergency services be under constant review

INQ126 REC126-1954 C - Response 15 - Inter-service cooperation Recommendation 13

That senior officers of the Emergency Services Agency give greater recognition to the skills, knowledge and experience of people from other agencies – particularly the land management agencies – as well as rural residents and private individuals and use these people in roles commensurate with the

INQ126 REC126-1953 C - Response 14 - Incident Mgt Teams Recommendation 12

That appointments of personnel to functional positions within the incident management team be based solely on competence and experience and be made by the Chief of the ACT Rural Fire Service or, in the absence of that officer, the Deputy Chief of the ACT Rural Fire Service

INQ126 REC126-1952 A - Responsibility 25 - Inquiry, audit, lessons management and after action review Recommendation 11

That regular periodic reviews be undertaken of changes made to the operational and management arrangements for dealing with wildfires and other emergencies in the ACT, to ensure that those arrangements continue to comply with the Australian Inter-Agency Incident Management System Incident Control

INQ126 REC126-1951 B - Preparedness 4 - Fire season preparation Recommendation 10

That before each fire season the Emergency Services Agency, in conjunction with the Bush Fire Council – after consultation with the relevant ACT agencies, the Bureau of Meteorology, relevant NSW agencies and the community – conduct a qualitative risk analysis of the conditions and circumstances p

INQ126 REC126-1950 B - Preparedness 39 - Disaster Risk Management Recommendation 9

That the Emergency Services Agency adopt a more rigorous risk management approach to incident management and prediction – with particular emphasis on the development of improved community information strategies and protocols

INQ126 REC126-1949 E - Agency Organisation 12 - EM agency and authority Recommendation 8

That the Emergency Services Agency be relocated into accommodation that is purpose-built and more sited to the agency’s operations than the current facility at Curtin

INQ126 REC126-1948 A - Responsibility 24 - Govt responsibility Recommendation 7

That the Emergency Services Agency be removed from the Department of Justice and Community Safety and transformed into an independent statutory authority reporting directly to the responsible Minister.

INQ126 REC126-1947 A - Responsibility 25 - Inquiry, audit, lessons management and after action review Recommendation 6

That the ACT Government commission a review of coroners’ jurisdiction in order to determine whether that jurisdiction ought to be limited or expanded and, if so, to what extend