BEGA VALLEY FIRES INDEPENDENT REVIEW - OFFICE OF EMERGENCY MANAGEMENT Department of Justice - Emergency NSW

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BEGA VALLEY FIRES INDEPENDENT REVIEW - OFFICE OF EMERGENCY MANAGEMENT Department of Justice - Emergency NSW
FINAL REPORT: JUNE 2018

  BEGA VALLEY FIRES
INDEPENDENT REVIEW

   OFFICE OF EMERGENCY
       MANAGEMENT

    Department of Justice         June 2018
BEGA VALLEY FIRES INDEPENDENT REVIEW - OFFICE OF EMERGENCY MANAGEMENT Department of Justice - Emergency NSW
FOREWORD
Fires and especially bushfires are here to stay.     another’s information system. She commented        There are some natural disasters and bushfires
As pointed out by former High Court Judge            that no comparable electronic links existed        that are beyond human intervention to control.
Michael Kirby AC CMG in an address to the            between the London Fire Brigade and any other      It is therefore incumbent upon all of us to
Australasian Fire and Emergency Service              emergency service, or between the London           ensure we use an integrated and contemporary
Council in 2010:                                     Ambulance Service and the British Transport        approach to those challenges to make our
                                                     Police or City of London Police. 2                 communities safer and more resilient.
The largest fires in recorded Australian history
were in 1851 when a quarter of Victoria (5 million   Again New South Wales is no different in facing    M.Keelty, AO, APM
hectares) fell under fire; through to 7.3 million    these challenges. This review discovered that
hectares in Queensland in 1974-5; 15.5 million       each emergency service has varying degrees         1
                                                                                                            After the Fires Die Down and the Lawyers Depart
hectares in Western Australia in 2003; 16 million    of capability to manage and share real time            – AFAC 9 September 2010
hectares in South Australia in 1974-4 and four       operational information.
                                                                                                        2
occasions in the Northern Territory since the                                                               Coroner’s Inquests into the London bombings
                                                     While there has been much recent commentary            of 7 July 2005: Review of progress
1960s where bushfires have burnt no fewer than
                                                     suggesting that a single, joined up fire
40 million hectares. 1
                                                     service would address these challenges, it
Despite the ever present risk of bushfire and its    is clear that agency and volunteer culture
extended season we have adopted a federated          in New South Wales would not make this a
approach to the problem with each Australian         practical proposition at this time. In looking
jurisdiction having in place a slightly different    at arrangements for ‘call and dispatch’ this
arrangement to deal with the threat.                 review has opted for the next best thing. I am
                                                     proposing a fully integrated call and dispatch
New South Wales is no different.
                                                     centre for all New South Wales fire operations
Following the London tube bombings in July           (and other emergencies) using the State’s
2005:                                                resources to deal with the State’s challenges
                                                     and badged as a State asset. Automatic Vehicle
The Coroner raised a concern that despite the        Location devices fitted to the NSW Rural
emergency services using electronic information      Fire Service fleet will provide better levels of
capturing systems (such as the computer aided        safety for volunteers and accurate resource        Photo: Paul Cavalier

dispatch system used by the police) there            deployments.
was no means by which an agency could see

                                                                 FINAL REPORT: JUNE 2018                                                                      2
BEGA VALLEY FIRES INDEPENDENT REVIEW - OFFICE OF EMERGENCY MANAGEMENT Department of Justice - Emergency NSW
CONTENTS

                                                   Page

Foreword                                             2
Contents                                             3
Approach                                             4
Timeline of Conditions                               6
Timeline of Resources                                7
Wordclouds                                           8
Perception vs Reality                                9
Independent Review                                   10
Findings                                             16
Recommendations                                     24
Annexure A and B                                    26

                         FINAL REPORT: JUNE 2018          3
BEGA VALLEY FIRES INDEPENDENT REVIEW - OFFICE OF EMERGENCY MANAGEMENT Department of Justice - Emergency NSW
APPROACH
The independent review into the Bega Valley      In all, a total of 25 people or agencies were
bushfires that occurred on 18 March 2018 was     interviewed, there were five focus group
undertaken at the request of the Minister for    meetings and site visits and 183 submissions
Police and Emergency Services, the Hon Troy      from members of the public and stakeholders.
Grant MP, and was formally commissioned by       A list of persons interviewed is attached at
the NSW Office of Emergency Management.          Annexure B.

The Review terms of reference are attached at    The ‘word clouds’ on page 8 of this report were
Annexure A.                                      developed from the interviews and submissions
                                                 made during the Review.
The Review was conducted with the support
of the Office of Emergency Management.
The Review had no powers to seek witnesses
or documents and was undertaken in a co-
operative way.

Agencies and stakeholders were asked to
provide information and exchanges occurred
where further information or clarification was
sought.

                                                             FINAL REPORT: JUNE 2018               4
BEGA VALLEY FIRES INDEPENDENT REVIEW - OFFICE OF EMERGENCY MANAGEMENT Department of Justice - Emergency NSW
“Create an agnostic approach to the
threat of fires from both a departmental
and organisational perspective.”

                       FINAL REPORT: JUNE 2018   5
BEGA VALLEY FIRES INDEPENDENT REVIEW - OFFICE OF EMERGENCY MANAGEMENT Department of Justice - Emergency NSW
BEGA VALLEY – TIMELINE OF CONDITIONS – 18 MARCH 2018

1228 Hrs: First 000 Call

Incidents: 3               Incidents: 3           Incidents: 6          Incidents: 12          Incidents: 13          Incidents: 18         Incidents: 20          Incidents: 21          Incidents: 21

  1200HRS                    1230HRS                1300HRS               1330HRS                1400HRS                1430HRS               1500HRS                1530HRS                 1900HRS

 37.1 degrees celcius      36.9 degrees celcius    37 degrees celcius   37.5 degrees celcius   38.4 degrees celcius    37 degrees celcius   38.4 degrees celcius   36.8 degrees celcius     29 degrees celcius

    18% humidity               18% humidity           17% humidity          18% humidity           17% humidity           17% humidity          15% humidity           18% humitidy            23% humidity

  Wind NW 32km/h            Winds NW 44km/h        Winds NW 44km/h      Winds WNW 32km/h       Winds WNW 24km/h        Winds NW 41km/h      Winds WNW 30km/h       Winds WNW 41km/h          Winds W 17km/h

    Gusts 50km/h               Gusts 72km/h           Gusts 72km/h          Gusts 54km/h          Gusts 48km/h           Gusts 65km/h          Gusts 57km/h           Gusts 59km/h             Gusts 32km/h

*Incident numbers for the Bega Valley fires recorded by RFS, 18 March 2018.

                                                                                           FINAL REPORT: JUNE 2018                                                                                        6
BEGA VALLEY FIRES INDEPENDENT REVIEW - OFFICE OF EMERGENCY MANAGEMENT Department of Justice - Emergency NSW
BEGA VALLEY – TIMELINE OF RESOURCES – 18 MARCH 2018

                                                                                       CONFIRMED TOTAL RESOURCES
1228 Hrs: First 000 Call

Incidents: 3               Incidents: 3          Incidents: 6          Incidents: 12            Incidents: 13         Incidents: 18         Incidents: 20         Incidents: 21         Incidents: 21

Resources deployed:        Resources deployed:   Resources deployed:   Resources deployed:      Resources deployed:   Resources deployed:   Resources deployed:   Resources deployed:   Resources deployed:
4                          15                    24                    39                       44                    41                    49                    59                    71

  1200HRS                    1230HRS               1300HRS               1330HRS                  1400HRS               1430HRS               1500HRS               1530HRS               1900HRS

                                                                                            RFS RESOURCE FIGURES

RFS                        RFS                   RFS                   RFS                      RFS                   RFS                   RFS                   RFS                   RFS
• 2 heavy units            • 6 heavy units       • 10 heavy units      • 11 heavy units         • 13 heavy units      • 11 heavy units      • 13 heavy units      • 14 heavy units      • 15 heavy units
• 2 light units            • 7 light units       • 9 light units       • 17 light units         • 18 light units      • 17 light units      • 21 light units      • 24 light units      • 19 light units
                           • 2 group captains    • 4 group captains    • 7 group captains       • 7 group captains    • 7 group captains    • 6 group captains    • 6 group captains    • 8 group captains
                                                                       • 1 aviation asset       • 1 aviation asset    • 1 aviation asset    • 2 aviation assets   • 2 aviation assets   • 6 aviation assets
                                                 FRNSW
                                                 • 1 appliance         FRNSW                    FRNSW                 FRNSW                 FRNSW                 FRNSW                 FRNSW
                                                                       • 3 appliances           • 3 appliances        • 3 appliances        • 3 appliances        • 3 appliances        • 6 appliances

                                                                                                                                            NPWS                  NPWS                  NPWS
                                                                                                                                            • 2 units             • 7 light units       • 3 light units

                                                                                                                                                                                        FCNSW
                                                                                                                                                                                        • 5 light units
                                                                                                                                                                                        • 1 heavy unit
                                                                                                                                                                                        • 1 heavy plant

*Red figures illustrate the                                                               FRNSW RESOURCE FIGURES
discrepancy in the operational
understanding of resources                       FRNSW                 FRNSW                    FRNSW                 FRNSW                 FRNSW                 FRNSW                 FRNSW
                                                 • 1 appliance         • 3 appliances           • 5 appliances        • 5 appliances        • 5 appliances        • 6 appliances        • 13 appliances
deployed.

                                                                                             FINAL REPORT: JUNE 2018                                                                                       7
BEGA VALLEY FIRES INDEPENDENT REVIEW - OFFICE OF EMERGENCY MANAGEMENT Department of Justice - Emergency NSW
Underground
                                                                                Community

                                                                                                Easements
                                                 Power
                                                  lines      Preparedness         spirit

                      Funding
                                                                                                                                          Climate

                                    wiring

                                                                                                                            media
                                                                                                                            Social
                                                                      Information

                                                                                                            Fires near me
                                                                                                                                          change
                                                 Mobile
                                               connectivity                                                                          Community
                                                                     THE PUBLIC
                                                                                                                                                                History
                                                                                                                             Hazard

                                                                                                                                                       Heroes
                                                                     (INDIVIDUALS)

                                                 Safety
                                Utilities

                                                          near me
                                                          updates
                                                                                                                            reduction

                                                           Fires
                          Neighbour
                                                                    Emergency alerts
                                                                                                                             Evacuation
                                                                        Alert status

                                                                                                                                          Technology
                                                                                                                              contoller
                                                                                                                              Incident
                                                                                                             Culture
                                                                                District
                      Internal
                      agency
                      politics

                                               Situational awareness
                                                                               boundaries                                                              Automatic vehicle

                                                                                                            cooperation
 Hazard
reduction                                      Call and dispatch                                                                                           location

                                                                                                              Positive
                                  000                                    THE                                                      Volunteer
                                                                    FIREFIGHTERS
                                                     training
       Connectivity

                                Incident                                                                                           call out
                                                       Joint

                                location
                                                                Local knowledge                                                  Bureaucracy
                         RFS central
                          dispatch                                     Safety          Communication                            Volunteer availability
                                                                                         equipment

                                                                      FINAL REPORT: JUNE 2018                                                                              8
BEGA VALLEY FIRES INDEPENDENT REVIEW - OFFICE OF EMERGENCY MANAGEMENT Department of Justice - Emergency NSW
RFS CALL AND DISPATCH PERCEPTION
                                                          Location map

                                                          Response
                                                          protocols
                     000                                                                                                               Brigades
                   Emergency                                                               Operational
                                                          Recommends                     Communications
                                                          brigades to page              and/or Duty Officer

                                                          Local
                                                          information

                            RFS CALL AND DISPATCH REALITY
                                           Situational awareness                                                            Situational awareness

                                                                                                RFS HQ
                                                                                                           (OCC dedicated
                                                                                                Central
                                                                                                              staffing)
                                                                                                Dispatch

                                                                              12/45 Districts
                                                            disconnected to

                                           Computer
                                Detail &                                                                                               Volunteers
                                                               000 caller

                                              aided                                                                                                 Volunteers
                                                                call RFS

  000              FRNSW        incident                                                                                                                         RFS attend
            Fire                            dispatch                                                            Brigades chosen        pager and    assemble
Emergency          ComCen         type                                                                                                                              fire
                                            & district                                                                                    SMS
                               recorded
                                           boundaries
                                                                              33/45 Districts

                                                                                           24/7 District   (Bridge/conference line,
                                                                                           Duty Officer        up to 25 people)

                                                             FINAL REPORT: JUNE 2018                                                                                 9
BEGA VALLEY FIRES INDEPENDENT REVIEW - OFFICE OF EMERGENCY MANAGEMENT Department of Justice - Emergency NSW
INDEPENDENT REVIEW
                                                   of the Operational Response
                                                      to the Bega Valley fires

The Review                                         of NSW that no government could afford. They      there was no interference with their respective
                                                   and the community members who help them in        functions.
We are used to pouring accolades upon              a time of crisis are an outstanding example of
our firefighters who alongside with other                                                            The Review received some 183 submissions
                                                   the pathway to building resilient communities.
emergency services personnel and many                                                                many of which were from members of the
members of the community, place themselves         What was known as a typical bushfire season       community with the majority submitted by
at risk to save lives and protect property in      lasting a few months over summer has now          firefighters both volunteers and full time
times of fire, natural disasters and emergency     extended to almost eight months of the year       employees.
situations. Nothing in this Review should          not including hazard reduction activities and
change that very positive and realistic            strategies. Bushfires burning in south east
perception.                                        Sydney in the middle of April 2018 is a good
                                                   example of the extension of the bushfire
For instance, the Bega Valley fires on 18 March    season.
2018 burnt through more than 1,250 hectares
destroying 65 homes and 70 caravans or             This Review had a specific focus:
cabins. Importantly, no one lost their lives and
                                                   • The adequacy of the fire services response
810 houses were saved through the combined
                                                     to what is now termed ‘the Bega Valley fires’
efforts of firefighters, police and residents.
                                                     on 18 March 2018, and
While this Review is critical in some parts, it    • The call taking and dispatch arrangements
should not be seen as anything other than a          of both FRNSW and the RFS.
strong supporter of the 85,000 volunteers
in organisations such as the NSW Rural Fire        Importantly, the Review was not a formal
Service (RFS), Fire Rescue NSW (FRNSW)             inquiry and it had no powers to seek
and the NSW State Emergency Service (SES).         information or examine witnesses as is
These people give of their time week in and        sometimes common in these matters. The
week out to provide a capability to the State      Review liaised with the NSW Coroner and the       Photo: Paul Cavalier

                                                   NSW Police Force Arson Squad to ensure that

                                                               FINAL REPORT: JUNE 2018                                                            10
Adequacy of the response                           This Review did not look at merging the two         The call and dispatch arrangements between
                                                   fire services, but the current arrangements         a 000 caller, FRNSW and the RFS are
to the Bega Valley fires                           lack a truly collaborative approach and can be      flawed and in need of urgent reform. Even
As noted in this Review in a timeline of events    improved.                                           the executives of the RFS and the Rural Fire
surrounding the Bega Valley fires, all agencies                                                        Service Association acknowledge that they
                                                   The Review noted the positive steps taken by
increased their resource deployments to the                                                            are flying blind for a period of time when both
                                                   both fire Commissioners who had recently
fires commensurate with the increased risk as                                                          the deployment of resources and situational
                                                   issued two joint statements reassuring both
the day unfolded. It should be noted that other                                                        awareness are not available. This in turn
                                                   the community and their organisations of steps
parts of the State experienced similar weather                                                         creates a knowledge gap for the FRNSW Fire
                                                   taken to work more closely.
conditions on that day (18 March 2018) which                                                           Communications Centre (ComCen) taking
required decision makers to make judgements        The desire to create a dossier to point             multiple 000 calls for assistance.
about how much resource was in reserve for         out purported failures or sub-standard
                                                                                                       It was asserted to the Review team that flying
other fires burning in the State.                  performance by a partner agency belies the
                                                                                                       blind equates to the ‘fog of war’. It is accepted
                                                   excellent and sometimes life-threatening
The Review has concluded that despite some                                                             that there will be periods in most fire events
                                                   work of both agencies. To bring the animosity
of the media commentary many more homes                                                                where there is a high degree of absent or
                                                   forward in the hours following people losing
might have been destroyed in the Bega                                                                  conflicting information until full situational
                                                   their homes and life possessions is deplorable.
Valley fires and even lives lost had the efforts                                                       awareness is achieved. However, this review
of firefighters and residents not been so          Across Australia emergency services volunteer       contends that improved awareness of the
successful.                                        numbers are in decline as country towns lose        location of the RFS and other operational
                                                   populations to the cities and the demographic       resources clearly needs to be improved.
Problems Identified                                of the volunteers sourced from farming
                                                                                                       No better example of flying blind was the RFS
From the outset of the Review it became clear      generations has reduced. It is the responsibility
                                                                                                       and FRNSW providing two completely different
that staff within FRNSW had been building a        of the leadership of the agencies and their
                                                                                                       pictures to this Review on what resources were
dossier of incidents where it is claimed the RFS   employee representative bodies to create the
                                                                                                       available to fight the Bega Valley fires on 18
had not responded appropriately to some 110        conditions that encourage the volunteer ethos
                                                                                                       March 2018. Thankfully, the error was in favour
fires across the State. This Review looked at      and tradition rather than allowing it to be
                                                                                                       of the community with more FRNSW resources
some of those events in a similar fashion to the   denigrated.
                                                                                                       being available than that shown by the RFS
Bega Valley fires.                                                                                     Incident Control Online (ICON) system.

                                                               FINAL REPORT: JUNE 2018                                                                 11
The reliability of information provided to the        agency agreements and business rules in place,     committee, the Fire Services Joint Standing
community during a fire (either through the           at the time of the Bega Valley fires and other     Committee had failed to provide the Minister
Fires Near Me app, or through the RFS; social         fires complained of by both organisations,         with a yearly report in accordance with its own
media) is largely reliant on the accuracy of          it is clear that the power imbalance of one        policies.
operational systems. When these systems               agency managing call taking for both agencies
                                                                                                         Based on interviews and material sent to the
do not have up to date information, there is          is the nub of the problem. Equally, FRNSW
                                                                                                         Review, many Mutual Aid Agreements that are
potential for the community to not accept or          ComCen forward deploying assets without the
                                                                                                         in place at the local level are either ignored or
trust the reliability of the available information.   knowledge of the RFS merely exacerbates the
                                                                                                         no longer relevant.
It follows that a single source of truth is not       situation.
available for the community in a timely manner                                                           These type of issues render the current
                                                      To their credit, both fire commissioners have
through the Fires Near Me app or social media.                                                           governance structure ineffective.
                                                      taken steps during the conduct of this Review
The adoption of an Automatic Vehicle Location         to place a RFS officer into FRNSW ComCen           Fire is agnostic. Along with natural disasters
(AVL) device, interoperable with those already        but a significant amount of mistrust about         it gives no credence to the agency used to
in use by FRNSW and the SES will go some way          the dispatch process remains in the middle         combat it, the jurisdiction in which it burns
towards addressing some but not all of these          management ranks.                                  or to the people who respond to it. So why
problems. Situational awareness will still need                                                          do we make the response arrangements so
                                                      There is a plethora of Memoranda Of
to be communicated back to decision makers                                                               bureaucratic?
                                                      Understanding (MOU), policies and legislation
and the public. This solution or a version of it,
                                                      as well as mutual aid agreements creating a
is yet to be implemented by the RFS and this
                                                      bureaucratic process to give jurisdiction to
should be addressed as a matter of immediate
                                                      one fire agency over another for different
priority.
                                                      geographical areas. The Review noted that
The Review could not ignore the elephant              there had been delays in reaching agreement
in the room that members of both fire                 on fire boundaries such as those for Bathurst,
organisations are often critical of each other        Cumberland and Blue Mountains, which only
with the animosity at times, palpable. It seems       highlights the need to cut through this red tape
that the common enemy of fires is sometimes           and focus on fighting the fires.
overlooked through the distraction of finding
                                                      The Review identified that the MOU between
fault with each other.
                                                      FRNSW and the RFS had not been updated
This contention is made worse by the fact the         since 2011 despite the appointment of a new
FRNSW ComCen manages call taking and                  FRNSW Commissioner in 2017. The Review
relays information to the RFS. Despite the inter      also noted that the peak fire co-ordination        Photo: Paul Cavalier

                                                                  FINAL REPORT: JUNE 2018                                                                 12
Potential Solutions                                  The Review examined other call and dispatch        The NSW Police Force operates civilianised
                                                     centres in NSW and other Australian states and     call and dispatch centres and has done so for
There is a way forward but it will be a challenge    formed the view that the Ambulance Service of      many years. Given the breadth of calls from
for both government and the leadership of the        NSW has an excellent model. It is a model that     lost children to counter terrorism, a lot can be
fire organisations.                                  is being implemented in other jurisdictions and    learned from their capability including their
Reform can begin through firstly                     one that accurately tracks and preemptively        use of situational awareness and resource
acknowledging that, by definition, any               positions resources according to demand            deployments.
volunteer organisation may not have the              and availability. The Review recommends
                                                                                                        This Review recommends taking an agnostic
same response time to an event than full time        benchmarking off the Ambulance Service of
                                                                                                        approach to fires and eliminating the
equivalents and even some retained employees.        NSW for both Computer Aided Dispatch (CAD)
                                                                                                        bureaucratic policies that reinforce agency
                                                     and AVL.
The operational responses required for                                                                  disputes rather than ameliorate them. To better
bushfires and structure fires are different, and     The SES is an agency dealing with some             protect the volunteers serving the RFS and
require a different mobilisation of resources        170,000 calls per year and has developed a         provide timely situational awareness about
and appliances to combat them. The basic             mobile app to increase efficiency in notifying     fires, the RFS should move to install AVL to its
tenet for full time staff fighting structure fires   volunteers and dispatching their resources.        vehicles immediately.
is linked to Key Performance Indicators for          The app is linked to personnel records thereby
                                                                                                        Further, this Review takes the view that while
call, dispatch and response and of course, they      giving details on the currency of qualifications
                                                                                                        AVL is being installed on RFS vehicles then
are appropriately remunerated. We are not            and the skills of people deployed or available
                                                                                                        the nearest and quickest fire appliance with
comparing apples with apples and volunteers          for deployment.
                                                                                                        appropriate capability – whether it be FRNSW
will always have their daily employment and          In the modern era, if staff are not provided       or RFS – should attend to the fire. Eventually,
livelihoods to look after.                           modern technology by their employer they           details on skills and qualifications of deployed
It follows that, at every opportunity, an effort     will create workarounds which appears to have      personnel as well as situational awareness
should be made to explain the differences            happened with the RFS. Some brigades are           should complement the RFS AVL.
rather than seeking to criticise one agency for      using a system known as BART (Broadcast,
not having the same call and dispatch timelines.     Alert, Respond, Turnout) but it is not used by
                                                     the whole agency.

                                                                 FINAL REPORT: JUNE 2018                                                               13
Future State                                      A strategic and long term solution needs to be     The future state should be a position where the
                                                  found that sees each of the agencies working       nearest and most suitable firefighting capability
The Review found that there had been previous     side by side in a civilianised call and dispatch   is sent to combat a fire regardless of agency.
reviews of call and dispatch centres and their    centre that could also utilise the new SES         The Review acknowledges that the question of
efficient operation by large and respected        facility at Wollongong for redundancy. The         ‘nearest’ is an objective one. A combined fully
private sector consultancies. A comprehensive     Review was informed of a future move of the        integrated communications centre will need
review that envisages a State Level Operation     RFS communications centre to new premises.         to decide the ‘most suitable’ always bearing
and Co-ordination capability has also been        This is an excellent opportunity to rebadge the    in mind that it is the fire that needs to be
undertaken by the Office of Emergency             new centre as a State asset of the Department      attacked.
Management within the Department of Justice       of Justice, Office of Emergency Management,
and like the reviews before it, is an excellent   FRNSW could also be accommodated into the
body of work.                                     facility.
As each emergency management organisation         Some of the problems identified in this review
moves towards improving their current call and    have been overcome by the RFS Commissioner
dispatch capabilities they should look towards    moving to second staff into the FRNSW
adopting a common operating picture using         ComCen. However, this is an interim measure
technology that is interoperable between them.    and does not address the question of ‘who’s in
A stovepipe approach appears to characterise      charge?’ of an agnostic approach to deploying
the adoption of some new systems to date          resources to combat fires. In establishing to
leading to agencies using different vendors       a civilianised call and dispatch centre, a role
that in turn denies decision makers a common      should be designated to a person who is
understanding of the event.                       authorised to dispatch units to an emergency
Once a common operating picture is achieved,      that transcends individual agency chain of
other tools such as the Fires Near Me app and     command arrangements.
social media can be fashioned to provide a
single source of truth to the community.

                                                              FINAL REPORT: JUNE 2018                                                             14
“We are conscious of the differences in our
 roles, but more so in their commonality;
 that of saving lives and property.”

Photo: Highway Patrol Images

                               FINAL REPORT: JUNE 2018   15
FINDINGS
Finding 1                                             Finding 2                                                  suggest that any better outcome could have
                                                                                                                 resulted on the day
The Bega Valley fires on 18 March 2018 were           Repeated successes in the fighting of fires
five separate fires that were extremely fierce        in NSW is a result of the combined effort of          • A Deputy Incident Controller was not
and quick moving - limiting combat options.           a mixture of volunteers, salaried personnel,            appointed at the Bega Valley fires which
Despite this, the number and scaling up of            retained staff and members of the community             could have allowed the Incident Controller
resources allocated to the fire as well as the        delivering a level of co-ordinated responses            more time to focus on resource deployments
efforts of residents both before and during the       that is comparable to other parts of Australia          rather than incoming calls which for a period
fire means that it is difficult to suggest that any   and follows a long tradition of integrated and          of time were overwhelming
better outcome could have resulted on the day         collaborative approaches                              • There were delays in feeding information
                                                                                                              back to the FRNSW ComCen which was
• There were large numbers of 000 calls that          • 73,223 RFS volunteer firefighters    1
                                                                                                              taking a large number of repeat 000 calls
  reported the fire across a large geographic
                                                      • 5,891 Community Fire Unit Volunteers     2
                                                                                                              from persons either reporting the fire in
  area
                                                      • 3,517 FRNSW full time firefighting staff     2        a different location or who were seeking
• An independent assessment by the                                                                            advice as to whether or not they should stay
  Commonwealth Scientific and Industry                • 3,341 FRNSW retained firefighting staff      2
                                                                                                              or leave their homes
  Research Organisation (CSIRO) confirms the          • 878 RFS full time equivalent positions   1
                                                                                                            • This lack of feedback was partly due to the
  fire was fast moving and intense
                                                                                                              fast moving nature of the fires and led to
• Interviews with staff fighting the Bega Valley      Finding 3                                               delays in updating the Fires Near Me app
  fires confirm the ferocity and speed of the                                                                 which remained ‘advice only’ for the bulk of
                                                      Fire and other natural disasters are agnostic as
  fire                                                                                                        the time that the fire was raging
                                                      to which agency in which district will respond.
• Observations of the fire ground made during         This is despite the detailed and instructive inter-
  the Review established that it was fortunate        agency policies in place to deal with them
  that no residents or firefighters lost their
                                                      • Some of these policies were not followed on         1
                                                                                                                NSW Rural Fire Service, NSW Rural Fire Service 2016-17
  lives on the day
                                                        the day of the Bega Valley fires and while              Annual Report https://www.rfs.nsw.gov.au/resources/
• The fire danger rating for the 18 March 2018                                                                  publications/annual-reports
                                                        it is impossible to determine the impact,
  was the fourth highest on record in that area         given the extreme conditions it is difficult to     2
                                                                                                                Fire & Rescue NSW, Fire & Rescue NSW Annual Report
                                                                                                                2016/17 https://www.fire.nsw.gov.au/page.php?id=453

                                                                   FINAL REPORT: JUNE 2018                                                                         16
• The RFS District Duty Officer was not             • The continued practice by FRNSW to ‘self           Finding 4
  made available for interview during the 6           deploy’ to fires is a cause of significant angst
  weeks of this Review, the RFS advised that          between both agencies                              Without getting into a debate about climate
  the officer was overseas on pre-approved                                                               change, the experiences of recent years has
                                                    • The decision to refuse FRNSW offers of             been that the bushfire seasons have been
  annual leave. The Duty Office was located in
                                                      assistance had no impact on the outcome of         getting longer and opportunities to reduce fuel
  Moruya, away from the fire ground. It is likely
                                                      the incident due to the severity of conditions     loads is getting shorter, evidenced by existing
  that assistance from FRNSW was initially
  declined without full situational awareness of      and speed of the fire, and the competing           NSW Government and various scientific
  the intensity and speed of the fire                 demands for resources to fight other               publications. The extended season also means
                                                      nearby fires. Notwithstanding this, other          aerial firefighting assets have often returned to
• The Review was provided audio recordings            submissions to the inquiry have suggested
  of the decline for assistance by the District                                                          the northern hemisphere
                                                      that such offers are routinely declined,
  Duty Officer which happened on two                                                                     Collectively this creates a greater need for
                                                      sometimes in less clear cut circumstances
  separate occasions at 12.33pm and again at
                                                                                                         more efficient and accountable call and
  12.58pm during the first hour of the Bega         • ABC radio continued normal broadcasts on
                                                                                                         dispatch systems. The following references
  Valley fires                                        the day of the fires rather than broadcasting
                                                                                                         provide greater detail of the challenges being
                                                      updates to the community which has been
• FRNSW ComCen overruled the decision of                                                                 created by climate change
                                                      the practice in the past
  the RFS District Duty Officer and deployed
  to the Bega Valley fires without being called     • An internal review by the ABC is addressing        • The NSW Office of Environment and
  out, but as it happened this was very useful        this problem however, the ABC would have             Heritage paper ‘Climate Change Impacts on
  for the overall protection of homes                 suffered from the same lack of updated               Bushfire Risk in NSW’ 1

• This action by the FRNSW ComCen appears             information and does not have anyone               • CSIRO publication on Climate change and
  to be a regular occurrence and it leaves the        embedded in the RFS headquarters or the              extreme weather: understanding the link 2
  RFS Incident Controller unaware of the total        RFS Incident Management Team to provide
  firefighting resources made available to the        informed broadcasts
  Incident Management Team                          • The position of the Public Information             1
                                                                                                             NSW Office of Environment and Heritage, Climate
• The Review team was only able to reconcile          functional area co-ordinator could liaise with         Change Impacts on Bushfire Risk in NSW
  the final resourcing of the Bega Valley fires       any ABC manager appointed to assist with               http://climatechange.environment.nsw.gov.au/~/
  some six weeks after the event and the              messaging                                              media/3FA0B16F406F43EDA9536028A88C539F.ashx

  FRNSW figures were different to the RFS
                                                    • Broadcast by radio can overcome                    2
                                                                                                             CSIRO, Climate change and extreme weather:
  figures confirming that the RFS Incident                                                                   understanding the link
                                                      information flows when mobile and internet
  Controller did not have a full picture of the                                                              https://blogs.csiro.au/ecos/climate-change-and-
                                                      services are not available to issue warnings           extreme-weather-understanding-the-link/
  total resourcing for that fire
                                                      to the community

                                                                FINAL REPORT: JUNE 2018                                                                        17
Finding 5                                       • Despite being required by its charter of           • Many of the public submissions made to
                                                  agreement – there has been a failure by the          the Review highlighted a cooperative and
Despite the existence of comprehensive            Fire Services Joint Standing Committee to            effective operational relationship between
governance arrangements both FRNSW and            provide a strategic report to the Minister in        the agencies ‘on the ground’, but the
the RFS are apparently not always complying       more than twelve months                              weight of submissions painted a picture of
with key requirements of the policies                                                                  animosity and mistrust between FRNSW and
• The overarching Memorandum of                 Finding 6                                              the RFS in many districts and at the middle
  Understanding between both agencies has                                                              management level
                                                The relationship between FRNSW and the RFS
  not been updated since 2011 and in any        at the executive level is excellent but the review   • Interviews conducted during the Review
  event, since the appointment of the new       has identified examples of significant animosity       made it clear that there is a perceived power
  FRNSW Commissioner in 2017                    at the middle management level rendering any           imbalance in favour of FRNSW who take
• Two joint messages from the FRNSW and         proposal to integrate the two agencies into one        all calls of all fire events in NSW and then
  RFS Commissioners issued on 21 March          organisation with the current organisational           decide whether or not to refer the incident
  2018 and 9 April 2018 outlined steps to be    cultures implausible                                   to the RFS depending upon an interpretation
  taken to improve the working relationship                                                            as to which fire boundary the fire is believed
                                                • A dossier presented to The Daily Telegraph           to be burning within
  between both agencies for call and dispatch
                                                  appears to have been compiled against the
  arrangements are commendable but should                                                            • Call logs prepared by FRNSW of the Bega
                                                  RFS by members of FRNSW who have taken
  already have been in place                                                                           Valley fires identified the decline of the offer
                                                  photos and noted details of RFS responses
• A flow diagram provided to the Review                                                                of resources, but their own AVL logs, which
                                                  to fire events for the past twelve months
  by the RFS does not accord with a                                                                    revealed the self-deployment of FRNSW
                                                • A comprehensive table prepared by FRNSW              assets, had to be requested multiple times
  Memorandum of Understanding specifically
                                                  and presented to the Review appears to               before the complete picture of resourcing
  written to address the communication
                                                  support the dossier presented to the Daily           was understood
  arrangements when 000 calls are made
                                                  Telegraph
  to FRNSW ComCen for bushfires (ie: no                                                              • Disingenuous public comments have been
  feedback loop to FRNSW ComCen or 000)                                                                made criticising the RFS despite the success
  which may be an oversight but the lack of a                                                          of a number of operations where lives and
  common operating picture has been a major                                                            property have been saved
  issue during this Review

                                                            FINAL REPORT: JUNE 2018                                                                 18
Finding 7                                         Finding 9                                          imposed to achieve co-ordination and
                                                                                                     overcome demarcation disputes between the
This animosity between members of the             There is a plethora of agreements, memoranda       firefighting agencies are not working effectively
agencies has been evident during the course of    of understanding, policy and legislation
the review and has been the subject of previous   controlling both FRNSW and the RFS that            • NSW communities do not appear to face
inquiries and media reports – however and         attempt to create high level co-ordination and       the same issues when it comes to the SES,
importantly, the apparent animosity belies the    help ameliorate the demarcation issues but it        Ambulance Service of NSW and NSW Police
actual success achieved by the agencies in the    has simply focussed the dispatch system on fire      Force call and dispatch functions
majority of fire operations                       boundaries rather than the ‘fires’                 • The review has been advised of a number
• If middle management is not supportive          At the time of this report Cumberland, Bathurst      of instances of FRNSW and the RFS
  of their fellow organisations then it follows   and Blue Mountains are just some of the              undermining the agreements in place by
  that the animosity and mistrust is likely to    areas where disputes remain as to agency             ‘self deploying’ or refusing assistance
  continue despite this and other Reviews         jurisdiction. Some of the key policy documents
  unless there is a sustained intervention at     establishing coordination between the agencies     Finding 11
  the executive level for organisational change   include:                                           Elimination of the fire boundary system for
  to the cultures                                                                                    the purpose of dispatch will go a long way to
                                                  • Fire Services Joint Standing Committee Act
                                                                                                     improving the efficiency of call and dispatch to
Finding 8                                         • State Bush Fire Plan                             fires in NSW while at the same time reducing
The vision of the 1994 Bushfire Inquiry           • Memorandum of Understanding                      the competition between agencies
conducted by the then NSW Government that         • Fire Service Delivery Provisions                 • Existing legislation does not prevent an
the two fire services cooperate rather than                                                            agnostic response to fires. The Review
                                                  • Operational Communications Service Level
compete has unfortunately not been fully                                                               observed that the vision of responsibility is
                                                    Agreement
realised which reflects poorly on all parties                                                          an overlay put in place by the Fire Services
given the time since these issues first came      • Bega Valley Mutual Aid Agreement                   Joint Standing Committee
to light. This competitiveness unfortunately
                                                                                                     • The division of responsibility could be easily
plays out in the ‘Call and Dispatch’ function     Finding 10                                           removed or amended to reflect the thrust of
where offers of assistance have been refused or
                                                  Communities across NSW are not experiencing          this review
jurisdiction of fire boundaries disputed
                                                  the optimisation of a call dispatch and response
                                                  model to fire events that are enjoyed by other
                                                  states because the bureaucratic processes

                                                              FINAL REPORT: JUNE 2018                                                             19
Finding 12                                         Finding 13                                        • Submissions to the Review confirm the
                                                                                                       slowness of RFS call handling and response
Unlike the NSW Police Force, Ambulance             When the RFS ICON system is not updated it          including submissions from RFS brigades
Service of NSW and FRNSW – the RFS relies          can deny situational awareness to firefighters      themselves
solely on radio and telephone communications,      who are deployed in the field, and may lead
and does not have AVL technology or other          to the Fires Near Me app not being updated,       • The slowness is not necessarily a criticism
GPS trackers in its vehicles or on its staff       which in extreme cases could potentially put        in all cases – it is a fact of life for volunteer
denying the State both situational awareness       lives at risk                                       agencies although to their credit, the SES
and efficiency in resource allocation                                                                  appear to have made some headway
                                                   • In some cases the Incident Management             through the use of an app to reduce call out
• The lack of update can indicate a lack of          Team is overwhelmed by the volume of              time and understand the qualifications of
  appreciation of the speed and intensity of         information referred to it                        people being deployed through a link to SAP
  the event                                                                                            data
                                                   • If ICON is not updated the Fires Near Me
• The other NSW emergency service agencies           app is not updated which was a common           • Interviews of the RFS executive conducted
  see the workplace health and safety issue          complaint following the Bega Valley fires         during the Review admit that they are ‘flying
  for staff and have acted accordingly even                                                            blind’ for brief periods depending upon
                                                   • Many submissions to the Review complained
  down to introducing GPS capability for hand                                                          the available resources and the feedback
                                                     that during the Bega Valley fires the Fires
  held portable radios. It is noted that the SES                                                       received
                                                     Near Me app provided an ‘Advice Only’
  has recently introduced AVL technology for
                                                     reading when in fact people should have         • The RFS has centralised dispatch capability,
  its fleet of rescue vehicles, and is exploring
                                                     been evacuating                                   however it is not implemented statewide
  options to extend the technology to its
  storm vehicles                                                                                     • The RFS has worked hard with Telstra to
                                                   Finding 14                                          improve their call out and they do have the
                                                   The inter relationship between a 000 caller,        largest population of volunteers to engage
                                                   FRNSW ComCen and the RFS call and dispatch          so the problem is not being ignored
                                                   is cumbersome, and leads to a period of time
                                                   when situational awareness is unavailable. This
                                                   impacts the volunteers, the community and
                                                   the RFS executive leading to less than optimal
                                                   briefings of government and partner agencies

                                                               FINAL REPORT: JUNE 2018                                                             20
Finding 15                                            • Other cases referred to the Review were         Finding 18
                                                        found to be just as efficient, driven by good
Interviews conducted during the Review                  people trying to do the right thing but         Eliminating fire boundaries coupled with AVL
reinforced that the emergency agencies                  rumours and hyperbole undermine the great       capability for the RFS will offer the opportunity
appear to be operating in silos when it comes           efforts undertaken by all agencies including    to fight fire with the quickest and most
to selection of call and dispatch technologies          community members who get involved              appropriate resource regardless of agency.
except for the SES which seems to have taken            when the situation demands it                   While the capability is being acquired by RFS,
some excellent whole of government decisions                                                            it should not follow that because there is an
by adopting technologies from FRNSW                                                                     inherent delay in their deployment that their
                                                      Finding 17                                        services will not be called upon for the interim
• The RFS has 99% of its total of                     A number of submissions and interviews            because in many instances, the RFS is the most
  approximately 70,000 staffing resource              highlighted the time taken to establish           suitable agency to deploy. A mature common
  through volunteers so keeping them                  whether or not a volunteer RFS brigade has        sense approach is needed at FRNSW ComCen
  engaged through appropriate technologies            been able to contact its members and form         if this recommendation is adopted
  is important                                        a crew for deployment. This puts pressure on
• Such a move will capitalise on the continued        the community, the RFS management and             Finding 19
  willingness of volunteers to participate in         volunteers as well as FRNSW ComCen (who are
                                                                                                        At the executive level the NSW Police Force,
  RFS and SES operations                              receiving subsequent 000 calls and requests
                                                                                                        FRNSW, SES and RFS there is support for a
                                                      for information)
                                                                                                        single, civilianised call and dispatch centre for
Finding 16                                            • Since the commencement of this Review a         dealing with fires and other natural disasters.
In the Bega Valley fires the first 000 call did not     better integrated call and dispatch approach    This review found however, unless there is total
accurately pinpoint the seat of the fire and the        has been taken by both fire commissioners       support from all stakeholders including the
call taker was attempting to establish whether          through the placement of RFS officers in        unions, any move to favour one organisation
or not the fire was within the FRNSW boundary           FRNSW ComCen                                    over another in hosting such an arrangement
or the RFS boundary. An incident number was                                                             is likely to draw criticism and continue the
                                                      • This step towards an integrated approach
created and the RFS was contacted but this                                                              existing animosity
                                                        will go some way in overcoming delays
process quickly became irrelevant as a senior           in call and dispatch to fires achieving
member of the RFS corrected the location in a           the stated goal of the RFS to “engender
transmission made moments later that included           better cooperation and collaboration on
photographs of the fire                                 emergencies reported to it”

                                                                  FINAL REPORT: JUNE 2018                                                             21
Finding 20                                        Finding 21                                          Finding 23
Commentary and criticism of the role and          Each of the NSW Emergency Service agencies          The review has examined call and dispatch
responses by the RFS and FRNSW often              in NSW uses a different type of CAD system          experiences in other fires, including at Port
does not take into account that the two           however, the Review noted that not only             Macquarie, Taree and Nimbin. It is not proposed
organisations cannot be compared on an            does the Ambulance Service of NSW have a            to detail the examination of these other
equitable basis given the permanent and part      comprehensive system – their staff have been        incidents in this report, however, it is noted that
time nature of the respective organisations       providing expert assistance on CAD design for       these other instances reinforce the review’s
                                                  other Australian jurisdictions                      findings in relation to the call and dispatch
• Submissions received by the Review
                                                                                                      arrangements arising out of its examination of
  reinforce this point
                                                  Finding 22                                          the Bega Valley fires
• Interviews with FRNSW regarding their
                                                  It is important to note that while few
  ‘retained fire fighters’ also reinforces this
                                                  submissions made by firefighters or their
                                                                                                      Finding 24
  point
                                                  representative bodies reported a positive           Significant bodies of work have already been
• Examination of media articles generally
                                                  relationship between the agencies at                undertaken by various government agencies
  discloses a lack of understanding about
                                                  the middle management level, almost all             in NSW examining better models for Call and
  the complexity of the arrangements and
                                                  submissions stated that they, collectively, still   Dispatch; Public Safety Mobile Broadband and
  the different operational responses that are
                                                  ‘got the job done’ at the coal face                 Operational Communication Strategies to make
  required
                                                                                                      them more efficient and cost effective
• The State enjoys the services of volunteers
  at little cost and could not survive without
  them whether it be in the RFS, SES and
  many other roles where volunteerism is
  sustaining communities

                                                               FINAL REPORT: JUNE 2018                                                               22
“Automatic Vehicle Location capability…
will offer the opportunity to fight fire with
the quickest and most appropriate resource
regardless of agency.”

                       FINAL REPORT: JUNE 2018   23
RECOMMENDATIONS
It is recommended that the NSW                   Recommendation 2                               Recommendation 4
Government:
                                                 Take immediate steps to eliminate fire         The Commissioners of FRNSW and the RFS
                                                 boundaries for call and dispatch purposes      issue an instruction to FRNSW ComCen that
Recommendation 1                                 to create an agnostic approach to the threat   while AVL capability is being made available to
                                                 of fires from both a departmental and          the RFS vehicle fleet, no offers of assistance by
In recognising the success of the work of both   organisational perspective                     one agency to the other in combatting a fire is
the volunteer based RFS and the full time                                                       rejected or delayed if what is being offered is
                                                 Applies to:
FRNSW members in joint operations – both                                                        appropriate
agencies should be represented at major          • Finding 3
                                                                                                Applies to:
briefings or press conferences to reinforce      • Finding 11
successful integrated collaborative efforts                                                     • Finding 6             • Finding 12
                                                 • Finding 20
rather than individual agency achievements                                                      • Finding 7             • Finding 13

Applies to:                                                                                     • Finding 8             • Finding 21
                                                 Recommendation 3
• Finding 1            • Finding 7
• Finding 2            • Finding 8               Remove those policies, guidelines, memoranda   Recommendation 5
                                                 of understanding and committees that are
• Finding 6            • Finding 23
                                                 made redundant as a result of adopting         Use the model and system in place at the
                                                 recommendation #2 while updating any           Ambulance Service of NSW as a benchmark
                                                 remaining policies that are considered to      for call taking, dispatch and the provision
                                                 still be relevant                              of situational awareness when deploying
                                                                                                resources. This will overcome the lack of a
                                                 Applies to:
                                                                                                feedback loop in current bushfire operations
                                                 • Finding 3              • Finding 11
                                                 • Finding 5              • Finding 18
                                                 • Finding 9

                                                               FINAL REPORT: JUNE 2018                                                       24
Recommendation 6                                   Recommendation 8                                    Recommendation 10
As a matter of priority commence the roll out      Until a single call centre is developed, continue   Explore better options for call and dispatch,
of AVL capability for the RFS fleet, completing    deployments of a senior RFS officer to FRNSW        telecommunications and information sharing
as much work as possible before the 2018/19        ComCen on a 24/7 day basis. This arrangement        capability across the emergency management
bushfire season, capitalising where necessary      should determine the quickest most suitable         portfolio including the adoption of a multi-agency
on current and future work undertaken with         resource and who is ‘in charge’ of an incident      emergency management operations complex
the NSW Government Radio Network to ensure
                                                   Applies to:                                         Applies to:
both officer safety and situational awareness
                                                   • Finding 10                                        • Finding 13
Applies to:
                                                   • Finding 15                                        • Finding 22
• Finding 10            • Finding 14
                                                   • Finding 17                                        • Finding 25
• Finding 12            • Finding 17
• Finding 13            • Finding 18
                                                                                                       Recommendation 11
                                                   Recommendation 9
Recommendation 7                                   While the proposal to establish an integrated
                                                                                                       Take steps to ensure that both fire
                                                                                                       commissioners are seeking opportunities
                                                   call and dispatch centre is being implemented,      to engender a culture in their respective
Implement a fully integrated civilianised
                                                   FRNSW should take steps to civilianise ComCen       organisations that seeks to attract and foster
single call and dispatch centre, that includes a
                                                   and maintain experienced senior officers from       the volunteer ethos and experience
redundancy option outside the Sydney CBD,
                                                   both agencies as supervisors similar to how the
which will adopt an agnostic approach to
                                                   NSW Police Force and Ambulance Service of
deploy the quickest most suitable resource to an
emergency. Such a centre should be managed
                                                   NSW operate                                         Recommendation 12
by either a non uniformed public servant staffed   Applies to:                                         Review the effectiveness of emergency public
organisation like the Office for Emergency
                                                   • Finding 10                                        information arrangements, and give consideration
Management, or the NSW Police Force
                                                                                                       to embedding an ABC Manager (not a journalist)
                                                   • Finding 19
Applies to:                                                                                            into the RFS headquarters during emergencies to
                                                                                                       broadcast warnings to the community that can be
• Finding 4             • Finding 15                                                                   pooled to commercial media outlets
• Finding 10            • Finding 16
                                                                                                       Applies to:
• Finding 11            • Finding 17
                                                                                                       • Finding 3
• Finding 12            • Finding 21
• Finding 14            • Finding 24

                                                                 FINAL REPORT: JUNE 2018                                                            25
ANNEXURE A
Bega Valley fires Independent Review Terms of Reference:                     • Ken Middleton, President, Rural Fire Service Association

• Review and report on the adequacy of the fire services response to         • Leighton Drury, State Secretary, Fire Brigades Employees Union
  the Reedy Swamp fire near Bega that occurred on 18 March 2018, and         • Leslie Mabbutt, NSW State Coroner
  subsequently impacted upon the township of Tathra;                         • Mark Smethurst, Commissioner, NSW State Emergency Service
• Review the call taking and dispatch arrangements of both Fire and          • Mick Fuller, Commissioner, NSW Police Force
  Rescue NSW and NSW Rural Fire Service across the State, and make
                                                                             • Paul Baxter, Commissioner, Fire & Rescue NSW
  recommendations to ensure they are best practice, address emerging
  technology, and provide the best possible service delivery to the          • Peter Marks, Manager Telecommunications Emergencies, NSW Telco
  community of NSW.                                                            Authority
                                                                             • Peter McKechnie, Manager State Operations, NSW Rural Fire Service

                    ANNEXURE B                                               • Rob McNeil, Assistant Commissioner, Fire & Rescue NSW
                                                                             • Rob Rogers, Deputy Commissioner, NSW Rural Fire Service
                                                                             • Rosemary Milkins, Deputy Commissioner Corporate Services, NSW
Interviews                                                                     Police Force
• Brian McDonough, Vice President, Rural Fire Service Association
                                                                             • Sascha Rundle, Manager Diversity Emergency & Strategy, Australian
• Chris Read, Senior Industrial Officer, Fire Brigades Employees Union         Broadcasting Corporation
• David Dutton, Executive Director Clinical Operations, Ambulance            • Shane Fitzsimmons, Commissioner, NSW Rural Fire Service
  Service of NSW
• Garry Cooper, Operational Officer, NSW Rural Fire Service                  Visits
• Greg Buckley, Chief Superintendent, Fire & Rescue NSW                      • Bega Fire Control Centre, NSW Rural Fire Service
• Greg Mullins, Retired Commissioner, Fire & Rescue NSW                      • Fire Communications Centre, Fire & Rescue NSW
• Greg Newton, Deputy Commissioner, NSW State Emergency Service              • RFS Headquarters, NSW Rural Fire Service
• Jamie Vernon, Director Control Division, Ambulance Service of NSW          • Sydney Ambulance Centre, Ambulance Service of NSW
• Jim Hamilton, Deputy Commissioner, Fire & Rescue NSW                       • Sydney Police Centre, NSW Police Force
• John Cullen, Superintendent, District Manager, NSW Rural Fire Service
• Katarina Carroll, Commissioner, Queensland Fire and Emergency              Submissions
  Services                                                                   The Review received 183 submissions from members of the public,
• Kate Foy, Managing Director, NSW Telco Authority                           stakeholder organisations, volunteer and paid firefighters.

                                                                FINAL REPORT: JUNE 2018                                                         26
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FINAL REPORT: JUNE 2018
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