Recommendations

Below is a list of over 1,500 Recommendations held in the database. Column headers are sortable and most row values are linked.

Each Recommendation has a unique ID value which connects it to the related Inquiry. This ID also contains a reference to the ID of the Inquiry that produced it. So Rec-UID (REC297-1257) means the Recommendation is from Inquiry 297, and the Recommendation is ID number 1257.

Note that Codes and Subcodes are displayed on roll-over. Column headers are sortable and values are generally linked.

INQ-ref REC-UID Code SubCode Source Recommendation
Police and Community Safety Review (QLD)
INQ239
REC239-2778 F - Research and technology 17 - Assets and technology Recommendation 124

That as the Queensland Police Service moves to a digital platform the strategy around effective targeting and alternative ANPR models should form part of the design architecture considerations.

Police and Community Safety Review (QLD)
INQ239
REC239-2684 A - Responsibility 38 - Agency/Department Reporting Recommendation 30

The Chief Executive Officer Portfolio Business establishes a set of performance indicators to provide a transparent process for government to monitor its performance.

Police and Community Safety Review (QLD)
INQ239
REC239-2708 A - Responsibility 24 - Govt responsibility Recommendation 54

That the role of the Inspector General Emergency Management not extend to conducting reviews on behalf of agencies and that the role consider the effectiveness of all agencies and how their work contributes to a whole of Government response.

Police and Community Safety Review (QLD)
INQ239
REC239-2692 B - Preparedness 39 - Disaster Risk Management Recommendation 39

That the Queensland Police Service Disaster Management Unit is to be permanently located at the State Disaster Coordination Centre to work on a day to day basis with the proposed new Department of Fire and Emergency Services.

Police and Community Safety Review (QLD)
INQ239
REC239-2725 A - Responsibility 25 - Inquiry, audit, lessons management and after action review Recommendation 71

That the Queensland Fire and Rescue Service community safety operations be joined in the efficiency review of the Queensland Police Service focussing on both the community safety outcomes achieved and the extent to which they support the Government’s economic priorities.

Police and Community Safety Review (QLD)
INQ239
REC239-2665 E - Agency Organisation 12 - EM agency and authority Recommendation 11

That planning, especially for infrastructure, must take into account the service delivery model (e.g. the fact that prisoners have high level health needs).

Police and Community Safety Review (QLD)
INQ239
REC239-2730 E - Agency Organisation 12 - EM agency and authority Recommendation 76

That the Queensland Fire and Rescue Service actively progress initiatives for flexible employment including:
- part-time employment and casual employment (with no degradation of competency)
- abridged recruit courses for transition from auxiliary to full-time

Police and Community Safety Review (QLD)
INQ239
REC239-2729 E - Agency Organisation 16 - Training and behaviour Recommendation 75

That the Queensland Fire and Rescue Service work to change the culture of entitlement so that firefighters recognise firefighting is only one of a range of skills they bring to their core role of emergency management.

Police and Community Safety Review (QLD)
INQ239
REC239-2676 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 22

That any changed arrangements to the operations of Queensland Corrective Service ensure anti-corruption, prisoner management, and accountability processes are defined and established.

Police and Community Safety Review (QLD)
INQ239
REC239-2767 A - Responsibility 38 - Agency/Department Reporting Recommendation 113

Recommendation: That the CEO Portfolio Business collaborates with the two portfolio Commissioners to:
- develop an analytical tool to identify the most appropriate level of service
- identify the need for new or enhanced services
- reduce the level of resources where appropriate

Police and Community Safety Review (QLD)
INQ239
REC239-2712 A - Responsibility 24 - Govt responsibility Recommendation 58

That Emergency Management Queensland be integrated with the current Queensland Fire and Rescue to become the Department of Fire and Emergency Services.

Police and Community Safety Review (QLD)
INQ239
REC239-2711 B - Preparedness 39 - Disaster Risk Management Recommendation 57

That the Inspector General Emergency Management be empowered to provide an assurance to Government that the disaster management system is both appropriate and capable of dealing with complex events.

Police and Community Safety Review (QLD)
INQ239
REC239-2727 A - Responsibility 25 - Inquiry, audit, lessons management and after action review Recommendation 73

That as part of its efficiency review, the Queensland Fire and Rescue Service instigate an independent review of commercial operations in terms of statutory obligations and current ‘full cost pricing’ methodology to ensure:
a. compliance with all necessary obligations

Police and Community Safety Review (QLD)
INQ239
REC239-2669 E - Agency Organisation 12 - EM agency and authority Recommendation 15

That specific business cases should be developed for contestability of correctional services in Queensland, including:
a. develop business cases for contract management of each facility (noting that business cases may be for individual facilities, or for groups of facilities)

Police and Community Safety Review (QLD)
INQ239
REC239-2731 E - Agency Organisation 12 - EM agency and authority Recommendation 77

That the CEO Portfolio Business and the Commissioner Queensland Fire and Rescue Service find a more appropriate method of accounting for part time and volunteer staff when considering the support required to raise, train and sustain this very large part of the workforce.

Police and Community Safety Review (QLD)
INQ239
REC239-2740 E - Agency Organisation 16 - Training and behaviour Recommendation 86

That impediments to the publication of an annual training calendar of core skills be removed.

Police and Community Safety Review (QLD)
INQ239
REC239-2693 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 39

That the presence of police in State Disaster Coordination Centre response teams is mandated and formalised through documented standard operating procedures.

Police and Community Safety Review (QLD)
INQ239
REC239-2771 A - Responsibility 38 - Agency/Department Reporting Recommendation 117

That the Queensland Police Service Commissioner addresses the situation regarding statistical reporting.

Police and Community Safety Review (QLD)
INQ239
REC239-2721 A - Responsibility 24 - Govt responsibility Recommendation 67

That the Chief Executive Officer Portfolio Business collaborate with the two portfolio Commissioners to:
- develop an analytical tool is to identify the most appropriate level of service
- identify the need for new or enhanced services

Police and Community Safety Review (QLD)
INQ239
REC239-2774 B - Preparedness 39 - Disaster Risk Management Recommendation 120

Those final determinations of disaster management districts include consultation with the Local Government Association Queensland, the Queensland Fire and Rescue Service and other Government departments.

Police and Community Safety Review (QLD)
INQ239
REC239-2758 A - Responsibility 25 - Inquiry, audit, lessons management and after action review Recommendation 104

That the Chief Executive Officer Portfolio Business leads an efficiency review of portfolio agencies beginning with the Queensland Police Service.

Police and Community Safety Review (QLD)
INQ239
REC239-2670 E - Agency Organisation 12 - EM agency and authority Recommendation 16

That prisoner transport and non-managerial roles within watch-houses should be a priority for contestability.

Police and Community Safety Review (QLD)
INQ239
REC239-2733 E - Agency Organisation 12 - EM agency and authority Recommendation 79

That the Queensland Fire and Rescue Service reduce the number of communication centres to two, with one being a primary site and the other site providing redundancy and business continuity functionality.

Police and Community Safety Review (QLD)
INQ239
REC239-2741 E - Agency Organisation 16 - Training and behaviour Recommendation 87

That the annual training calendar identify course, training location and the coordinating authority.

Police and Community Safety Review (QLD)
INQ239
REC239-2737 E - Agency Organisation 29 - Operational Health and Safety Recommendation 83

That the workplace health and safety reporting system be reviewed to facilitate ease of reporting.

Police and Community Safety Review (QLD)
INQ239
REC239-2695 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 41

That the Disaster Management Act 2003 be amended to:
- specify the Commissioner of Police as Deputy Chair of the State Disaster Management Group
- identify that a Deputy Commissioner of Police would be the default choice for appointment as State Disaster Coordinator.

Police and Community Safety Review (QLD)
INQ239
REC239-2772 A - Responsibility 38 - Agency/Department Reporting Recommendation 118

That the roll-out of the mobile service program business case mentioned earlier
- Be specific about gateways and milestones; and
- If the new technology enables improved data, the Queensland Police Service revisit previous statistical reporting and identify any major anomalies.

Police and Community Safety Review (QLD)
INQ239
REC239-2655 A - Responsibility 24 - Govt responsibility Recommendation 1

That the Queensland Ambulance Service is transferred to Queensland Health by a machinery-of-Government change as soon as is practicable and that the Commissioner report directly to the Director General Queensland Health.

Police and Community Safety Review (QLD)
INQ239
REC239-2732 A - Responsibility 24 - Govt responsibility Recommendation 78

There be a formation of an Office of Portfolio Business, providing support and governance across a range of corporate functions, which are essential to the delivery of frontline services.

Police and Community Safety Review (QLD)
INQ239
REC239-2763 A - Responsibility 25 - Inquiry, audit, lessons management and after action review Recommendation 109

That the proposed efficiency review includes a focus on the rank structure of both the Queensland Police Service and the proposed Fire and Emergency Services.

Police and Community Safety Review (QLD)
INQ239
REC239-2672 E - Agency Organisation 12 - EM agency and authority Recommendation 18

That Queensland Corrective Service conduct business analysis and planning to clearly identify its customers and its contribution to the Government’s priorities

Police and Community Safety Review (QLD)
INQ239
REC239-2734 E - Agency Organisation 12 - EM agency and authority Recommendation 80

That a new Deputy Commissioner position be created to manage volunteer emergency services including the Rural Fire Service and the State Emergency Service.

Police and Community Safety Review (QLD)
INQ239
REC239-2696 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 42

That the Queensland Police Service Disaster Management Unit be given responsibility for production of the State disaster management plan for the State Disaster Management Group’s approval.

Police and Community Safety Review (QLD)
INQ239
REC239-2773 A - Responsibility 38 - Agency/Department Reporting Recommendation 119

That should the Mobile Strategy in its current form be approved by government the CEO Portfolio Business and the Deputy Commissioner Operations:
- monitor the success of the mobility strategy

Police and Community Safety Review (QLD)
INQ239
REC239-2657 A - Responsibility 24 - Govt responsibility Recommendation 3

That negotiation takes place between Queensland Health and the Queensland Ambulance Service to determine the broad governance requirements of any such arrangements.

Police and Community Safety Review (QLD)
INQ239
REC239-2749 A - Responsibility 24 - Govt responsibility Recommendation 95

That the Prostitution Licensing Authority be moved to the Department of Justice and Attorney General Office of Fair Trading.

Police and Community Safety Review (QLD)
INQ239
REC239-2764 A - Responsibility 25 - Inquiry, audit, lessons management and after action review Recommendation 110

That the proposed efficiency review consider whether special service functions are core business, whether this practice is sustainable, and other options such as the use of casual employees.

Police and Community Safety Review (QLD)
INQ239
REC239-2689 C - Response 20 - Role of police Recommendation 35

That, where appropriate, the Commissioner of Police appoints appropriately trained and experienced public service officers to appropriate roles in the disaster management system to support District Disaster Coordinators in their vital roles.

Police and Community Safety Review (QLD)
INQ239
REC239-2677 E - Agency Organisation 12 - EM agency and authority Recommendation 23

That biometric tools be leveraged for other demands (e.g. bail reporting).

Police and Community Safety Review (QLD)
INQ239
REC239-2742 E - Agency Organisation 12 - EM agency and authority Recommendation 88

That the recommendations of The Malone Review in relation to Criminal History checks, so far as supported, by the Review team in this report be progressed inclusive of SES issues.

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0797 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 1

Determine the appropriateness and the steps required to allow the reduction of full supply level by up to five metres and/or the implementation of alternative gate operation at Warragamba Dam for the mitigation of minor to moderate flood events in the short-term.

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0798 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 2

Optimise the configuration of a raised Warragamba Dam for flood mitigation of the full range of flood events and water supply, with due consideration of upstream impacts.

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0800 B - Preparedness 1 - Land-use and building regs Recommendation 4

Improve regional transport infrastructure to address current and projected flood evacuation capacity constraints and timelines.

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0803 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 7

Ensure effective flood gauging arrangements in the Hawkesbury-Nepean Valley

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0809 A - Responsibility 9 - Community education Recommendation 13

Ensure the SES has the long-term capacity to plan and exercise for the full range of flood events in the Hawkesbury-Nepean Valley

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0801 B - Preparedness 1 - Land-use and building regs Recommendation 5

Establish a dedicated group or body within an existing agency to provide a more integrated, coordinated and regional approach to land use, infrastructure and evacuation planning and flood modelling in the Hawkesbury-Nepean Valley.

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0810 A - Responsibility 9 - Community education Recommendation 14

Undertake, coordinate and evaluate community education programs on flood risk and response.

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0808 B - Preparedness 1 - Land-use and building regs Recommendation 12

Ensure future road infrastructure planning considers flood evacuation requirements throughout the Hawkesbury-Nepean floodplain.

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0799 C - Response 18 - Access to fire ground Recommendation 3

Develop and implement a program of cost-effective road improvement works that can enhance flood evacuation capacity in the short-medium term.

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0811 A - Responsibility 9 - Community education Recommendation 15

Monitor, investigate and address community response to flood warnings

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0804 F - Research and technology 26 - Research Recommendation 8

Clarify roles, responsibilities and consider funding options for post-event collection of data and flood intelligence.

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0814 B - Preparedness 1 - Land-use and building regs Recommendation 18

Develop a NSW Planning Policy and Guideline to improve land use planning practices on flood prone land.

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0812 A - Responsibility 9 - Community education Recommendation 16

Develop mechanisms and arrangements to promote and provide greater access to flood risk information.

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0807 F - Research and technology 26 - Research Recommendation 11

Develop a comprehensive road evacuation network model for floods in the Hawkesbury-Nepean floodplain to inform evacuation capacity assessments and strategic transport and land use planning, and to assist with the real-time operational management of evacuation during floods.

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0815 B - Preparedness 1 - Land-use and building regs Recommendation 19

Provide improved land use planning tools for managing flood prone land.

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0805 D - Recovery 33 - Relief and recovery Recommendation 9

Develop a Hawkesbury-Nepean Flood Recovery Plan, which identifies strategies and arrangement for recovery from severe floods in the Hawkesbury-Nepean Valley.

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0813 F - Research and technology 26 - Research Recommendation 17

Develop and maintain a comprehensive flood model and flood modelling framework for the Hawkesbury-Nepean Valley.

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0802 A - Responsibility 25 - Inquiry, audit, lessons management and after action review Recommendation 6

Review the NSW state-wide governance arrangements for flood risk management so that broader issues identified by this Review can be most effectively addressed.

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0816 B - Preparedness 1 - Land-use and building regs Recommendation 20

Ensure appropriate consideration of flood risk in regional and subregional planning

Hawkesbury-Nepean Valley Flood Management Review Stage One (NSW)
INQ238
REC238-0806 D - Recovery 33 - Relief and recovery Recommendation 10

Review the adequacy of current arrangements for infrastructure reconstruction following a major flood event in the Hawkesbury-Nepean Valley.

Independent Hazard Reduction Audit Panel (NSW)
INQ237
REC237-0817 E - Agency Organisation 32 - Doctrine, standards, and reform 1

That section 3(c) of the Rural Fires Act 1997, which sets out the objects of the Act, be extended to include protecting infrastructure, environmental, economic, cultural, agricultural and social assets from damage.

Independent Hazard Reduction Audit Panel (NSW)
INQ237
REC237-0818 E - Agency Organisation 32 - Doctrine, standards, and reform 2

That section 9(4)(b) of the Rural Fires Act 1997, which sets out the functions of the NSW Rural Fire Service, be amended to include protecting infrastructure, environmental, economic, cultural, agricultural and social assets from damage.

Independent Hazard Reduction Audit Panel (NSW)
INQ237
REC237-0819 E - Agency Organisation 32 - Doctrine, standards, and reform 3

That section 56 of the Rural Fires Act 1997 be amended to give the Commissioner of the NSW Rural Fire Service the power to direct a Bush Fire Management Committee to amend its Bush Fire Risk Management Plan if it is inadequate, in the opinion of the Commissioner.

Independent Hazard Reduction Audit Panel (NSW)
INQ237
REC237-0820 E - Agency Organisation 32 - Doctrine, standards, and reform 4

That the Rural Fires Act 1997 be amended to allow the Commissioner of the NSW Rural Fire Service to carry out hazard reduction on land without the consent of the owner after reasonable attempts to contact the landowner have failed, without serving a notice under section 66 of the Rural Fires Act.

Independent Hazard Reduction Audit Panel (NSW)
INQ237
REC237-0828 A - Responsibility 9 - Community education 12

That the NSW Rural Fire Service develop a strategy to better inform the community and NSW Rural Fire Service members about the NSW bush fire management system and its components.

Independent Hazard Reduction Audit Panel (NSW)
INQ237
REC237-0821 E - Agency Organisation 32 - Doctrine, standards, and reform 5

That the definition of “bush fire hazard reduction work” in the Dictionary of the Rural Fires Act 1997 be amended to include the establishment or maintenance of fire trails.

Independent Hazard Reduction Audit Panel (NSW)
INQ237
REC237-0829 A - Responsibility 9 - Community education 13

That Bush Fire Risk Management Plans be posted on the NSW Rural Fire Service website.

Independent Hazard Reduction Audit Panel (NSW)
INQ237
REC237-0825 B - Preparedness 1 - Land-use and building regs 9

That the NSW Rural Fire Service hold discussions with the Department of Planning and Infrastructure and Local Government NSW on ways to improve compliance with development consents under section 76A of the Environmental Planning and Assessment Act 1979.

Independent Hazard Reduction Audit Panel (NSW)
INQ237
REC237-0822 E - Agency Organisation 32 - Doctrine, standards, and reform 6

That section 74 of the Rural Fires Act 1997 be amended to require public authorities to report to the Commissioner of the NSW Rural Fire Service within one month of the end of the financial year on activities undertaken to reduce bush fire hazards on managed land during the preceding financial ye

Independent Hazard Reduction Audit Panel (NSW)
INQ237
REC237-0830 A - Responsibility 9 - Community education 14

That Bush Fire Risk Management Plans be tabled at Local Emergency Management Committees for comment.

Independent Hazard Reduction Audit Panel (NSW)
INQ237
REC237-0823 E - Agency Organisation 32 - Doctrine, standards, and reform 7

That section 74 of the Rural Fires Act 1997 be amended to require public authorities to report monthly to the Commissioner of the NSW Rural Fire Service on activities undertaken to reduce bush fire hazards on managed land during the preceding month and the reasons why any planned activities did n

Independent Hazard Reduction Audit Panel (NSW)
INQ237
REC237-0824 E - Agency Organisation 32 - Doctrine, standards, and reform 8

That section 100I of the Rural Fires Act 1997 be amended to allow hazard reduction certificates to be issued for annual low impact works for a period of three years, where appropriate.

Independent Hazard Reduction Audit Panel (NSW)
INQ237
REC237-0826 E - Agency Organisation 32 - Doctrine, standards, and reform 10

That the NSW Rural Fire Service hold discussions with the Commonwealth Department of Sustainability, Environment, Water, Population and Communities about hazard reduction and roadside vegetation, including potential changes to the NSW Bush Fire Environmental Assessment Code.

Independent Hazard Reduction Audit Panel (NSW)
INQ237
REC237-0827 E - Agency Organisation 32 - Doctrine, standards, and reform 11

The Panel notes and endorses the NSW bush fire management system based on a multi-agency, tenure blind approach using locally focused Bush Fire Management Committees, Bush Fire Management Plans and the Bush Fire Environmental Assessment Code as best practice.

Independent Hazard Reduction Audit Panel (NSW)
INQ237
REC237-0833 E - Agency Organisation 37 - Funding 17

That the NSW Rural Fire Service and the NSW Treasury explore ways to ensure that unspent hazard reduction funds be carried over to the next financial year in a timely manner and to ensure that hazard reduction funding has a seamless transition from one financial year to the next.

Independent Hazard Reduction Audit Panel (NSW)
INQ237
REC237-0831 E - Agency Organisation 32 - Doctrine, standards, and reform 15

That Bush Fire Management Committees be required to take into account fuel age and fire frequency thresholds when developing Bush Fire Risk Management Plans

Independent Hazard Reduction Audit Panel (NSW)
INQ237
REC237-0834 E - Agency Organisation 37 - Funding 18

That the NSW Rural Fire Service apply for funding from the NSW Treasury for the development of a multi-agency business case for a BRIMS replacement that includes internal management, risk communication, community engagement capability and publishing activities on websites.

Independent Hazard Reduction Audit Panel (NSW)
INQ237
REC237-0832 E - Agency Organisation 32 - Doctrine, standards, and reform 16

That the NSW Rural Fire Service investigate use of appropriate modelling, such as PHOENIX RapidFire and the Bayesian Network analysis, to quantify the level of bush fire risk to critical values and assets.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2788 E - Agency Organisation 16 - Training and behaviour Recommendation 6

The committee recommends that, as far as available resources allow, ATSB investigators be given access to training provided by the agency's international counterparts. Where this does not occur, resultant gaps in
training/competence must be advised to the minister and the Parliament.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2798 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 16

The committee recommends that, where relevant, the ATSB include thorough human factors analysis and discussion in future investigation reports. Where human factors are not considered relevant, the ATSB should include a statement explaining why.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2799 A - Responsibility 38 - Agency/Department Reporting Recommendation 17

The committee recommends that the ATSB prepare and release publicly a list of all its identified safety issues and the actions which are being taken or have been taken to address them.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2802 32 - Doctrine, standards, and reform Recommendation 20

The committee recommends that where the consideration and implementation of an ATSB recommendation may be protracted, the requirement for regular updates (for example 6 monthly) should be included in the TSI Act.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2800 A - Responsibility 38 - Agency/Department Reporting Recommendation 18

The committee recommends that where a safety action has not been completed before a report being issued that a recommendation should be made. If it has been completed the report should include details of the action, who was involved and how it was resolved.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2803 32 - Doctrine, standards, and reform Recommendation 21

The committee recommends that the government consider setting a time limit for agencies to implement or reject recommendations, beyond which ministerial oversight is required where the agencies concerned must report to the minister why the recommendation has not been implemented or that, with min

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2808 A - Responsibility 38 - Agency/Department Reporting Recommendation 26

The committee recommends that in relation to mandatory and confidential reporting, the default position should be that no identifying details should be provided or disclosed.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2792 A - Responsibility 25 - Inquiry, audit, lessons management and after action review Recommendation 10

The committee recommends that the investigation be re-opened by the ATSB with a focus on organisational, oversight and broader systemic issues.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2804 32 - Doctrine, standards, and reform Recommendation 22

The committee recommends that Airservices Australia discuss the safety case for providing a hazard alert service with Fijian and New Zealand ATC (and any other relevant jurisdictions) and encourage them to adopt this practice.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2793 A - Responsibility 25 - Inquiry, audit, lessons management and after action review Recommendation 11

The committee recommends that CASA processes in relation to matters highlighted by this investigation be reviewed.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2807 32 - Doctrine, standards, and reform Recommendation 25

The committee recommends that the Aeronautical Information Package (AIP) En Route Supplement Australia (ERSA) is updated to reflect the need for caution with regard to Norfolk Island forecasts where the actual conditions can change rapidly and vary from forecasts.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2795 A - Responsibility 25 - Inquiry, audit, lessons management and after action review Recommendation 13

The committee recommends that a short inquiry be conducted by the Senate Standing Committee on Rural and Regional Affairs and Transport into the current status of aviation regulatory reform to assess the direction, progress and resources expended to date to ensure greater visibility of the proces

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2801 A - Responsibility 25 - Inquiry, audit, lessons management and after action review Recommendation 19

The committee recommends that the ATSB review its process to track the implementation of recommendations or safety actions to ensure it is an effective closed loop system.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2783 C - Response 2 - Emergency powers Recommendation 1

The committee recommends that the Australian Transport Safety Bureau retrieve VH-NGA flight data recorders without further delay.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2805 A - Responsibility 25 - Inquiry, audit, lessons management and after action review Recommendation 23

The committee recommends that the relevant agencies review whether any equipment or other changes can be made to improve the weather forecasting at Norfolk Island. The review would include whether the Unicom operator should be an approved meteorological observer.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2806 A - Responsibility 25 - Inquiry, audit, lessons management and after action review Recommendation 24

The committee recommends that the relevant agencies investigate appropriate methods to ensure that information about the incidence of, and variable weather conditions at, Norfolk Island is available to assist flight crews and operators managing risk that may result from unforseen weather events.<

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2790 E - Agency Organisation 12 - EM agency and authority Recommendation 8

The committee recommends that an expert aviation safety panel be established to ensure quality control of ATSB investigation and reporting processes along the lines set out by the committee.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2797 E - Agency Organisation 12 - EM agency and authority Recommendation 15

The committee recommends that all meetings between the ATSB and CASA, whether formal or informal, where particulars of a given investigation are being discussed be appropriately minuted.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2784 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 2

The committee recommends that the minister, in issuing a new Statement of Expectations to the ATSB, valid from 1 July 2013, make it clear that safety in aviation operations involving passengers (fare paying or those with no control over the flight they are on, e.g.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2791 E - Agency Organisation 37 - Funding Recommendation 9

The committee recommends that the government develop a process by which the ATSB can request access to supplementary funding via the minister.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2785 E - Agency Organisation 32 - Doctrine, standards, and reform Recommendation 3

The committee recommends that the ATSB move away from its current approach of forecasting the probability of future events and focus on the analysis of factors which allowed the accident under investigation to occur.

Aviation Accident Investigations (Pel-air) (Federal)
INQ236
REC236-2786 32 - Doctrine, standards, and reform Recommendation 4

The committee recommends that the ATSB be required to document investigative avenues that were explored and then discarded, providing detailed explanations as to why.