Report of the Investigation Team Bulla Tanker 7 February 2009 ...
Report of the Investigation Team Bulla Tanker 7 February 2009 ...
Report of the Investigation Team Bulla Tanker 7 February 2009 ...
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CFA.001.027.0013<br />
<strong>Report</strong> <strong>of</strong> <strong>the</strong> <strong>Investigation</strong> <strong>Team</strong><br />
<strong>Bulla</strong> <strong>Tanker</strong><br />
7 <strong>February</strong> <strong>2009</strong><br />
Kilmore East Fire Complex<br />
Disclaimer<br />
This is a report to <strong>the</strong> Chief Officer <strong>of</strong> CFA. The report has been prepared in accordance with <strong>the</strong> Terms <strong>of</strong><br />
Reference, and <strong>the</strong> authorisation issued by <strong>the</strong> Chief Officer. The object <strong>of</strong> <strong>the</strong> investigation was to identify in a timely<br />
manner, matters that needed to be considered by <strong>the</strong> Chief Officer.<br />
The report is <strong>the</strong> findings <strong>of</strong> <strong>the</strong> author(s) based on <strong>the</strong> information available at <strong>the</strong> time <strong>the</strong> report was compiled.<br />
Given <strong>the</strong> restraints <strong>of</strong> time and circumstance, <strong>the</strong> report may not have identified all relevant facts and issues. The<br />
author(s) acknowledge <strong>the</strong>re may be inaccuracies or omissions in <strong>the</strong> document.<br />
The report is for <strong>the</strong> use <strong>of</strong> <strong>the</strong> intended recipients and may contain information that is confidential or privileged. If you<br />
are not <strong>the</strong> intended recipient <strong>of</strong> this report you are hereby notified that any use, dissemination, distribution or<br />
reproduction <strong>of</strong> this report is prohibited and that you must not take any action in reliance on it.<br />
If you have received this report in error, please notify CFA immediately.<br />
DRAFT – CFA internal working document
CFA.001.027.0014<br />
TABLE OF CONTENTS<br />
1. EXECUTIVE SUMMARY 4<br />
1.1 Date <strong>of</strong> <strong>the</strong> Incident 4<br />
1.2 Location <strong>of</strong> <strong>the</strong> Incident 4<br />
1.3 Jurisdiction 4<br />
1.4 Summary <strong>of</strong> Findings 4<br />
2. SCOPE 5<br />
2.1 <strong>Investigation</strong> 5<br />
2.2 Duration <strong>of</strong> <strong>the</strong> <strong>Investigation</strong> 5<br />
2.3 Authority to Undertake <strong>the</strong> <strong>Investigation</strong> / Terms <strong>of</strong> Reference 5<br />
2.4 Sources <strong>of</strong> Information 5<br />
2.5 Constraints Affecting <strong>the</strong> <strong>Investigation</strong> 5<br />
3. DESCRIPTION OF THE INCIDENT 5<br />
3.1 Vehicle Involved 5<br />
3.2 Area Affected by <strong>the</strong> Fire 5<br />
3.3 Wea<strong>the</strong>r at <strong>the</strong> Time <strong>of</strong> <strong>the</strong> Incident 6<br />
3.4 Fire Behaviour 6<br />
4. ANALYSIS – OBSERVATIONS 6<br />
4.1 Incident Sequence 6<br />
4.1.1 Appointment <strong>of</strong> Crew for <strong>Bulla</strong> <strong>Tanker</strong> 6<br />
4.1.2 Briefing <strong>of</strong> <strong>the</strong> <strong>Tanker</strong> Crew 6<br />
4.1.3 Arrival at Whittlesea Fire Station and Briefing 6<br />
4.1.4 Arrival and Tasking 7<br />
4.1.5 Fire conditions deteriorate 7<br />
4.1.6 Radio Message to make up and move out <strong>of</strong> <strong>the</strong> Fire Area. . 7<br />
4.1.7 Entering <strong>the</strong> Property at 600 Whittlesea-Yea Road 7<br />
4.1.8 Assessment by <strong>the</strong> Crew Leader 8<br />
4.1.9 Burn Over incident 8<br />
4.1.10 Moving From <strong>the</strong> Property 8<br />
4.1.11 Regrouping 9<br />
4.1.12 Crew Replacement 9<br />
4.2 Individual Human Factors 9<br />
4.2.1 Crew Experience and Training 9<br />
4.3 Management Factors 9<br />
4.3.1 Overall Fire Management 10<br />
4.3.2 Supervision <strong>of</strong> ST 1402 10<br />
4.4 Equipment Factors 10<br />
4.4.1 <strong>Bulla</strong> <strong>Tanker</strong> 10<br />
4.5 Personal Protective Equipment 10<br />
4.5.1 Wild Fire Jackets 10<br />
4.5.2 Helmets 10<br />
5. FINDINGS 10<br />
5.1 Vehicle Crewing 10<br />
5.2 Brigade Strike <strong>Team</strong> History 11<br />
5.3 Earlier Burn-over Experience 11<br />
5.4 Assessment <strong>of</strong> <strong>the</strong> fire situation at <strong>the</strong> property 11<br />
5.5 Fire Storm Conditions 11<br />
5.6 Actions by Crew and Vehicle Protection Systems.. 11<br />
5.7 Welfare <strong>of</strong> Crew and Condition <strong>of</strong> <strong>the</strong> <strong>Tanker</strong> Post Burn-Over 12<br />
5.8 Effectiveness <strong>of</strong> <strong>the</strong> Intercom System 12<br />
5.9 Perception <strong>of</strong> Crew Needs Post Incident 12<br />
<strong>Bulla</strong> <strong>Tanker</strong> Burnover – 600 Whittlesea-Yea Road – 07/02/<strong>2009</strong><br />
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5.10 <strong>Bulla</strong> <strong>Tanker</strong> Returned to Active Duties 12<br />
6. SCHEDULES 13<br />
6.1 Sources <strong>of</strong> Information 13<br />
6.2 Topographical Map <strong>of</strong> <strong>the</strong> Area 14<br />
6.3 Wea<strong>the</strong>r Conditions 14<br />
6.4 Area <strong>of</strong> Incident showing Terrain and Vegetation 15<br />
6.5 Photographs 17<br />
<strong>Bulla</strong> <strong>Tanker</strong> Burnover – 600 Whittlesea-Yea Road – 07/02/<strong>2009</strong><br />
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CFA.001.027.0016<br />
1. EXECUTIVE SUMMARY<br />
This investigation was carried out at <strong>the</strong> request <strong>of</strong> <strong>the</strong> Chief Officer <strong>of</strong> CFA in<br />
response to a report <strong>of</strong> a burn over <strong>of</strong> CFA <strong>Bulla</strong> <strong>Tanker</strong> during <strong>the</strong> Kinglake Fire<br />
Complex on <strong>February</strong> 7 th <strong>2009</strong>. <strong>Bulla</strong> <strong>Tanker</strong> 1 is a 2001 Isuzu 3.4D (Reg. No.<br />
MBD880) and was crewed by six <strong>Bulla</strong> volunteer firefighters at <strong>the</strong> time <strong>of</strong> <strong>the</strong><br />
incident.<br />
1.1 Date <strong>of</strong> <strong>the</strong> Incident<br />
The incident occurred on Saturday 7 <strong>February</strong> <strong>2009</strong> at approximately 1630 hours.<br />
1.2 Location <strong>of</strong> <strong>the</strong> Incident<br />
The incident occurred at 600 Whittlesea – Yea Road., Humevale.<br />
(VicRoads, Map 61 W9)<br />
1.3 Jurisdiction<br />
The fire was part <strong>of</strong> what was originally known as Kinglake East fire and this part<br />
was burning on private land. The control agency for <strong>the</strong> fire at <strong>the</strong> time <strong>of</strong> <strong>the</strong><br />
incident was CFA.<br />
1.4 Summary <strong>of</strong> Findings<br />
• On <strong>the</strong> day <strong>of</strong> <strong>the</strong> fire Victoria was experiencing some <strong>of</strong> <strong>the</strong> most severe fire<br />
wea<strong>the</strong>r conditions ever encountered<br />
• The ferocity <strong>of</strong> <strong>the</strong> fire and its rapid rate <strong>of</strong> spread created hostile conditions<br />
and stretched resources over vast areas<br />
• As part <strong>of</strong> ST1402 <strong>Bulla</strong> <strong>Tanker</strong> was tasked at a fire burning ahead <strong>of</strong> <strong>the</strong><br />
main fire on <strong>the</strong> south-eastern side <strong>of</strong> Whittlesea – Yea Road<br />
• Strong wind gusts and localised fire behaviour severely hampered <strong>the</strong><br />
conditions around where this strike team was operating<br />
• As conditions deteriorated <strong>the</strong> Strike <strong>Team</strong> Leader gave clear instructions to<br />
all crew leaders that <strong>the</strong>y were withdrawing from this area<br />
• A retreat towards Whittlesea commenced with vehicles in convoy being led by<br />
<strong>the</strong> ST Leader<br />
• During retreat <strong>Bulla</strong> <strong>Tanker</strong> was directed on to a private property at 600<br />
Whittlesea-Yea Road, following Sunbury <strong>Tanker</strong> 2<br />
• <strong>Bulla</strong> <strong>Tanker</strong> passed Sunbury <strong>Tanker</strong> 2 and made its way to <strong>the</strong> rear <strong>of</strong> <strong>the</strong><br />
house on this property<br />
• At this location <strong>the</strong> crew observed an open area with light vegetation<br />
• <strong>Bulla</strong> <strong>Tanker</strong> was directed to <strong>the</strong> front <strong>of</strong> <strong>the</strong> house where Sunbury <strong>Tanker</strong> 2<br />
had turned around to face outwards<br />
• A sudden increase in erratic fire behaviour (fire storm conditions) occurred<br />
without warning shortly after <strong>the</strong> <strong>Bulla</strong> <strong>Tanker</strong> pulled up behind Sunbury<br />
<strong>Tanker</strong> 2<br />
• The <strong>Bulla</strong> Crew Leader recalled a previous experience some years earlier<br />
where his <strong>Tanker</strong> was caught behind ano<strong>the</strong>r CFA <strong>Tanker</strong> as a burn-over<br />
occurred<br />
• This prompted <strong>the</strong> Crew Leader to direct <strong>the</strong> driver to reverse <strong>the</strong> tanker to<br />
<strong>the</strong> open area at <strong>the</strong> rear <strong>of</strong> <strong>the</strong> house<br />
• The crew implemented safety and survival procedures including water spray<br />
protection and woollen blankets<br />
<strong>Bulla</strong> <strong>Tanker</strong> Burnover – 600 Whittlesea-Yea Road – 07/02/<strong>2009</strong><br />
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• The sustained impact from fire lasted for approximately 20 minutes<br />
• <strong>Bulla</strong> <strong>Tanker</strong>, on hearing Sunbury <strong>Tanker</strong> 2 radio that <strong>the</strong>y were leaving <strong>the</strong><br />
property, <strong>the</strong>n drove back to <strong>the</strong> front <strong>of</strong> <strong>the</strong> house and followed Sunbury<br />
<strong>Tanker</strong> 2<br />
• Both <strong>Tanker</strong>s travelled back towards Whittlesea until <strong>the</strong>y caught up with<br />
Greenvale and Epping <strong>Tanker</strong>s<br />
• No injuries, apart from minor ember burns, were sustained by <strong>Bulla</strong> crew<br />
members<br />
• The <strong>Bulla</strong> <strong>Tanker</strong> did not sustain any damage<br />
2. SCOPE<br />
2.1 <strong>Investigation</strong><br />
The <strong>Investigation</strong> <strong>Team</strong> comprised David Nichols and Ken O’Brien representing<br />
CFA.<br />
2.2 Duration <strong>of</strong> <strong>the</strong> <strong>Investigation</strong><br />
The investigation commenced on 3 rd April <strong>2009</strong> and was completed on 24 th June<br />
<strong>2009</strong>.<br />
2.3 Authority to Undertake <strong>the</strong> <strong>Investigation</strong> / Terms <strong>of</strong> Reference<br />
The investigation was undertaken at <strong>the</strong> request <strong>of</strong> CFA Manager Operations<br />
Performance Improvement - Deputy Chief Officer Greg Esnouf.<br />
2.4 Sources <strong>of</strong> Information<br />
During <strong>the</strong> investigation, personnel identified in Schedule 6.1 were interviewed.<br />
2.5 Constraints Affecting <strong>the</strong> <strong>Investigation</strong><br />
As a result <strong>of</strong> <strong>the</strong> ST Leaders Vehicle being destroyed, all logs including radio<br />
communications, times and activities for <strong>the</strong> strike team deployment were also<br />
destroyed.<br />
Due to <strong>the</strong> high number <strong>of</strong> investigations and o<strong>the</strong>r operational activity following<br />
<strong>the</strong> conditions <strong>of</strong> <strong>February</strong> 7 it was not practical to commence this investigation<br />
until almost seven weeks later.<br />
The driver <strong>of</strong> <strong>Bulla</strong> <strong>Tanker</strong> was also not available for interview.<br />
3. DESCRIPTION OF THE INCIDENT<br />
3.1 Vehicle Involved<br />
<strong>Bulla</strong> <strong>Tanker</strong> is a 2001 Isuzu Single Cab, 3.4D fitted with a Roll Over Protection<br />
System. It does not have Crew Protection Sprays fitted but does have Fog Spray<br />
Protection capabilities.<br />
3.2 Area Affected by <strong>the</strong> Fire<br />
<strong>Bulla</strong> <strong>Tanker</strong> Burnover – 600 Whittlesea-Yea Road – 07/02/<strong>2009</strong><br />
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CFA.001.027.0018<br />
The fire was part <strong>of</strong> <strong>the</strong> large Kilmore East Fire Complex which originated near<br />
Kilmore East and was reported by <strong>the</strong> Mount Hickey Fire Tower at 1149 hours.<br />
The fire destroyed 255,000 hectares <strong>of</strong> private and public land in <strong>the</strong> Kinglake,<br />
Kinglake West, Stra<strong>the</strong>wen and numerous o<strong>the</strong>r communities resulting in 159<br />
fatalities and destroyed 1639 buildings.<br />
3.3 Wea<strong>the</strong>r at <strong>the</strong> Time <strong>of</strong> <strong>the</strong> Incident<br />
The wea<strong>the</strong>r conditions were generally as expected with extreme temperatures in<br />
<strong>the</strong> mid 40’s and gusty N-NW winds ahead <strong>of</strong> a strong S-SW wind change which<br />
occurred shortly after <strong>the</strong> incident. (Refer to Schedule 6.3)<br />
3.4 Fire Behaviour<br />
Fire behaviour on <strong>the</strong> day was extreme with spotting activity many kilometres<br />
ahead <strong>of</strong> <strong>the</strong> main fire. Rates <strong>of</strong> spread were up to 8 to 12 kilometres per hour<br />
according to post incident analysis conducted by fire behaviour analysts. Despite<br />
<strong>the</strong> large number <strong>of</strong> fire fighting resources deployed, control <strong>of</strong> fires under <strong>the</strong><br />
prevailing conditions was considered impossible. Crews resorted to <strong>the</strong> protection<br />
<strong>of</strong> individual assets and people while undertaking procedures to ensure <strong>the</strong>ir own<br />
safety and survival. At <strong>the</strong> time <strong>of</strong> <strong>the</strong> burn over crews described <strong>the</strong> fire<br />
behaviour as “a fire storm” which hit with little warning and from at least two<br />
directions with a very loud roaring noise. The “fire storm” consisted <strong>of</strong> a very loud<br />
roaring noise, strong winds, dark smoke and severe ember attack.<br />
4. ANALYSIS – OBSERVATIONS<br />
Note: For fur<strong>the</strong>r information on ST 1402 Deployment and Background this<br />
<strong>Report</strong> should be read in conjunction with <strong>the</strong> Craigieburn Car <strong>Report</strong>.<br />
4.1 Incident Sequence<br />
4.1.1 Appointment <strong>of</strong> Crew for <strong>Bulla</strong> <strong>Tanker</strong><br />
The crew members for <strong>Bulla</strong> <strong>Tanker</strong> were selected at <strong>the</strong> time <strong>of</strong> deployment<br />
from Brigade members who were at <strong>the</strong> station at <strong>the</strong> time (approx 1500 Hrs).<br />
The selection was based on having a good mix <strong>of</strong> experienced members plus<br />
providing an opportunity for a young member to gain experience. This<br />
resulted in six members being selected as <strong>the</strong> crew. There was also<br />
consideration that enough experience was left to provide protection to <strong>the</strong><br />
township <strong>of</strong> <strong>Bulla</strong> with members experienced and trained in <strong>the</strong> operation <strong>of</strong><br />
<strong>the</strong> Brigades Quick Attack appliance.<br />
4.1.2 Briefing <strong>of</strong> <strong>the</strong> <strong>Tanker</strong> Crew<br />
The <strong>Bulla</strong> <strong>Tanker</strong> Crew did not receive any briefing at any stage though it was<br />
noticed <strong>the</strong> Strike <strong>Team</strong> Leader was having trouble getting any useful<br />
information on <strong>the</strong> requirements <strong>of</strong> <strong>the</strong> Strike <strong>Team</strong> while <strong>the</strong>y were stopped<br />
at Wallan <strong>the</strong>n Whittlesea. Any information received by <strong>the</strong> Crew Leader was<br />
passed on to all members <strong>of</strong> his Crew as required.<br />
4.1.3 Arrival at Whittlesea Fire Station and Briefing<br />
<strong>Bulla</strong> <strong>Tanker</strong> Burnover – 600 Whittlesea-Yea Road – 07/02/<strong>2009</strong><br />
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The <strong>Bulla</strong> <strong>Tanker</strong> arrived with ST1402 at <strong>the</strong> Whittlesea FS at approximately<br />
1540 hours. After <strong>the</strong> STL received a short briefing at <strong>the</strong> Fire Station he<br />
quickly briefed all <strong>the</strong> crew leaders and advised that <strong>the</strong>y were to go up to a<br />
location on <strong>the</strong> Whittlesea-Yea Road where <strong>the</strong> fire was burning on <strong>the</strong> side<br />
<strong>of</strong> <strong>the</strong> road. The Strike <strong>Team</strong> task was to try and suppress <strong>the</strong> fire and<br />
provide asset protection from spot fires from <strong>the</strong> south-east side <strong>of</strong> <strong>the</strong> road.<br />
4.1.4 Arrival and Tasking<br />
The Strike <strong>Team</strong> arrived at a turn around point on <strong>the</strong> Whittlesea-Yea Road<br />
about 20 minutes later (approximately 1600 hours). While travelling up hill to<br />
<strong>the</strong> turnaround point <strong>the</strong> crew noticed <strong>the</strong> fire down in <strong>the</strong> gully burning up to<br />
<strong>the</strong> roadside on <strong>the</strong> south side with flame heights <strong>of</strong> 2 to 3 metres.<br />
At <strong>the</strong> turnaround point <strong>the</strong> crew leaders were again briefed by <strong>the</strong> STL and<br />
instructed to spread out about 30 metres apart along <strong>the</strong> side <strong>of</strong> <strong>the</strong> road and<br />
try to stop <strong>the</strong> fire crossing <strong>the</strong> road form <strong>the</strong> sou<strong>the</strong>rn side into <strong>the</strong> unburnt<br />
area on <strong>the</strong> north side. Crews were to work from <strong>the</strong> vehicles and not run<br />
hose lines. The aim was to keep <strong>the</strong> road open as <strong>the</strong>re was a lot <strong>of</strong> traffic in<br />
both directions.<br />
At this point <strong>Bulla</strong> <strong>Tanker</strong> was second in <strong>the</strong> line <strong>of</strong> <strong>Tanker</strong>s behind Sunbury<br />
<strong>Tanker</strong> 2 heading down hill towards Whittlesea.<br />
4.1.5 Fire conditions deteriorate<br />
Before long (5-10 minutes) at approximately 1555 hours, <strong>the</strong> wind started to<br />
streng<strong>the</strong>n and <strong>the</strong> fire had now jumped <strong>the</strong> road. All four tankers were<br />
directed to move in behind one ano<strong>the</strong>r on <strong>the</strong> right hand side <strong>of</strong> <strong>the</strong> road<br />
away from <strong>the</strong> heat. <strong>Bulla</strong> tanker had used about 600 – 700 litres <strong>of</strong> water<br />
during this time. There were still many cars moving in both directions along<br />
Whittlesea-Yea Road.<br />
4.1.6 Radio Message to make up and move out <strong>of</strong> <strong>the</strong> Fire Area.<br />
The Crew Leader copied a radio message on radio CFA channel 64 from<br />
STL that as <strong>the</strong> situation is deteriorating all ST1402 <strong>Tanker</strong>s were to make up<br />
and move out <strong>of</strong> <strong>the</strong> fire and smoke down <strong>the</strong> road to a safer location towards<br />
Whittlesea. The ST Leaders vehicle <strong>the</strong>n moved to <strong>the</strong> front <strong>of</strong> <strong>the</strong> strike team<br />
and <strong>the</strong>y all moved <strong>of</strong>f down <strong>the</strong> hill within two minutes <strong>of</strong> <strong>the</strong> decision to<br />
move out.<br />
4.1.7 Entering <strong>the</strong> Property at 600 Whittlesea-Yea Road<br />
The <strong>Bulla</strong> Crew Leader noticed that Greenvale and Epping <strong>Tanker</strong>s had<br />
stayed well back from <strong>the</strong> leading two tankers and <strong>the</strong> Strike <strong>Team</strong> Leaders<br />
Vehicle. He <strong>the</strong>n heard <strong>the</strong>m advise <strong>the</strong> STL via radio that <strong>the</strong>y were<br />
assisting residents on a property on <strong>the</strong> left side <strong>of</strong> <strong>the</strong> road.<br />
At 600 Whittlesea-Yea Road both Sunbury <strong>Tanker</strong> 2 and <strong>Bulla</strong> <strong>Tanker</strong> were<br />
directed by <strong>the</strong> STL to enter <strong>the</strong> property.<br />
Sunbury <strong>Tanker</strong> 2 entered first and pulled up near <strong>the</strong> front <strong>of</strong> <strong>the</strong> house.<br />
<strong>Bulla</strong> <strong>Tanker</strong> followed and <strong>the</strong>n passed Sunbury <strong>Tanker</strong> 2 who were<br />
attempting to turn <strong>the</strong> vehicle around so as to point out towards <strong>the</strong> roadway.<br />
<strong>Bulla</strong> <strong>Tanker</strong> Burnover – 600 Whittlesea-Yea Road – 07/02/<strong>2009</strong><br />
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<strong>Bulla</strong> <strong>Tanker</strong> continued to <strong>the</strong> rear <strong>of</strong> <strong>the</strong> house where <strong>the</strong>y found an open<br />
area with low vegetation and only one large tree that could pose any problem<br />
if <strong>the</strong> fire front passed. The tanker turned around this tree and, on hearing a<br />
radio call from Sunbury <strong>Tanker</strong> 2 for assistance, made its way back towards<br />
<strong>the</strong> front <strong>of</strong> <strong>the</strong> house, again pulling up behind Sunbury <strong>Tanker</strong> 2.<br />
4.1.8 Assessment by <strong>the</strong> Crew Leader<br />
At this stage <strong>the</strong> fire was burning up towards <strong>the</strong> house from a number <strong>of</strong><br />
directions because <strong>of</strong> spotting activity and wind gusts affected by <strong>the</strong> terrain.<br />
The Crew Leader was very uncomfortable with where his <strong>Tanker</strong> was located<br />
as he had noticed some large trees along <strong>the</strong> front <strong>of</strong> <strong>the</strong> property.<br />
He also recalled an earlier event in his CFA experience where a <strong>Tanker</strong> he<br />
was on was caught in a burn-over. At that time he and his crew were<br />
convinced <strong>the</strong>ir situation was made worse by <strong>the</strong> fact that <strong>the</strong>y were behind<br />
ano<strong>the</strong>r CFA <strong>Tanker</strong> which meant that <strong>the</strong>ir movements to any o<strong>the</strong>r area <strong>of</strong><br />
safety was quite restricted.<br />
Now at this location he again found himself and his crew in a potential burnover<br />
and again <strong>the</strong>ir movement restricted by a CFA <strong>Tanker</strong> in front.<br />
Therefore <strong>the</strong> Crew Leader advised <strong>the</strong> Driver to reverse <strong>the</strong> <strong>Bulla</strong> <strong>Tanker</strong> to<br />
<strong>the</strong> open area at <strong>the</strong> rear <strong>of</strong> <strong>the</strong> house which he felt <strong>of</strong>fered a much better<br />
level <strong>of</strong> safety plus a better opportunity to move if necessary for fur<strong>the</strong>r<br />
protection.<br />
4.1.9 Burn Over incident<br />
All members <strong>of</strong> <strong>the</strong> <strong>Bulla</strong> <strong>Tanker</strong> felt relatively comfortable throughout this<br />
ordeal even though visibility was poor, embers were flying everywhere and<br />
radiant heat levels were very high.<br />
The crew were keen to point out that <strong>the</strong>y at no time considered that <strong>the</strong>y<br />
were in ‘survival mode’ but were taking actions based more on precautionary<br />
measures.<br />
These actions included using two short 38mm hose lines in short bursts <strong>of</strong><br />
fog as required, <strong>the</strong> use <strong>of</strong> blankets which had been readied prior to entering<br />
<strong>the</strong> property and having <strong>the</strong> monitor ready in case <strong>the</strong> large tree in <strong>the</strong> middle<br />
<strong>of</strong> <strong>the</strong> open area caught fire.<br />
The use <strong>of</strong> any water for protection was very minimal as <strong>the</strong> crew members<br />
on <strong>the</strong> back <strong>of</strong> <strong>the</strong> <strong>Tanker</strong> were all relatively comfortable with <strong>the</strong> protection<br />
<strong>of</strong>fered by <strong>the</strong> heat shields and blankets; however some adjustment to <strong>the</strong><br />
positioning <strong>of</strong> <strong>the</strong> blankets was needed to keep out burning embers. This<br />
could be attributed to having three blankets providing protection for four<br />
members.<br />
4.1.10 Moving From <strong>the</strong> Property<br />
After most <strong>of</strong> <strong>the</strong> fire had passed <strong>the</strong> CL overheard a radio message that<br />
Sunbury <strong>Tanker</strong> 2 were leaving and so directed <strong>the</strong> driver to move forward<br />
towards where Sunbury had been parked. There <strong>the</strong>y caught up with<br />
Sunbury <strong>Tanker</strong> 2 and followed it <strong>of</strong>f <strong>the</strong> property back on to Whittlesea-Yea<br />
Road where <strong>the</strong>y turned left.<br />
On leaving <strong>the</strong> property <strong>the</strong> driver <strong>of</strong> <strong>the</strong> <strong>Bulla</strong> <strong>Tanker</strong> was quite startled to<br />
see <strong>the</strong> Craigieburn Car well alight behind a shed.<br />
O<strong>the</strong>rs on <strong>the</strong> passenger side <strong>of</strong> <strong>the</strong> rear <strong>of</strong> <strong>Bulla</strong> <strong>Tanker</strong> also noticed some<br />
burning vehicles along Whittlesea-Yea Road.<br />
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When <strong>the</strong> crew left <strong>the</strong> property <strong>the</strong>y felt relieved and happy that <strong>the</strong>y would<br />
be able to regroup and restart <strong>the</strong>ir firefighting activities.<br />
After a very short time <strong>the</strong> vehicles found <strong>the</strong>mselves in an unburnt area with<br />
clean air and bright conditions. Here <strong>the</strong>y pulled over on <strong>the</strong> side <strong>of</strong> <strong>the</strong> road<br />
with Sunbury <strong>Tanker</strong> 2 and were soon joined by Greenvale and Epping<br />
<strong>Tanker</strong>s.<br />
4.1.11 Regrouping<br />
The <strong>Bulla</strong> crew noted that <strong>the</strong> Craigieburn crew were all accounted for and<br />
had travelled from <strong>the</strong> property on Sunbury <strong>Tanker</strong> 2. All crew members from<br />
all <strong>Tanker</strong>s were also accounted for and a quick check was carried out on <strong>the</strong><br />
condition <strong>of</strong> each <strong>Tanker</strong>.<br />
<strong>Bulla</strong> noticed that <strong>the</strong>re <strong>Tanker</strong> had escaped unharmed apart from a short<br />
recirculation hose on <strong>the</strong> pump which had burst.<br />
The Strike <strong>Team</strong> <strong>the</strong>n headed back to Whittlesea where <strong>the</strong> <strong>Bulla</strong> crew felt<br />
<strong>the</strong>y would simply get refreshments, fill up <strong>the</strong> tanker and, after minor<br />
maintenance to mend <strong>the</strong> recirculation hose, <strong>the</strong>y would return to firefighting<br />
duties.<br />
4.1.12 Crew Replacement<br />
The <strong>Bulla</strong> Crew were dismayed to learn when at Whittlesea that <strong>the</strong>y were to<br />
return home. They were advised that, as members <strong>of</strong> Strike <strong>Team</strong> 1402 who<br />
had just experienced a traumatic event, <strong>the</strong>y were all to return via<br />
Craigieburn to <strong>the</strong>ir home locations.<br />
The <strong>Bulla</strong> Crew felt that, due to <strong>the</strong> location <strong>the</strong>y selected to wait out <strong>the</strong> fire<br />
storm, <strong>the</strong>y had not been impacted to <strong>the</strong> same degree as o<strong>the</strong>r crews and,<br />
as <strong>the</strong>y had not been at <strong>the</strong> fire ground for very long, <strong>the</strong>re working day was<br />
still just beginning.<br />
Again at Craigieburn <strong>the</strong> <strong>Bulla</strong> Crew were advised that <strong>the</strong>y were not to crew<br />
<strong>the</strong>ir vehicle though ano<strong>the</strong>r <strong>Bulla</strong> Crew was assembled to continue with <strong>the</strong><br />
<strong>Bulla</strong> <strong>Tanker</strong> which was still in good operational condition.<br />
4.2 Individual Human Factors<br />
4.2.1 Crew Experience and Training<br />
The Crew Leader has 22 years experience and had, previous to this incident,<br />
been away on many campaign fires as a crew leader and crew member. He<br />
is a qualified and endorsed crew leader. He also has previous experience in<br />
a burn-over situation at a fire at Cobaw in <strong>the</strong> Macedon Ranges.<br />
This incident has had a long lasting effect on members involved from <strong>Bulla</strong><br />
with a long established Brigade member leaving <strong>the</strong> Brigade soon after <strong>the</strong><br />
Cobaw event. The Crew Leader recalled this event during this incident and<br />
used this experience to identify a better, safer anchor point for his crew and<br />
vehicle. The driver <strong>of</strong> <strong>the</strong> vehicle, who could not be available for <strong>the</strong><br />
interview, was also involved in <strong>the</strong> Cobaw incident.<br />
All Brigade members regularly train in crew safety and practice survival<br />
procedures. Brigade members participated in a Group Exercise about a<br />
month before 7 th <strong>February</strong>.<br />
4.3 Management Factors<br />
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4.3.1 Overall Fire Management<br />
There did not appear to be a management structure in place at Whittlesea<br />
Fire Station to assist with <strong>the</strong> deployment <strong>of</strong> ST1402.<br />
4.3.2 Supervision <strong>of</strong> ST 1402<br />
The strike team was under <strong>the</strong> control <strong>of</strong> ST Leader Paul Elso who had<br />
briefed and communicated regularly with all crew leaders. His task during <strong>the</strong><br />
burn over period was extremely difficult and stressful as he was also<br />
monitoring a burn-over incident involving ano<strong>the</strong>r two tankers from his Strike<br />
<strong>Team</strong> at a location 400 metres away.<br />
4.4 Equipment Factors<br />
4.4.1 <strong>Bulla</strong> <strong>Tanker</strong><br />
• <strong>Bulla</strong> <strong>Tanker</strong> is a 3.4D<br />
• The installed crew protection systems performed without fault.<br />
• The intercom system between <strong>the</strong> ROPS and <strong>the</strong> cabin worked as<br />
expected. <strong>Bulla</strong> members were surprised to hear <strong>of</strong> criticism <strong>of</strong> this<br />
device on o<strong>the</strong>r tankers and so questioned <strong>the</strong> training and<br />
understanding <strong>of</strong> its operation by o<strong>the</strong>r crews.<br />
• The short recirculation hose on <strong>the</strong> pump failed at some stage during<br />
<strong>the</strong> event but did not impact on <strong>the</strong> pumps operation or <strong>the</strong> availability<br />
<strong>of</strong> water to <strong>the</strong> spray nozzles or monitor. However <strong>the</strong> nozzles and<br />
monitor were used very lightly. If <strong>the</strong> need to use <strong>the</strong>se was <strong>of</strong> a more<br />
urgent nature it is not known if <strong>the</strong> hose failure would have had an<br />
impact. The hose was quickly replaced when <strong>the</strong> vehicle returned to<br />
Whittlesea on its way back home.<br />
4.5 Personal Protective Equipment<br />
4.5.1 Wild Fire Jackets<br />
Members on <strong>the</strong> back <strong>of</strong> <strong>the</strong> tanker noticed that some burning embers were<br />
able to get within <strong>the</strong> sleeves <strong>of</strong> <strong>the</strong>ir Wild Fire Jackets. However this could<br />
be due to <strong>the</strong> velcro tabs not being adjusted correctly. Once readjusted <strong>the</strong><br />
problem seemed to be remedied.<br />
4.5.2 Helmets<br />
Some heat was detected by <strong>the</strong> crew on <strong>the</strong> rear <strong>of</strong> <strong>the</strong> vehicle on <strong>the</strong>ir<br />
heads indicating it had entered <strong>the</strong> space between <strong>the</strong>ir skulls and <strong>the</strong> shells<br />
<strong>of</strong> <strong>the</strong>ir helmets.<br />
5. FINDINGS<br />
5.1 Vehicle Crewing<br />
The crew <strong>of</strong> <strong>Bulla</strong> <strong>Tanker</strong> was a good mix <strong>of</strong> experienced members and young<br />
members keen to pick up from <strong>the</strong>ir more senior counterparts. This resulted in<br />
six members making up <strong>the</strong> crew <strong>of</strong> this vehicle.<br />
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The sixth member meant that, at <strong>the</strong> time <strong>the</strong> fire passed, four members were in<br />
<strong>the</strong> ROPS area on <strong>the</strong> rear <strong>of</strong> <strong>the</strong> vehicle, under <strong>the</strong> protection <strong>of</strong> just three<br />
blankets.<br />
5.2 Brigade Strike <strong>Team</strong> History<br />
<strong>Bulla</strong> Brigade are very proud <strong>of</strong> <strong>the</strong>ir Brigade history as a Brigade that has been<br />
involved in Region 14 Strike <strong>Team</strong>s at any large fire over <strong>the</strong> past number <strong>of</strong><br />
years. Their pride extends to <strong>the</strong> understanding that every crew that has<br />
represented <strong>the</strong> Brigade has done so in an exemplary manner showing a high<br />
degree <strong>of</strong> skill, dedication and hard, honest work ethics.<br />
5.3 Earlier Burn-over Experience<br />
Some members <strong>of</strong> <strong>the</strong> <strong>Bulla</strong> Crew, including <strong>the</strong> Crew Leader and <strong>the</strong> Driver,<br />
had previous experience involving a <strong>Bulla</strong> <strong>Tanker</strong> caught in a burnout situation.<br />
At <strong>the</strong> Cobaw Fire <strong>Bulla</strong> <strong>Tanker</strong> was part <strong>of</strong> a Strike <strong>Team</strong> that were overrun by<br />
fire in such a traumatic scenario that at least one long term, well respected and<br />
experienced firefighter resigned from <strong>the</strong> Brigade almost immediately afterwards.<br />
During this incident it was believed by <strong>the</strong> <strong>Bulla</strong> Crew that <strong>the</strong> vehicle was in this<br />
predicament because it was trapped behind ano<strong>the</strong>r CFA <strong>Tanker</strong> which made it<br />
impossible to relocate to a more protected location.<br />
5.4 Assessment <strong>of</strong> <strong>the</strong> fire situation at <strong>the</strong> property<br />
The Crew Leader assessed that <strong>the</strong> location <strong>of</strong> <strong>the</strong> <strong>Bulla</strong> <strong>Tanker</strong> when fire was<br />
approaching <strong>the</strong> property at 600 Whittlesea-Yea Road did not <strong>of</strong>fer his crew <strong>the</strong><br />
best protection due to a number <strong>of</strong> factors such as:<br />
• Trees lined <strong>the</strong> front <strong>of</strong> <strong>the</strong> property<br />
• Fires approaching from a number <strong>of</strong> directions due to spotting and erratic<br />
wind conditions<br />
• The vehicle was behind ano<strong>the</strong>r CFA <strong>Tanker</strong> allowing <strong>Bulla</strong> <strong>Tanker</strong><br />
nowhere to move forward if required to do so<br />
• A more appropriate anchor point had already been identified by <strong>the</strong> crew<br />
at <strong>the</strong> rear <strong>of</strong> <strong>the</strong> house<br />
The Crew Leader directed <strong>the</strong> Driver to reverse <strong>the</strong> vehicle to this safer location<br />
in an open area at <strong>the</strong> rear <strong>of</strong> <strong>the</strong> house.<br />
5.5 Fire Storm Conditions<br />
The conditions at <strong>the</strong> rear <strong>of</strong> <strong>the</strong> house provided better protection than those at<br />
<strong>the</strong> front <strong>of</strong> <strong>the</strong> house where Sunbury <strong>Tanker</strong> 2 and Craigieburn Command<br />
Vehicle were located.<br />
With <strong>the</strong> exception <strong>of</strong> a large tree <strong>the</strong> area at <strong>the</strong> rear <strong>of</strong> <strong>the</strong> house was open<br />
with light vegetation.<br />
The crew are quite adamant that <strong>the</strong>ir location assisted <strong>the</strong>m getting through this<br />
ordeal as well as <strong>the</strong>y did.<br />
5.6 Actions by Crew and Vehicle Protection Systems.<br />
When <strong>the</strong> burn-over occurred <strong>the</strong> crew took refuge in <strong>Bulla</strong> <strong>Tanker</strong> (3.4D) and<br />
correctly deployed <strong>the</strong> crew protection systems which operated without fault. The<br />
protection blankets used in <strong>the</strong> ROPS area provided a very effective barrier to <strong>the</strong><br />
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heat and ember attack with <strong>the</strong> four crew saying <strong>the</strong>y felt quite comfortable and<br />
safe. Two spray nozzles were also prepared for extra protection.<br />
At no stage did <strong>the</strong> crew feel that <strong>the</strong>ir lives were in real danger nor did <strong>the</strong>y<br />
consider that <strong>the</strong>ir actions constituted being in survival mode.<br />
Their actions were more to do with providing extra comfort and being prepared in<br />
case <strong>the</strong> situation deteriorated fur<strong>the</strong>r.<br />
5.7 Welfare <strong>of</strong> Crew and Condition <strong>of</strong> <strong>the</strong> <strong>Tanker</strong> Post Burn-Over<br />
• None <strong>of</strong> <strong>the</strong> crew sustained any injuries or burns except for some<br />
minor ember burns which entered through <strong>the</strong> sleeves <strong>of</strong> <strong>the</strong>ir jackets.<br />
Embers stopped entering once <strong>the</strong> velcro on <strong>the</strong> jacket sleeves were<br />
readjusted.<br />
• The tanker did not sustain any fire or heat damage however a<br />
recirculation hose was found to have burst following <strong>the</strong> incident.<br />
5.8 Effectiveness <strong>of</strong> <strong>the</strong> Intercom System<br />
The Intercom system installed to provide communication between <strong>the</strong> cabin crew<br />
and <strong>the</strong> crew in <strong>the</strong> ROPS on <strong>the</strong> rear <strong>of</strong> <strong>Bulla</strong> <strong>Tanker</strong> worked as expected.<br />
5.9 Perception <strong>of</strong> Crew Needs Post Incident<br />
The <strong>Bulla</strong> crew felt that one <strong>of</strong> <strong>the</strong>ir main obligations when responding to a fire<br />
was to represent <strong>the</strong>ir Brigade, and CFA, in an appropriate manner and provide<br />
<strong>the</strong> highest level <strong>of</strong> support to communities threatened by fire.<br />
The Strike <strong>Team</strong> had only been deployed to actual firefighting duties for a short<br />
time before <strong>the</strong>y were directed to a safe point for regrouping but <strong>the</strong>n diverted to<br />
<strong>the</strong> property on Whittlesea-Yea Road for protection.<br />
Following this incident <strong>the</strong>ir priority was to get back to firefighting as soon as<br />
possible as <strong>the</strong>re were many reports still being heard over <strong>the</strong> radio calling for<br />
<strong>Tanker</strong> assistance.<br />
Instead <strong>the</strong>y were told that <strong>the</strong>y had undergone an unusual experience and that<br />
<strong>the</strong>y were to return home, taking no fur<strong>the</strong>r part in firefighting activities.<br />
This caused all members <strong>of</strong> <strong>the</strong> <strong>Bulla</strong> Crew considerable grief as <strong>the</strong>y believed<br />
that <strong>the</strong>y did not experience any stressful situation, did not suffer any injuries and<br />
<strong>the</strong>ir vehicle was still fully operational as <strong>the</strong> burst recirculation hose had been<br />
replaced at Whittlesea Fire Station.<br />
5.10 <strong>Bulla</strong> <strong>Tanker</strong> Returned to Active Duties<br />
On returning to station <strong>Bulla</strong> <strong>Tanker</strong> was re-crewed with different personnel from<br />
<strong>Bulla</strong> and returned to <strong>the</strong> fire ground.<br />
In one way this confirmed <strong>the</strong> feelings within <strong>the</strong> original crew members that <strong>the</strong>y<br />
had let <strong>the</strong> Brigade down however <strong>the</strong>y did feel some comfort in knowing that<br />
<strong>the</strong>ir Brigades representation on <strong>the</strong> fire ground was now continuing.<br />
<strong>Bulla</strong> <strong>Tanker</strong> Burnover – 600 Whittlesea-Yea Road – 07/02/<strong>2009</strong><br />
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6. SCHEDULES<br />
6.1 Sources <strong>of</strong> Information<br />
The following personnel were interviewed. The table details <strong>the</strong>ir roles and <strong>the</strong><br />
time and location <strong>of</strong> interview.<br />
Name<br />
Larry Pelly<br />
Craig Ettwell<br />
Chris Kieselbach<br />
Ge<strong>of</strong>f Schwarz<br />
Emanuel Bonett<br />
Role/Unit<br />
Crew Leader<br />
Crew Member<br />
Crew Member<br />
Crew Member<br />
Crew Member<br />
Location<br />
<strong>Bulla</strong> FS<br />
<strong>Bulla</strong> FS<br />
<strong>Bulla</strong> FS<br />
<strong>Bulla</strong> FS<br />
<strong>Bulla</strong> FS<br />
Time<br />
1930<br />
03/04/09<br />
1930<br />
03/04/09<br />
1930<br />
03/04/09<br />
1930<br />
03/04/09<br />
1930<br />
03/04/09<br />
Martin Pelly was <strong>the</strong> driver <strong>of</strong> <strong>Bulla</strong> <strong>Tanker</strong> but was not available to take part in <strong>the</strong><br />
interview.<br />
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6.2 Topographical Map <strong>of</strong> <strong>the</strong> Area<br />
The arrow shows <strong>the</strong> approximate position <strong>of</strong> 600 Whittlesea - Yea Rd., Humevale.<br />
6.3 Wea<strong>the</strong>r Conditions<br />
Kilmore Gap AWS (Elevation 528 metres ASL)<br />
Time Temp RH Wind FDI<br />
1030<br />
1100<br />
1130<br />
1200<br />
1230<br />
1300<br />
1330<br />
1400<br />
1413<br />
1430<br />
1445<br />
1500<br />
1530<br />
1600<br />
1630<br />
32.8<br />
34.1<br />
35.8<br />
36.6<br />
39.4<br />
39.6<br />
40.1<br />
42.0<br />
41.0<br />
41.1<br />
41.7<br />
41.4<br />
41.8<br />
41.6<br />
40.5<br />
22.9<br />
20.0<br />
17.0<br />
15.0<br />
11.9<br />
11.0<br />
10.0<br />
10.0<br />
10.0<br />
10.0<br />
9.0<br />
10.0<br />
10.0<br />
8.9<br />
9.0<br />
N 52 G 67<br />
N 56 G 73<br />
N 52 G 69<br />
N 56 G 72<br />
N 48 G 67<br />
N 69 G 81<br />
NNW 57 G 85<br />
NNW 46 G 69<br />
N 72 G 91<br />
NNW 62 G 80<br />
NNW 65 G 82<br />
NNW 63 G 91<br />
NNW 57 G 82<br />
NW 54 G 80<br />
NW 54 G 72<br />
57<br />
72<br />
78<br />
93<br />
96<br />
161<br />
130<br />
107<br />
190<br />
147<br />
169<br />
155<br />
138<br />
130<br />
125<br />
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1700<br />
1730<br />
1800<br />
1810<br />
1813<br />
1819<br />
1830<br />
40.6<br />
40.5<br />
40.1<br />
39.9<br />
33.1<br />
30.3<br />
28.8<br />
10.0<br />
10.0<br />
10.0<br />
10.0<br />
23.9<br />
29.6<br />
34.0<br />
NW 44 G 69<br />
NW 46 G 70<br />
NW 37 G 61<br />
W 17 G 54<br />
SW 26 G 50<br />
SSW 32 G 67<br />
SSW 32 G 59<br />
97<br />
102<br />
81<br />
50<br />
30<br />
26<br />
21<br />
The above table <strong>of</strong> wea<strong>the</strong>r observations were recorded at <strong>the</strong> AWS at Kilmore<br />
East. This is approximately 30 kilometres north west <strong>of</strong> <strong>the</strong> incident area at<br />
Humevale. As indicated by <strong>the</strong> highlighted area <strong>the</strong> wind change did not pass<br />
through this area until about 1800 Hrs<br />
6.4 Area <strong>of</strong> Incident showing Terrain and Vegetation<br />
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The area at front <strong>of</strong> house where<br />
Sunbury <strong>Tanker</strong> 2 were<br />
positioned when <strong>the</strong> fire<br />
approached.<br />
The area at rear <strong>of</strong> house where<br />
<strong>Bulla</strong> <strong>Tanker</strong> were positioned<br />
when <strong>the</strong> fire approached.<br />
<strong>Bulla</strong> <strong>Tanker</strong> Burnover – 600 Whittlesea-Yea Road – 07/02/<strong>2009</strong><br />
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6.5 Photographs<br />
Fire conditions just prior to <strong>the</strong> incident. Photo taken by <strong>Bulla</strong> <strong>Tanker</strong> crew from <strong>the</strong> rear <strong>of</strong> <strong>the</strong>ir vehicle.<br />
<strong>Bulla</strong> <strong>Tanker</strong> Burnover – 600 Whittlesea-Yea Road – 07/02/<strong>2009</strong><br />
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