16.06.2014 Views

Chapter 4 - Warnings - 2009 Victorian Bushfires Royal Commission

Chapter 4 - Warnings - 2009 Victorian Bushfires Royal Commission

Chapter 4 - Warnings - 2009 Victorian Bushfires Royal Commission

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

WARNINGS<br />

4


<strong>2009</strong> <strong>Victorian</strong> <strong>Bushfires</strong> <strong>Royal</strong> <strong>Commission</strong>—Interim Report<br />

4 WARNINGS<br />

Timely and accurate warnings may save lives. It is this possibility that has motivated the <strong>Commission</strong>’s lengthy<br />

examination of bushfire warnings issued in February <strong>2009</strong> and of what constitutes effective warnings. This chapter<br />

first considers definitional matters relating to warnings and the bushfire information and education that has been<br />

available in Victoria. It moves to an overview of the recommendations on warnings from recent inquiries, before<br />

considering what constitutes good warnings. The chapter then considers the warnings and information issued<br />

in Victoria prior to and on 7 February and the way in which the community received and understood this material.<br />

Finally, triggers and signals, sirens, and a telephony-based emergency warning system are considered.<br />

BUSHFIRE INFORMATION, WARNINGS AND TRIGGERS<br />

4.1<br />

4.2<br />

4.3<br />

There is a significant difference between the provision of general information about bushfires and specific<br />

warnings to alert the public of a particular threat. Ongoing information provided to the community about<br />

bushfires prepares the community and educates them on the appropriate steps to take if a warning is<br />

issued. In contrast, a bushfire warning is specific advice about an imminent event. Such a warning should<br />

propel the community into action in response to a specific threat — ideally, armed with the information and<br />

education that has prepared them to respond.<br />

The evidence before the <strong>Commission</strong> has demonstrated that the community depends on (and has come to<br />

expect) detailed and high-quality information prior to, during and after bushfires. In addition, the community<br />

is entitled to expect to receive timely and accurate bushfire warnings whenever possible, based on the<br />

intelligence available to the control agencies (further discussion in <strong>Chapter</strong> 10). Though they are distinct<br />

concepts, the successful provision of information and warnings are inextricably linked.<br />

In relation to the provision of information about bushfires, the Emergency Services <strong>Commission</strong>er, Mr Bruce<br />

Esplin, made the following comments when asked about the best time for the effective provision of bushfire<br />

information:<br />

In my judgment … it is in the years, the months and the weeks and even the days before the fire season in<br />

this case even starts. This is when the good work is done. That is where people … can do their planning<br />

away from the immediate threat of fire and come to a considered decision about what is the best plan for<br />

them as individuals, as a family ...<br />

I think it is very easy to see a campaign as being something that has effect in one year, but in my judgment,<br />

and certainly in my experience, campaigns such as this have a cumulative effect over time and what you do<br />

in any one year, it is not a very high chance that it will have a profound effect or a profound risk reduction,<br />

it is the impact over time that will make the difference. 1<br />

4.4<br />

4.5<br />

The success of specific bushfire warnings partly depends on the standard of the information and education<br />

provided to the community prior to its issue. In some instances, specific bushfire warnings — and use of<br />

‘triggers’ such as the Standard Emergency Warning Signal (SEWS) and sirens — will be less effective in the<br />

absence of high quality information and education campaigns that increase a community’s preparedness<br />

to meet the threat and its understanding of how to respond to a warning.<br />

It is also clear that on receipt of bushfire warnings, people often seek further information and advice.<br />

For example, after receiving a specific bushfire warning, people often want or need further information from<br />

sources like 774 ABC Radio, agency websites or the <strong>Victorian</strong> Bushfire Information Line (VBIL). It emerged<br />

during the hearings that on 7 February people were sometimes unable to access the information they<br />

needed to respond to the warnings they had received. In other cases, it was clear that in the absence of<br />

timely warnings, the public turned to other sources of information for assistance. This placed pressure on<br />

the agencies providing that information, and was a source of great frustration and stress for those seeking,<br />

but unable to obtain, information and advice. Victoria’s information and warning systems operated under<br />

great stress on 7 February. The systems broke down in a number of respects. The question of information<br />

is addressed in more detail in <strong>Chapter</strong> 5.<br />

120


<strong>Warnings</strong><br />

4.6<br />

4.7<br />

The content of warnings is separate from the mode of disseminating warnings. The content of warnings<br />

raises considerations of drafting and construction, while the dissemination of warnings is about the<br />

means and modes by which warnings are communicated to the public. This includes existing modes of<br />

communication, such as radio broadcasts and web pages, and new and emerging technology, including<br />

Twitter and telephony-based warning systems.<br />

SEWS (further described at paragraph 4.188) and sirens are generally not warnings. Rather, they are<br />

triggers, signals alerting the listener to the fact that a warning is to follow. They are a means of attracting<br />

attention and prompting the audience to listen carefully for a warning and/or to search out more information.<br />

Such triggers and alerts are important, and have a role in the suite of responses that should be available to<br />

deal with bushfire threat.<br />

BUSHFIRE INFORMATION AND EDUCATION IN VICTORIA<br />

4.8<br />

4.9<br />

4.10<br />

4.11<br />

4.12<br />

4.13<br />

The publication of information about bushfires and materials designed to educate the <strong>Victorian</strong> community<br />

about bushfire risk has received considerable attention.<br />

A Fire Communications Taskforce was established in August 2005 by the Department of Justice to<br />

undertake a whole of government approach to community education and communication about fires.<br />

This Taskforce coordinates communication activities and plans. It has overseen the implementation<br />

of a number of flagship projects, and monitors the success of its approaches. 2<br />

The State Government and the Country Fire Authority (CFA) have sponsored a number of high-quality<br />

campaigns to deliver key messages to the community about the risk of fire, including campaigns known<br />

as Fire Ready Victoria and Living with Fire. 3 Those campaigns are explained in publications including:<br />

■■<br />

Fire Ready Victoria Strategy 2004–2007<br />

■■<br />

Living in the Bush: Bushfire Survival Plan Workbook 2nd ed (2008) 5<br />

■■<br />

■■<br />

■■<br />

Fire Safety Victoria 2006<br />

Living with Fire: Victoria’s Bushfire Strategy 2008<br />

6<br />

Living with Fire: A Community Engagement Framework 2008–2012.<br />

4<br />

Information and education programs provided by the State and the work of the Community Fireguard<br />

program have been instrumental in delivering messages about bushfire preparedness. These education<br />

programs are ongoing, and are an important part of the context in which key messages and advice are<br />

delivered in Victoria. It is clear that the CFA and the State have given considerable thought and effort to<br />

ensuring that, as far as possible, the community is well educated and prepared about fire risk before it<br />

receives any particular bushfire warning. This is discussed in more detail in <strong>Chapter</strong> 5.<br />

7<br />

Prior to 7 February <strong>2009</strong> the State Government devoted unprecedented efforts and resources to informing<br />

the community about the fire risks Victoria faced (paragraphs 4.81 to 4.92). That campaign clearly had<br />

benefits, but it could not, on its own, translate ‘levels of awareness and preparedness’ into universal<br />

successful risk minimisation on the day of the fires. Indeed, no campaign will have universal success.<br />

All campaigns are dependent for their effectiveness on the quality of information, the modes of dissemination<br />

and the willingness and capacity of people to hear, understand and act on the message. As discussed in<br />

the Introduction, this is a shared responsibility between government and the people.<br />

This chapter takes lessons learned on the content and process of warnings presented to the <strong>Commission</strong><br />

so far and makes recommendations for the next fire season. This report does not analyse the effectiveness<br />

of warnings across all the fires. <strong>Chapter</strong> 1 includes information about initial and critical warnings issued for<br />

each fire and <strong>Chapter</strong> 9 analyses warnings for the Kilmore East fire. Further evidence on warnings will be<br />

heard by the <strong>Commission</strong> in future hearings.<br />

8<br />

121


<strong>2009</strong> <strong>Victorian</strong> <strong>Bushfires</strong> <strong>Royal</strong> <strong>Commission</strong>—Interim Report<br />

4 WARNINGS<br />

BUSHFIRE WARNINGS: THE WELL-TRODDEN PATH<br />

4.14<br />

4.15<br />

The review and analysis of warnings and their mode of delivery is not new. Successive inquiries, reviews<br />

and reports have considered bushfire warnings. Some have focused on warning content and construction,<br />

others on delivery systems.<br />

Some matters highlighted in these reports have received government support and been implemented.<br />

Others, in particular the national adoption of standard bushfire warnings and the development of a<br />

telephony-based warning system, received insufficient attention in the years after their recommendation.<br />

1984 Report on Ash Wednesday<br />

4.16 The 1984 inquiry into the 1983 Ash Wednesday fires produced a report, On Bushfire Disaster Preparedness<br />

and Response in Victoria. 9 That report noted the difference between warnings that simply raise general<br />

awareness and specific warnings about particular fires:<br />

… fire threat indicators which ushered in the 1982/1983 season served as a serious underscoring of the<br />

extreme risk facing authorities and communities alike. Whilst it is difficult to generalise with accuracy, it<br />

would appear that these indicators did help to enhance levels of awareness and preparedness. Whether<br />

this, in turn, had any significant effect on the disastrous circumstances of 16 February, is another matter. 10<br />

4.17<br />

4.18<br />

4.19<br />

4.20<br />

The Ash Wednesday report went on to address warning and information systems generally. It emphasised<br />

the importance of maximum warning lead time, accurate meteorological information, standardisation and<br />

clarity of warnings. It also explored the methods of providing information, such as special messages or<br />

warnings that alert people to switch to a designated system, such as the ABC. It found that greater use<br />

should be made of local TV and radio stations and that ‘Special fire warning sirens should be located at<br />

police and fire stations; also, church bells should be utilised’. 11<br />

The goal that warnings be standardised and their meaning rendered ‘clear and unambiguous’ was not fully<br />

achieved by 7 February. While sirens and church bells received specific attention in the report, the evidence<br />

before this <strong>Commission</strong> is that use of sirens was contrary to CFA policy on 7 February (further discussion<br />

at paragraph 4.224).<br />

The report emphasised the importance of informing the community about warning systems, and advising<br />

people about how to respond to them. It also recommended that ‘new systems which offer possibilities<br />

of enhancing warning capability should be examined’. 12<br />

These comments appear just as relevant today as when they were published in 1984. While new systems<br />

were indeed examined and kept under review in the years since 1984, the available technology for<br />

a telephony-based warning system was not used or introduced prior to the February <strong>2009</strong> fires.<br />

This represents a missed opportunity, and is addressed in more detail below.<br />

2002 COAG Report<br />

4.21 In 2002, the Council of Australian Governments (COAG) commissioned a review of Australia’s approach<br />

to dealing with natural disasters. The review was carried out by a high level group of officials representing<br />

all levels of government. The product of that review was a report titled, Natural Disasters in Australia —<br />

Reforming Mitigation, Relief and Recovery Arrangements .13<br />

4.22<br />

The report concluded that current arrangements ‘could be improved to ensure that Australia has a<br />

world class national framework for disaster management’. 14 Significantly, the report recommended what<br />

it described as ‘a paradigm shift to disaster mitigation’. It recommended the implementation of a Disaster<br />

Mitigation Australia Package, which would include funding for programs such as disaster warning systems<br />

and community awareness and readiness measures. 15<br />

122


<strong>Warnings</strong><br />

4.23<br />

4.24<br />

The report contained a number of recommendations, three of which are summarised below:<br />

■■ there should be legislative obligations on all broadcasters to broadcast natural disaster warnings<br />

to the public via radio and television (Recommendation 26)<br />

■■ guidelines should be prepared for best practice in the development of local area emergency<br />

warning systems (Recommendation 27)<br />

■■ post disaster assessments should routinely review the effectiveness of warning systems<br />

(Recommendation 28). 16<br />

The <strong>Victorian</strong> Government has entered into a Memorandum of Understanding (MOU) with the ABC,<br />

which appears to reflect part of the aims of Recommendation 26. Otherwise, the above recommendations<br />

were referred to the Australian Emergency Management Committee (AEMC) (a standing committee of the<br />

Ministerial Council for Police and Emergency Management — Emergency Management). An AEMC working<br />

group undertook to identify ‘the requirements for a nationally consistent emergency warning system’.<br />

Other initiatives such as the establishment of the National Forum on Emergency <strong>Warnings</strong> to the Community<br />

were undertaken. However, work on the development of a national telephony-based warning system did<br />

not come to fruition for a number of years. 17<br />

2004 COAG report<br />

4.25 The question of warnings was again considered by the COAG National Inquiry on Bushfire Mitigation and<br />

Management of 31 March 2004 (the 2004 COAG report). 18 This inquiry recommended that the content of<br />

bushfire threat warnings should be nationally consistent, and that SEWS should be used.<br />

4.26<br />

4.27<br />

4.28<br />

4.29<br />

4.30<br />

The features of a warning system emphasised in the 2004 COAG report are:<br />

a) A warning system should involve use of ‘a consistent warning signal’ at the beginning of the advice<br />

in circumstances where lives are at risk or there is a major threat to property to attract the attention<br />

of those who should be alerted to the warning that follows.<br />

b) A bushfire warning should provide information about the location, size and intensity of a bushfire threat.<br />

c) A warning should inform the listener as to the expected movement of the fire front and should identify<br />

the communities at threat.<br />

19<br />

d) A good warning advises communities on the appropriate action to take.<br />

As discussed further in this chapter, some of the warnings on 7 February were deficient with regard to<br />

matters raised in paragraph 4.26 b, c and d — and SEWS was not used at all.<br />

Recommendation 8.5 of the 2004 COAG report endorsed the recommendations on warning systems from<br />

the 2002 COAG report and further recommended that all fire ban advice and bushfire warnings should be<br />

used consistently (including SEWS) where lives or property are threatened. The 2004 COAG report also<br />

called for the introduction of a nationally uniform bushfire warning system. 20 Finally, it recommended that<br />

the structure of warnings should be based on the findings of the Bushfire Cooperative Research Centre’s<br />

(Bushfire CRC) project ‘Communicating Risk to Communities and Others’.<br />

The 2004 COAG report also indicated some logistical concerns about the use of SEWS. In particular, it<br />

noted that due to its infrequent use in southern Australia, television and radio stations ‘have difficulty locating<br />

the signal when they need to play it and the public is largely unaware of its significance. Reluctance to use<br />

the signal when local communities are threatened by bushfire has led to the signal being virtually ineffective<br />

as a national warning measure’. 21 It advocated the regular use of SEWS during periods of bushfire threat.<br />

COAG’s findings and recommendations were sound and have been justified in light of the evidence before<br />

the <strong>Commission</strong>. It is regrettable that a nationally consistent approach to bushfire warnings has not been<br />

developed, and that SEWS fell into disuse in Victoria prior to 7 February <strong>2009</strong>. This is discussed in more<br />

detail at paragraphs 4.189–4.205.<br />

123


<strong>2009</strong> <strong>Victorian</strong> <strong>Bushfires</strong> <strong>Royal</strong> <strong>Commission</strong>—Interim Report<br />

4 WARNINGS<br />

2005 Catastrophic Disasters Report<br />

4.31 In October 2005 the report, Catastrophic Disasters Emergency Management Capability Working Group —<br />

Review of Australia’s Ability to Respond to and Recover from Catastrophic Disasters was prepared by the<br />

Catastrophic Disasters Emergency Management Capability Working Group, chaired by Mr Tony Pearce,<br />

then Director of Emergency Management and Security of the Office of the Emergency Services <strong>Commission</strong>er<br />

(OESC) in Victoria. 22<br />

4.32<br />

4.33<br />

4.34<br />

The 2002 COAG report had recommended the creation of the Working Group that then prepared the<br />

2005 report. It found that ‘whilst existing State/Territory and national emergency management arrangements<br />

are robust … Australia is currently not as prepared as it should be to manage the consequences of a<br />

catastrophic disaster impacting the country’. 23<br />

The Working Group modelled four hypothetical scenarios to assist in identifying the likely impact of<br />

catastrophic events: a cyclone impacting on Cairns, a major earthquake impacting the wheat-belt of<br />

Western Australia and the City of Perth, a tsunami impacting on the mid New South Wales coast and<br />

an influenza pandemic. 24 The report found that ‘there is an overwhelming national need for the development<br />

of appropriate, effective and timely community information and warning systems’. It also emphasised<br />

the desirability of a national approach, and the potentially counter-productive consequences of disparate<br />

systems being developed in isolation. 25<br />

It is disappointing that what was identified in October 2005 as an ‘overwhelming national need’ for a<br />

national warning system, was not the subject of agreement by the states and territories until April <strong>2009</strong>.<br />

It is also a matter of concern that the 2005 Catastrophic Disasters report, which revealed significant<br />

areas for improvement in Australia’s capacity to respond to natural disasters, was not made public until<br />

summonsed and tendered in the <strong>Commission</strong>’s hearings. 26 One of the clear lessons from the fires of<br />

7 February and from the substantial body of material on natural disaster and warning systems generally,<br />

is that the community, governments and emergency services benefit from the free flow of information.<br />

The decision not to release this important report for a number of years did nothing to increase community<br />

preparedness to meet the challenges posed by natural disasters.<br />

2006 Fire agencies’ internal review<br />

4.35 In 2006, the CFA and the Department of Sustainability and Environment (DSE) commissioned Mr John<br />

Schauble to conduct a review of information processes during fire incidents, including the issue of provision<br />

of warnings to the community during fires: Joint CFA/DSE Review of Effectiveness of Information Flow to<br />

Communities and Media During Fire Incidents — Preliminary Findings. 27<br />

4.36<br />

This review involved a series of debriefs and interviews with CFA and DSE personnel engaged in<br />

the information management process. It focused on the work of the Information Units in Information<br />

Management Teams in the fire services. The report noted:<br />

… the bar has been raised’ in terms of both how rapidly information about developing events is released<br />

to the general community and how specific that information should be. It is no longer sufficient to report<br />

that a large fire is burning in a general location. There is now an expectation on the community’s part that<br />

timely and useful information regarding predicted spread into specific locations, including particular streets,<br />

will be made available in time for potential-affected citizens to make decisions. 28<br />

WHAT MAKES A GOOD BUSHFIRE WARNING?<br />

124<br />

4.37<br />

The <strong>Commission</strong> received expert advice on what constitutes an effective warning in written submissions<br />

and in oral evidence. 29 Other key documents on this topic include:<br />

■■<br />

2005 and <strong>2009</strong> Australasian Fire and Emergency Service Authorities Council (AFAC) position papers<br />

■■<br />

2008 Australian Government advice Emergency <strong>Warnings</strong> — Choosing your Words 31<br />

■■<br />

Material relating to the Common Alerting Protocol (CAP).<br />

32<br />

30


<strong>Warnings</strong><br />

4.38<br />

4.39<br />

4.40<br />

There is a high level of consistency between these key documents and the expert advice received by<br />

the <strong>Commission</strong>. The State has committed to implementing improvements in bushfire warnings for the<br />

forthcoming fire season. 33 This guidance highlights that the content of a warning should be driven by its<br />

aim. In this context, Professor Handmer, Innovation Professor in Risk and Sustainability and Director of<br />

the Centre for Risk and Community Safety at RMIT University, set out the features of a good warning. 34<br />

In particular, it should let people know what they should or should not do to protect themselves, empower<br />

them to respond appropriately, be ‘people centred’ and be based on local needs and expectations. 35<br />

In oral evidence, Professor Handmer added that the purpose of a warning is to ‘provide a signal for<br />

some action’. 36 He noted that it is important to ensure that people realise that the warning relates to<br />

their personal situation. 37<br />

Professor Handmer also suggested that messages should set out the expected timing and severity of the<br />

event, say what is likely to happen and when it will occur, indicate how people should act and identify the<br />

source of the message (which should be one that is trusted as credible by those at risk). 38 He noted the<br />

phenomenon of people seeking to confirm and discuss warnings in their personal networks. 39 He said that<br />

language should be vivid, rather than vague or abstract; messages should be positive, rather than negative<br />

(that is, they should advocate what to do); and they should invite sociability (for example, by recommending<br />

that people check on their neighbours) because people like to ‘do something’. 40<br />

41<br />

4.41 Urgent messages should contain locally specific information. Professor Handmer recommended that<br />

messages should include information about the degree of severity of the fire, or the predicted event.<br />

… the severity message is to help people gain an appreciation of what is coming and to help them make<br />

an appropriate decision 42<br />

4.42<br />

4.43<br />

4.44<br />

He made the following further suggestions for improvements to existing materials:<br />

■■<br />

■■<br />

■■<br />

■■<br />

■■<br />

consideration should be given to having another level of fire danger for particularly extreme conditions<br />

high-risk areas and vulnerable groups should be targeted for more personalised messages and<br />

bushfire-related education 44<br />

45<br />

commercial media needs to become part of the fire and emergency management system<br />

informal networks could be used more to disseminate warnings, and to add locally specific<br />

information to the message 46<br />

47<br />

to be useful, warnings need to provide those at risk with enough time to take protective action.<br />

Mr Alan Rhodes, Manager Community Safety Research and Evaluation for the CFA, referred to the research<br />

of two American experts, well known in the field, Mr Dennis Mileti and Mr John Sorensen. He set out their<br />

view that for a warning to be effective, it must:<br />

■■<br />

■■<br />

■■<br />

■■<br />

■■<br />

describe the precise nature of the threat and how it poses a danger to the public<br />

communicate the exact location of the threat<br />

provide guidance as to the specific actions the public should undertake<br />

specify the time when the hazard is likely to impact<br />

48<br />

state the agency which is giving the warning (multiple sources are preferable).<br />

These statements provide sound guidance as to what constitutes a good warning.<br />

Many of the matters explored in the evidence of Professor Handmer are strikingly similar to the views of<br />

the Emergency Services <strong>Commission</strong>er, Mr Bruce Esplin. The OESC has produced a number of significant<br />

reports in relation to warning systems, emergency management and emergency events in Victoria. 49<br />

The <strong>Commission</strong> commends the work of Mr Esplin’s office and its contribution to the development of the<br />

learning and research in the area, in particular its work on the Community Information and Warning System:<br />

The Report of Trial and Evaluation (2006). 50<br />

43<br />

125


<strong>2009</strong> <strong>Victorian</strong> <strong>Bushfires</strong> <strong>Royal</strong> <strong>Commission</strong>—Interim Report<br />

4 WARNINGS<br />

4.45<br />

In evidence, when asked what constitutes a ‘good warning’, Mr Esplin said the following:<br />

I have formed a view in that regard and the first thing is that the warning has to be delivered to a<br />

community that has been prepared to receive the warning and to know (a), hopefully where to access<br />

information and what to do when they get that information. A good warning is simple; it is probably<br />

locally relevant information delivered by locally credible sources. 51<br />

4.46 It is also useful to consider the work of the American expert, Mr Sorensen. In his article, Hazard Warning<br />

Systems: Review of 20 Years of Progress, Mr Sorensen referred to six warning myths that ‘all too often<br />

constrain the effectiveness of warning systems when implemented’. 52 He describes the six myths:<br />

4.47<br />

(1) the myth of ‘public panic’: Mr Sorensen says that social scientists have shown this is not the case,<br />

except in situations affected by closed physical space and an immediate and clear source of death<br />

where escape routes are not available to everyone affected.<br />

(2) the second myth Mr Sorensen cites is that ‘officials are usually worried about overwhelming people<br />

with too much information’: in his opinion, the public ‘rarely, if ever’ receives too much information<br />

during an emergency.<br />

(3) Mr Sorensen refers to the concern about raising ‘false alarms’: he notes that the likelihood of people<br />

responding to warnings is not diminished by what has been labelled the ‘cry wolf’ syndrome — so long<br />

as the basis of the false alarm is understood.<br />

(4) the belief on the part of authorities that a single spokesperson is good practice when disseminating<br />

emergency information: indeed, to the contrary, says Mr Sorensen, the public needs information from<br />

a variety of sources.<br />

(5) it is a common belief that people will take action immediately on receipt of a warning: however,<br />

most people ‘simply do not’ do so, says Mr Sorensen.<br />

(6) the sixth myth is that officials often think people will follow all recommendations made in a warning,<br />

but research shows people will not blindly follow instructions, unless the basis for the instruction is<br />

clear and that basis makes ‘common sense’. 53<br />

The myths described by Mr Sorensen appear to have underpinned some of the development of our current<br />

bushfire warning systems. The challenging of these myths assists in assessing the system with fresh eyes.<br />

An improved understanding of the way in which people react to warnings assists in crafting better warnings.<br />

THE WARNING POSITION ADOPTED BY AFAC<br />

54<br />

4.48 In 2005, AFAC prepared a draft position paper on bushfire information and warnings. The paper was last<br />

modified on 24 April 2007, but remained in draft form. 55 The AFAC paper is described as being ‘In Response<br />

to Recommendation 8.5 from the COAG Report on Bushfire Mitigation and Management’. 56<br />

4.49<br />

The 2005 AFAC paper emphasised the importance that messages should use plain language and should<br />

address the following questions:<br />

■■<br />

■■<br />

■■<br />

■■<br />

■■<br />

■■<br />

What is the risk?<br />

Where is the threat now?<br />

Where is the threat expected to move to next?<br />

What are the immediate risks faced by people in the threat area?<br />

What are the public advised to do about those risks?<br />

What are the response agencies doing about the situation?<br />

57<br />

126<br />

4.50<br />

It indicates that bushfire information and warning messages should also include:<br />

■■<br />

■■<br />

■■<br />

clear information about the area of risk<br />

where a specific location is provided, information about the general location — local place names should<br />

not be used unless supplemented with general location details<br />

the time and date that the message was issued, including the length of time that the message is current.<br />

58


<strong>Warnings</strong><br />

4.51<br />

Though this 2005 paper has been superseded, it expressed a number of sound principles, drawing on<br />

the work of COAG in 2004, and it constitutes a useful guide to a clear approach to the construction of<br />

bushfire warnings.<br />

4.52 The call for clearer content in warnings was reiterated in a subsequent AFAC draft paper titled A National<br />

Systems Approach to Community <strong>Warnings</strong>: Discussion Paper Draft Version 2.0 (May <strong>2009</strong>). 59 This paper<br />

proposes a systems approach to warnings incorporating four elements:<br />

4.53<br />

4.54<br />

■■<br />

■■<br />

■■<br />

■■<br />

preparing the community<br />

situational awareness<br />

message construction and dissemination<br />

appropriate action taken.<br />

This <strong>2009</strong> AFAC paper advocates a consistent national approach given the transient nature of the<br />

population and the fact that ‘emergencies have no regard for jurisdictional boundaries’. 60 The paper<br />

observes that the ‘most crucial aspect of the warnings system is the continued development of<br />

community survivability strategies that are in place well before any emergency event occurs’. 61<br />

The second element, ‘situational awareness’, refers to the information and awareness that resides in<br />

individuals, communities, industry and the emergency services. The paper notes that individuals and<br />

emergency service organisations all receive information from a range of sources, formal and informal.<br />

Based on that information, organisations decide to warn, and individuals to act — but these actions<br />

may not align (for example, people may act prior to the warning). This is not necessarily a problem, as:<br />

No matter how the information gets to someone, the challenge is to make sure the information is able<br />

to be corroborated through the authoritative source, is meaningful and people are confident they know<br />

what to do when they receive it. 62<br />

4.55<br />

4.56<br />

4.57<br />

The evidence before the <strong>Commission</strong> tends to confirm that while emergency services are monitoring natural<br />

disasters, gathering intelligence and considering issuing official warnings, many (but not all) in the community<br />

are likely to be responding to the environmental cues and informal sources of information available to them.<br />

On receipt of an official warning, people commonly seek corroboration from other sources, and further<br />

information about the appropriate response.<br />

The <strong>2009</strong> AFAC paper also notes that there is no consistent Australian standard for message construction,<br />

or protocol for triggering a warning and calls on COAG to adopt the use of the CAP as the basis for<br />

messaging in Australia and to set a timeframe for its implementation by emergency agencies. 63<br />

Finally, the AFAC paper notes studies that demonstrated the significant association between community<br />

education and higher levels of household preparedness and the taking of appropriate protective action. 64<br />

This is certainly consistent with the evidence before this <strong>Commission</strong>.<br />

Best practice IN BUSHFIRE WARNINGS: Choosing Your Words<br />

4.58 In 2008, the Commonwealth Attorney-General’s Department released Emergency <strong>Warnings</strong> — Choosing<br />

Your Words. 65 This document is a valuable guide to best practice in drafting warnings. Its content is practical<br />

and clear. The paper set out a number of guiding principles. It counselled against making assumptions<br />

about the audience, noting that warnings will need to reach a broad audience and that any message<br />

needs to be appropriate for those at home, at work, in the car or visiting the area. 66<br />

4.59<br />

The paper noted that an emergency warning is a ‘dialogue with the community, not a command situation’.<br />

It promoted seeking cooperation with a suggested action, not compliance with an order: ‘This is best<br />

achieved by giving people information that convinces them that a particular course of action is the best<br />

one to take’. 67<br />

127


<strong>2009</strong> <strong>Victorian</strong> <strong>Bushfires</strong> <strong>Royal</strong> <strong>Commission</strong>—Interim Report<br />

4 WARNINGS<br />

4.60<br />

In describing the way in which people generally respond to warnings, the paper suggested that this is a<br />

process and not a single step. People generally follow a certain thought process before deciding to respond,<br />

starting with receiving a message, believing its credibility, confirming it, personalising it, determining what<br />

action is required and ending with determining whether the action is feasible. 68<br />

4.61 Professor Handmer agreed that the advice in Choosing Your Words is sound. 69 Ms Jillian Edwards, Manager<br />

Strategy and Knowledge, AFAC, said that it was ‘a very good piece of work that provides a lot of insight into<br />

some of the language that could be used to elicit certain reactions from people’. 70 Mr Pearce, now Director<br />

General of Emergency Management Australia, agreed it was provided to agencies to guide them in best<br />

practice. 71 Mr Rhodes accepted that CFA messages could benefit from some of the paper’s suggestions. 72<br />

4.62 Choosing Your Words provides excellent practical guidance as to the best method of drafting and<br />

constructing a clear and useful bushfire warning. There is general support among the parties for the<br />

proposition that the content of bushfire warnings should be based on the principles set out in Choosing<br />

Your Words. 73 The State indicated in its submissions that it would, before the next fire season, refine fire<br />

messages based upon the Choosing Your Words publication. 74<br />

The Common Alerting Protocol IN BUSHFIRE WARNINGS<br />

4.63 There is evidence before the <strong>Commission</strong> concerning the development of a protocol and standard digital<br />

format for expressing the content of warnings, known as CAP.<br />

4.64<br />

4.65<br />

4.66<br />

CAP was designed in the United States by emergency managers and technology experts and ultimately<br />

adopted there in April 2004 by the Organisation for the Advancement of Structured Information Standards<br />

(OASIS). Use of CAP is mandated in the United States. 75 It is now being introduced in other countries<br />

including Italy, Canada, Indonesia and Japan. 76<br />

The use of CAP permits a consistent warning message to be disseminated simultaneously over different<br />

media (for example, internet, SMS, landlines, email). 77 Once adopted, CAP can be incorporated into any<br />

number of technology applications. 78 It has been described as a ‘write it once’ tool.<br />

As Ms Edwards explained, CAP is two things:<br />

It is a simple but general template for the consistent construction of messages, using standard<br />

classifications and terminology.<br />

It stipulates a digital format for making the constructed message readable by any machine. 79<br />

128<br />

4.67<br />

4.68<br />

The benefits of the adoption of CAP have been described as including:<br />

■■ efficiency and minimisation of confusion during emergencies<br />

■■ reduction of costs and operational complexity by eliminating the need for multiple custom software<br />

interfaces to the many warning sources and dissemination systems involved in all hazards warning<br />

■■ facilitation of movement towards coordinated warning messages over multiple delivery systems<br />

■■ distribution of authoritative alert messages to those who need them in a timely and effective way,<br />

ultimately reducing damage and loss of life<br />

■■ capability of conversion to and from the ‘native’ formats to all kinds of sensor and alerting technologies,<br />

forming a basis for technology independent of national and international alerts and warnings. 80<br />

In April 2008, AFAC formally adopted the position that its member agencies will use the OASIS Common<br />

Alerting Protocol, V1.1, or its derivative, as the standard alerting protocol for handling the essential content<br />

of alert warning messages. 81<br />

In its <strong>2009</strong> draft paper<br />

4.69 A National Systems Approach to Community <strong>Warnings</strong>, AFAC suggested that a<br />

‘standards based, all media, all hazards public warning strategic framework makes for a more effective<br />

solution and more efficient use of resources’. 82 The paper went on to note that the OASIS CAP provides<br />

a suitable basis for messaging format, with some adjustments for Australian content and terminology. 83


<strong>Warnings</strong><br />

4.70<br />

The introduction of CAP would assist in simplifying bushfire warnings in Victoria, and would contribute to<br />

what should ultimately be a nationally uniform approach. The written submissions of AFAC endorsed the<br />

adoption of CAP. 84 The State undertook in its written submissions to adopt CAP in the next fire season. 85<br />

RECOMMENDATION 4.1<br />

The State ensure that bushfire warnings issued in Victoria:<br />

■■<br />

■■<br />

■■<br />

■■<br />

are founded on the principle of maximising the potential to save human lives;<br />

embody the principles encapsulated in Recommendation 8.5 of the Council of Australian<br />

Governments report the National Inquiry on Bushfire Mitigation and Management (2004);<br />

embody the principles endorsed in the Australasian Fire and Emergency Service Authorities Council<br />

Draft Discussion Paper, A National Systems Approach to Community Warning (May <strong>2009</strong>); and<br />

incorporate the use of the Common Alerting Protocol, as adapted for the Australian context.<br />

BUSHFIRE WARNINGS: THE SYSTEM IN VICTORIA ON 7 FEBRUARY<br />

4.71<br />

Before examining the evidence on bushfire warnings issued on 7 February it is important to understand<br />

the system for disseminating bushfire warnings in Victoria in effect on that day.<br />

The procedure set out in the Emergency Management Manual<br />

4.72 The Emergency Management Manual Victoria (the Manual) states that:<br />

<strong>Warnings</strong> should be used under specific circumstances where community action is necessary to protect<br />

lives, property or the environment. Upon the request of a control agency to issue a warning, it is the<br />

responsibility of the emergency response co-ordinator to ensure that it is issued both to agencies and<br />

the potentially affected community. The content and format of the warning must be simple, arresting,<br />

brief, suited to the needs of the affected community and be worded in accordance with advice from<br />

the control agency … Warning methods could include loud hailers, telephones, door knocks, radio or<br />

television announcements or local community networks.<br />

For emergencies of major community significance, the warning should be authorised by an emergency<br />

response co-ordinator in consultation with the control agency. 86<br />

4.73<br />

4.74<br />

While some of this text cannot be faulted — such as the first sentence — other parts of it are outdated and<br />

confusing, such as the statement about loud hailers and door knocks. The text does not refer to websites,<br />

yet there is clear evidence that many in the community rely on the fire agencies’ websites to obtain bushfire<br />

warnings. When referring to the issuing of warnings, the two apparently simple statements about who issues<br />

warnings in different circumstances mask the considerable complexity about who is responsible for issuing<br />

warnings in Victoria during fires (<strong>Chapter</strong> 9). Finally, the evidence before the <strong>Commission</strong> demonstrates<br />

that many bushfire warnings issued on 7 February were not simple and suited to the needs of the affected<br />

community. The particular shortcomings evident in relation to the content of the CFA’s awareness, alert and<br />

urgent threat messages are discussed in more detail below, and summarised at paragraphs 4.163–4.164.<br />

The degree to which current policies and protocols on warnings are, in many respects, divorced from the<br />

reality of what occurred on 7 February is troubling. If the Manual is to be useful to emergency services it<br />

should contain information that reflects current best practice.<br />

129


<strong>2009</strong> <strong>Victorian</strong> <strong>Bushfires</strong> <strong>Royal</strong> <strong>Commission</strong>—Interim Report<br />

4 WARNINGS<br />

Dissemination of BUSHFIRE warnings by the fire agencies<br />

4.75<br />

4.76<br />

4.77<br />

4.78<br />

The evidence before the <strong>Commission</strong> demonstrates that there were generally two types of material made<br />

available to the public in early February <strong>2009</strong> concerning the bushfire threat in Victoria. First, general<br />

information (including weather and fire risk predictions) was disseminated prior to 7 February. This information<br />

(which is dealt with in more detail from paragraph 4.82) focussed principally on the risk of fire and the<br />

conditions facing Victoria throughout the fire season, particularly during the heatwave between late January<br />

and early February.<br />

Secondly, there were the specific bushfire warnings for each of the fires issued in one of three categories —<br />

awareness, alert, urgent threat — prepared by the CFA or DSE using pre-existing templates. The information<br />

units in each Incident Management Team created information releases at the incident level. The information<br />

releases were provided to the Integrated Emergency Coordination Centre (iECC), Regional Emergency<br />

Coordination Centres, the ABC and local media agencies for broadcast, and to the VBIL. When the iECC<br />

information unit received these messages from the IMT, they were generally uploaded onto the CFA or DSE<br />

websites, albeit with some delay. 87<br />

The evidence reveals that the CFA and DSE websites were a key source of information for the community<br />

and that many people relied on the internet as their principal source of information. 88 Broadcasts by the<br />

ABC, in its role as the emergency broadcaster, were also critical in the flow of information to the public. 89<br />

The role of the ABC is addressed in more detail below.<br />

Mr Rees explained that the CFA has developed standard form information releases to describe fire<br />

situations. Three levels or ‘grades’ of message are created. The standard information releases for fire<br />

situations were presented in his witness statement. 90<br />

Table 4.1: Current CFA types of information releases for fire situations<br />

Title of Message Description Review Time<br />

Awareness Message<br />

– Initial Advice<br />

Alert Message<br />

To be issued when a fire first commences, when there is<br />

not currently a threat to life or property but local interest<br />

may be generating.<br />

To be issued when a heightened level of awareness is<br />

required by people and communities in close proximity to<br />

a fire. There is still no direct threat, but there is the potential<br />

for direct impact should conditions change or escalate.<br />

May include a time parameter within message if known.<br />

It is important not to over exaggerate the risk so that people<br />

in the area do not feel unnecessarily threatened.<br />

Within four hours of issue<br />

depending on conditions.<br />

Within two hours of issue,<br />

depending on conditions.<br />

Urgent Threat Message To be issued when direct impact from a bushfire is imminent. Within 30 minutes of issue,<br />

depending on conditions.<br />

Source: Exhibit 3 – Statement of Rees (WIT.004.001.0001) [201] 91<br />

RADIO Broadcasts by the ABC — the ‘emergency broadcaster’<br />

4.79 On 4 February 2004, the ABC entered into an MOU with the State of Victoria pursuant to which the ABC<br />

has undertaken to broadcast information and warnings provided to it by relevant emergency services<br />

organisations during an emergency. 92<br />

130


<strong>Warnings</strong><br />

4.80<br />

Emergency messages are provided by the emergency services to the ABC via a special hotline number<br />

staffed by the ABC 24 hours a day. Local radio Victoria broadcasts the messages immediately and then<br />

regularly repeats them every 15 minutes until the threat message is downgraded by the emergency<br />

organisation that issued the alert. The messages can be broadcast on 774 ABC Radio Melbourne, the<br />

regional ABC local radio network in Victoria, a specific <strong>Victorian</strong> local radio station or the whole <strong>Victorian</strong><br />

radio network. 93 Ms Samantha Stayner, Acting Program Director 774 ABC Radio, gave evidence about<br />

the process followed by the ABC to meet its obligations under the MOU and in relation to the events of<br />

7 February, during which the ABC devoted significant resources and effort to covering the fires. 94 This is<br />

discussed further below.<br />

BUSHFIRE INFORMATION DISSEMINATED PRIOR TO 7 FEBRUARY<br />

4.81<br />

4.82<br />

4.83<br />

4.84<br />

4.85<br />

A significant body of information about bushfires was made available to the public during the 2008–09<br />

bushfire season. There was also intensive coverage of weather forecasts, fire danger predictions and<br />

information about the risk of bushfire during the period from October 2008 onwards. Dissemination of<br />

this sort of material is vital to maintaining the community’s knowledge about the risk of fire.<br />

During the 2008–09 bushfire season, senior government figures made key announcements about the<br />

high risk faced by Victoria during the season. The approach adopted to these messages was laudable.<br />

Significant resources and time were devoted to ensuring that <strong>Victorian</strong>s were aware of the risk during the<br />

summer months. 95 The campaigns reflected a sound emphasis on improving community preparedness.<br />

For example, on 27 October 2008, the Premier, the Minister for Police and Emergency Services and the Chief<br />

Fire Officers of each of the CFA, DSE and the Metropolitan Fire and Services Board announced the beginning<br />

of the 2008–09 bushfire season. The announcement emphasised the need for preparedness, the significant<br />

investment of State resources in fire response, and the high-risk outlook for the 2008–09 bushfire season. 96<br />

Major announcements, media releases, press conferences and events aimed at alerting the community<br />

to the extreme fire risk took place throughout November and December 2008, and January <strong>2009</strong>. There<br />

was intense media coverage of the issue from late January through early February <strong>2009</strong>. 97 On 4 February,<br />

Mr Esplin met with the Chair of the Fire Communications Taskforce, Ms Louise Martin, Director Strategic<br />

Communications, Department of Justice, and Ms Amber Brodecky, Manager Media and Community<br />

Relations, OESC. In light of the weather forecast, they agreed on the need to urgently renew the FireReady<br />

advertising campaign. A decision was made to immediately resume and extend that advertising campaign. 98<br />

This was a timely and commendable decision.<br />

Announcements were made by senior members of the government and the emergency services.<br />

For example:<br />

■■<br />

■■<br />

■■<br />

30 January at a press conference the Premier urged <strong>Victorian</strong>s ‘to be vigilant’ and he said:<br />

‘we are right on the edge today’. 99<br />

2 February the Premier said ‘this is not over yet’.<br />

100<br />

4 February: a media release (titled Fire Services Warn of Continuing Fire Threat) was jointly issued by the<br />

CFA, DSE and the Metropolitan Fire and Emergency Services Board, warning of the continuing fire threat<br />

and extreme weather forecast for Friday and Saturday. 101<br />

■ ■ 4 February the Premier was reported in the Herald Sun saying that the State was ‘set to burn’ with or<br />

without the extreme heat. 102 The Premier also said that the CFA warned people to ‘be alert and do not<br />

get caught out when a bushfire strikes’. 103<br />

■■<br />

■■<br />

5 February: a press conference was held at the iECC. A number of media releases were issued by the<br />

CFA and DSE for the event, titled Victoria’s fire agencies and police warn of extreme danger, 104 This is<br />

the weekend to be bushfire alert 105 and High Fire Danger Saturday 7 February. 106<br />

5 February the Premier was quoted in the media saying: ‘Everything is just absolutely tinder dry<br />

and we don’t even need the high temperatures now for high fire alerts’. 107<br />

131


<strong>2009</strong> <strong>Victorian</strong> <strong>Bushfires</strong> <strong>Royal</strong> <strong>Commission</strong>—Interim Report<br />

4 WARNINGS<br />

4.86<br />

4.87<br />

■■<br />

■■<br />

■■<br />

■■<br />

■■<br />

5 February: the CFA’s Chief Officer and DSE Chief Fire Officer were on ABC statewide radio. They referred<br />

to the ‘unprecedented fire weather’, the fact that, ‘Saturday appears to be worse in terms of weather forecast<br />

terms, than the 16th of February 1983’. In his interview, Mr Rees noted in particular that people might form<br />

the view: ‘given where the situation is, I’m going to make the decision not to be there — that is a very valid<br />

decision’. Mr Ewan Waller, Chief Fire Officer, DSE, noted that people should ‘get mentally prepared as well as<br />

physically prepared for a very, very, very difficult day’. He also stated that fire ‘could be anywhere in Victoria’.<br />

Mr Rees noted the concern that fires in these sort of conditions ‘can pop up really quickly and unless you’re<br />

vigilant, and alert and looking about you may not even get that warning’. 108<br />

6 February: further media releases were issued, for example: Campers urged to stay home during extreme<br />

conditions; 109 Extreme Fire Threat; 110 Extreme Fire Weather Warning; 111 Avoid all unnecessary travel<br />

tomorrow; 112 and High Fire Danger Saturday 7 February. 113<br />

6 February: during the press conference at Ballarat, the Premier said: ‘The worst day ever in the history<br />

of this State’…‘I can’t stress this enough, I mean I know the Chief Fire Officer has been out and he said<br />

it will be as bad as you can get and he is not exaggerating’. 114<br />

6 February: Mr Rees said we would see ‘weather that perhaps we have never had in the State of Victoria<br />

in respect of fire danger’. 115 He also released a podcast which was available online at www.cfa.vic.gov.au<br />

in which he provided a series of statements about the weather, the state of the fuel and the legitimacy of<br />

leaving property. He said ‘we would rather be talking about lost houses than lost lives’. 116<br />

7 February: Mr Esplin was interviewed on ABC Radio at 11:15am, where he said, among other comments:<br />

‘These fires can come and go in the space of an afternoon and do untold damage and that’s what<br />

happened in Ash Wednesday in 1983 — rapid onset, fast moving into built up areas and the human<br />

toll was huge and we don’t want that today’. 117<br />

This narrative indicates that a great deal of information on bushfires and the risk of bushfires was broadcast<br />

in Victoria throughout the 2008–09 bushfire season, and particularly in early February <strong>2009</strong>. This material<br />

was generally of a high quality, attracted significant media attention and achieved high media ‘penetration’. 118<br />

Professor Handmer expressed the view that the use of a person such as the Premier to disseminate messages<br />

is very useful and likely to carry high credibility. 119<br />

Mr Esplin remarked:<br />

I haven’t seen a situation where as many warnings were delivered in that period of time, in such<br />

a period of time. <strong>Warnings</strong> that were stark and clear and unequivocal about the level of risk. 120<br />

4.88<br />

4.89<br />

4.90<br />

4.91<br />

After the fires, the OESC commissioned an independent media analysis of the radio, television and print<br />

coverage for the period 4–7 February. 121 The media analysis confirms that terminology related to fire<br />

predictions and the dire weather forecasts, such as ‘warnings’, ‘heatwave’ and ‘bushfire’ were used<br />

repeatedly in the lead up to 7 February. 122<br />

Professor Handmer stated that the ad hoc high-level ‘warnings’ from people such as the Premier, the Chief<br />

Fire Officers and the Emergency Services <strong>Commission</strong>er were ‘very clear not only about the risk in physical<br />

terms, but also the types of people who might be most vulnerable and the sorts of things that perhaps<br />

people could do’. 123<br />

The message delivered in the days leading up to 7 February were direct in their meaning. The words of the<br />

Premier, the Chief Fire Officers and the Emergency Services <strong>Commission</strong>er showed foresight. Each of them<br />

was honest, forthright and explicit in the information and advice they gave. There is no doubt that each went<br />

to great lengths to disseminate the message that Victoria was facing an extreme fire risk.<br />

These messages no doubt contributed to many <strong>Victorian</strong>s’ preparedness and, possibly, were responsible<br />

for saving the lives of some who heeded those words and left bushfire prone areas prior to 7 February<br />

and/or undertook additional preparations for the bushfire threat.<br />

132


<strong>Warnings</strong><br />

4.92<br />

However, it is also clear that for many <strong>Victorian</strong>s these general awareness messages and advice were not<br />

sufficient to alert them to the threat caused by any particular bushfire, nor were they translated into a ‘call to<br />

action’ in all cases. Such statements in the media prepare the community only to the extent that individuals<br />

respond, prepare and listen for specific bushfire warnings which may follow. This can in part be explained by<br />

the evidence of Professor Douglas Paton, Chair, School of Psychology, University of Tasmania, who discussed<br />

the various factors (individual, social and structural) that influence a person’s level of bushfire preparedness. 124<br />

BUSHFIRE WARNINGS ON 7 FEBRUARY<br />

4.93<br />

4.94<br />

4.95<br />

An outline of the specific warnings issued on 7 February is provided in <strong>Chapter</strong> 1. This section provides<br />

a broader discussion about different types of warnings. The <strong>Commission</strong> will hear further evidence on the<br />

warnings given for each major fire in future hearings.<br />

Mr Rhodes stated that the methods the CFA uses to disseminate information include:<br />

■■<br />

information releases, which are uploaded to the CFA website ( www.cfa.vic.gov.au), read aloud<br />

on ABC Radio, and provided to the VBIL, so that they can be used to respond to public enquiries<br />

■■ a hotline number established with ABC Radio, so that a designated CFA officer can contact the control<br />

room direct to broadcast urgent threat messages<br />

■■ the VBIL, which is a free call number the public can call to obtain information about current fire threats,<br />

preparedness advice and also recovery information<br />

■■ community meetings held during fire threats that provide community-specific warning information<br />

and advice<br />

■■ information releases provided to local radio stations by regional offices and Incident Control Centres<br />

before they have been sent through to the iECC<br />

■■ community fireguard telephone trees, which work by one member contacting two or more other members<br />

when they become aware of a threat, who in turn contact other telephone tree members and so on<br />

■■ local community members with access to scanners that can monitor CFA radio communications to pick<br />

up information direct from the fire ground. 125<br />

There is evidence before the <strong>Commission</strong> about each of these methods of information dissemination.<br />

It emerged that on 7 February agency websites and ABC broadcasts were the most common sources<br />

of information and warnings about bushfires for most <strong>Victorian</strong>s, though other sources played a<br />

complementary role.<br />

THE CFA and DSE websites<br />

4.96 On 7 February the CFA and DSE issued warnings for a large number of fires. The pressure on the agencies’<br />

staff and volunteers was extreme and all those involved were forced to cope with a rapidly evolving situation<br />

and threats posed by multiple emergencies. At times, there were obvious limitations on their capacity to<br />

supply information on fires. Mr Waller noted the following:<br />

It was extremely difficult to provide accurate information as all fires were moving extremely quickly and<br />

spotting long distances. Fires moved rapidly into difficult terrain where it is difficult to track progress and<br />

is dangerous to access. There was intensive short distance spotting. Surveillance was also restricted as<br />

at times planes could not fly with the strong winds, or could not safely approach the smoke plume and<br />

infra red scanning was not possible. Ground observation was also limited because [sic] the concern for<br />

safety. Incoming reports on fires from the public had to be quickly verified before possible inclusion in<br />

messaging on where a fire front may be. 126<br />

4.97<br />

Mr Rees produced a copy of all bushfire warning messages posted to the CFA website on 7 and<br />

8 February. 127 Mr Waller produced a detailed compilation of all the information and warnings issued<br />

by DSE on 7 February, including the information posted on the DSE website and sent to the ABC. 128<br />

133


<strong>2009</strong> <strong>Victorian</strong> <strong>Bushfires</strong> <strong>Royal</strong> <strong>Commission</strong>—Interim Report<br />

4 WARNINGS<br />

4.98<br />

This demonstrates that a very large number of awareness, alert and urgent threat messages were posted<br />

to the CFA and DSE websites throughout the day. Information contained in the awareness, alert and urgent<br />

threat messages was conveyed to the ABC and to commercial media for broadcast. It was also supplied<br />

to the VBIL to be used by staff providing information to the public. 129<br />

134<br />

<strong>Warnings</strong> broadcast by the ABC<br />

4.99 Consistent with the MOU, many bushfire warnings were broadcast by the ABC on 7 February. After the<br />

usual midday news bulletin, local radio Victoria began its scheduled grandstand sports broadcast but<br />

interrupted this at about 12:30pm to broadcast fire-related information. As information about the number<br />

of bushfires burning in various parts of Victoria was received, and the growing seriousness of the situation<br />

became apparent, <strong>Victorian</strong> local radio management decided to cancel scheduled programming and switch<br />

to continuous rolling coverage of the bushfires. 130<br />

4.100 During the day, much of the content broadcast on local radio Victoria was sourced from 774 ABC Radio<br />

Melbourne. In some areas, local ABC radio stations made local broadcasts at some stages of the day. 131<br />

4.101<br />

The information concerning bushfires received by the ABC came from multiple sources:<br />

■■ telephone calls from representatives of emergency services made on the hotline directly to 774 ABC Radio<br />

Melbourne production studio in Southbank and to regional radio stations and directly to ABC local radio staff<br />

■■ emails from the fire agencies and Victoria Police<br />

■■ ABC staff monitoring the DSE and CFA websites: on the afternoon of 7 February a person in the Ballarat<br />

studio was rostered to monitor the messages being posted on the agencies’ websites and as appropriate<br />

to read those messages on air on 774 ABC Radio Melbourne<br />

■■ direct conversations between CFA and DSE staff and ABC personnel located at the iECC<br />

■■ ABC staff speaking directly to Incident Controllers by telephone, and sometimes the Incident Controllers<br />

being interviewed on air<br />

■■ telephone calls with representatives of the Bureau of Meteorology<br />

132<br />

■■ telephone calls, SMS messages and emails from members of the general public.<br />

133<br />

4.102 There are in evidence transcripts of the 774 ABC Radio broadcasts on 7 February. Additional audio files<br />

and transcripts of ABC Central Victoria Radio, ABC Gippsland Radio, ABC Western Victoria Radio, 3AW<br />

and ABC local radio were also tendered. 134 In addition, a chart setting out the first mention of warnings for<br />

the Kilmore East and Murrindindi fires was tendered. 135<br />

4.103 It is clear from this material that bushfire awareness, alert and urgent threat messages were read multiple<br />

times throughout the day. ‘On the spot’ coverage was provided throughout the day. Interviews were<br />

conducted with representatives of the emergency services, callers from the public provided information<br />

and reporters on the ground provided additional coverage.<br />

4.104 An extremely high volume of calls was received by ABC Radio on the afternoon of 7 February.<br />

The Melbourne Southbank studio received just over 6000 calls. In comparison, on an ordinary day<br />

it expects to receive approximately 800 calls. 136<br />

4.105 Ms Stayner said calls to the ABC were being made simultaneously and continuously on multiple lines.<br />

Producers and editorial staff were answering calls for over 10 hours commencing at about midday on<br />

7 February. 137 The events of the afternoon presented a ‘very challenging situation even for experienced staff’. 138<br />

Some members of the public called in a distressed state seeking information, which presented difficulties<br />

for ABC staff. 139 The public increasingly called the studio looking for specific information and reporting<br />

problems with the VBIL. 140 Some callers rang back repeatedly and became increasingly frustrated. 141<br />

4.106<br />

In addition to the information broadcast on ABC Radio:<br />

■■<br />

ABC television broadcasts on 7 February carried ‘crawlers’ which advised viewers that there were fires<br />

burning throughout Victoria and that they should listen to their ABC local radio for further information.<br />

The first crawler went to air at 1:45pm and they continued regularly until nearly 10:00pm on 7 February. 142


<strong>Warnings</strong><br />

■■<br />

Information was published on the 774 ABC Radio Melbourne Twitter account from about 12:30pm on<br />

7 February until the early hours of the following morning. 143 The information published on the Twitter<br />

account came from information already broadcast by the ABC, the CFA website and information on<br />

the ABC news site. 144<br />

4.107 The ABC played a vital role on 7 February in informing and warning the community. The efforts of its staff<br />

are commended. The level of public trust in and reliance on the ABC is evident. However, in a number of<br />

key instances the information provided by the ABC was out of date, or inaccurate — or there was simply<br />

no information that particular communities were under threat. The ABC was reliant on accurate and timely<br />

advice from the emergency services, and when this was not available, the quality of information relayed by<br />

the ABC was inevitably compromised. The specific circumstances around warnings for the Kilmore East fire<br />

are discussed in <strong>Chapter</strong> 9. The <strong>Commission</strong> will hear further evidence for each major fire in future hearings.<br />

Commercial media<br />

4.108 The commercial media also played a role in alerting the community to bushfire warnings. A compilation<br />

of media clips (including commercial TV news bulletins) was played during the hearing. 145 These clips<br />

graphically illustrated the level of attention that the bushfire risk gained in the commercial media on<br />

7 February.<br />

4.109 There is scope for increasing the involvement and profile of the commercial media in emergency broadcasting.<br />

As Mr Rees noted, the MOU between the ABC and the emergency services agencies acknowledges that<br />

ABC local radio broadcast to a maximum of about 25–30 per cent of <strong>Victorian</strong>s at peak listening times, and<br />

a smaller number outside those hours. 146 Attention needs to be paid to reaching those who are not within the<br />

ABC’s audience.<br />

4.110 Mr Grant Johnstone, General Manager of ACE Radio Traralgon stations TRFM and Gold 1242, gave<br />

evidence. 147 ACE Radio is Victoria’s largest regional commercial radio network. It operates 13 AM and<br />

FM radio stations throughout Victoria. Mr Johnstone noted that ACE Radio and other commercial radio<br />

networks are not recognised officially as emergency broadcasters. 148 However, ACE Radio follows the<br />

procedures contained in the Commercial Radio Australia Limited codes of practice and guidelines for<br />

broadcasts of emergency information. 149 Pursuant to those guidelines, ACE Radio broadcasts emergency<br />

information. ACE Radio broadcast the warning messages it received on 7 February and undertook<br />

substantial efforts to obtain information directly from Incident Controllers to supplement that information.<br />

4.111 ACE Radio’s system for broadcasting emergency service announcements relies heavily on the emergency<br />

services directly contacting ACE Radio by telephone, fax or email and on ACE Radio staff being able to<br />

speak to emergency service personnel directly when the need arises. 150<br />

4.112 Mr Johnstone noted, however, that there are two major consequences of ACE Radio not having the status<br />

of the emergency broadcaster:<br />

(1) Incident Controllers and others charged with dissemination of information do not automatically<br />

and routinely provide emergency information to commercial regional radio networks. As a result,<br />

the information available for broadcast is more limited than it should be.<br />

(2) Commercial broadcasters are not promoted in the mind of the public as ‘emergency broadcasters’. 151<br />

4.113 Mr Johnstone expressed the firm view that all radio networks that are prepared to broadcast emergency<br />

service information during bushfires and other emergencies, and to maintain appropriate standards when<br />

doing so, should enjoy equal access to the emergency service information to maximise public accessibility.<br />

He noted that ACE Radio would be prepared to enter into an undertaking with the relevant authorities to<br />

guarantee the extent and integrity of its emergency information broadcasts in a similar way to the MOU<br />

that presently exists between the ABC and <strong>Victorian</strong> emergency services organisations. 152 He said:<br />

135


<strong>2009</strong> <strong>Victorian</strong> <strong>Bushfires</strong> <strong>Royal</strong> <strong>Commission</strong>—Interim Report<br />

4 WARNINGS<br />

It is something that I particularly feel quite passionate about; that all broadcasters should be given<br />

an equal footing and all broadcasters should be given equal access to the information … it would be<br />

impossible to say that everybody was listening to the ABC on February 7. Given the volume of calls that<br />

we received on that night, I would suggest that that’s not the case. Therefore all radio stations … in a<br />

given area should be given equal access to the information. 153<br />

4.114 Efforts should be made to pursue this willingness of commercial radio interests to enter into arrangements<br />

and commitments similar to those with the ABC.<br />

4.115 The State indicated in its submissions that the OESC has already decided to negotiate with commercial<br />

broadcasters who wish to act as emergency broadcasters and thereby ‘extend the reach of warnings<br />

delivered by radio and beyond the audience of the ABC’. 154 This development is welcomed. However, the<br />

<strong>Commission</strong> notes that success in extending the emergency broadcaster network will require commitment<br />

by the parties on an ongoing basis.<br />

HOW DID THE COMMUNITY RECEIVE AND UNDERSTAND THE WARNINGS<br />

on 7 february?<br />

4.116 Evidence previously described in this chapter confirmed that a large volume of warnings was issued in<br />

various forms and at different times during 7 February. The <strong>Commission</strong> has also paid careful attention<br />

to the content, accuracy and timelines of the warnings, the detail of their accessibility to the communities<br />

directly affected by the fires, and to the nature of their general dissemination.<br />

Interim report of the Bushfire CRC<br />

4.117 The Bushfire CRC has produced an interim report on its investigation into the fires: <strong>Victorian</strong> <strong>2009</strong> Bushfire<br />

Research Response Interim Report (June <strong>2009</strong>). 155 That report included a detailed study of human behaviour<br />

and community safety. 156 The themes that emerged included the existence of low levels of awareness prior<br />

to 7 February, criticisms of some of the sources of information relied on by the community and concerns<br />

about an absence of timely warnings.<br />

4.118 The report’s findings were based on preliminary analysis of 201 (or approximately one third) of the interviews<br />

conducted by the research team. 157 The researchers’ preliminary analysis of the material indicated that a<br />

minority of those interviewed (about one in five) spoke of some level of awareness of heightened risk of fire<br />

predicted for 7 February, although it was noted that not all interviewees were asked specifically about this. 158<br />

Very few of those interviewed indicated that the forecast and warnings had resulted in them changing their<br />

behaviour prior to 7 February. The report noted that:<br />

The most frequent outcome of the early predictions and warnings was to raise general, non specific<br />

concern about the possibility of fire, and to probably promote a ‘wait and see on the day’ response.<br />

Only a small minority of residents of at risk communities appear to have interpreted the warnings as<br />

having implications for their personal safety and the security of their property resulting in either earlier<br />

action to prepare their property for a defence, or a decision to be elsewhere. 159<br />

136<br />

4.119 Most interviewees reported receiving information via the radio on 7 February. Very few made references<br />

to specific and useful information having being broadcast. 160 The report noted that for many interviewed,<br />

the lack of timely information about developing threats to communities such as St Andrews, Strathewen,<br />

Kinglake, Kinglake West, Narbethong and Marysville, especially late in the day when fire activity was rapidly<br />

increasing, may have contributed to people being surprised by the sudden impact of the fires. Because<br />

those communities were not identified as being under threat, many residents appear to have assumed<br />

they were unlikely to be threatened. 161<br />

4.120 Many interviewees reported seeking information from the CFA and DSE websites and were critical of those<br />

sites. 162 Particularly in Bendigo and Marysville, those interviewed also indicated that direct verbal warnings<br />

from police officers and CFA and SES volunteers were very important in enabling residents to evacuate<br />

safely. 163 The report concluded:


<strong>Warnings</strong><br />

In summary, for many of those interviewed, environmental cues as to the risk of fire (smoke, flames,<br />

embers) served a useful function in alerting them to a developing threat, and in many instances<br />

prompting an active search for more information, or a decision to take active steps to evacuate or to<br />

initiate defence. These environmental cues took on special significance in the reported absence of<br />

specific warnings via the media and agency websites about imminent threat to many of the affected<br />

communities. However, environmental cues, especially remote cues such as smoke, are ambiguous and<br />

are likely to add to uncertainty in the absence of accurate, specific, and timely information for residents<br />

about developing fire threats. By way of concluding, vigilance by residents for environmental cues on<br />

Total Fire Ban Days cannot always be relied upon. 164<br />

analysis of a SPECIFIC BUSHFIRE WARNING ISSUED ON 7 FEBRUARY<br />

4.121 Professor Handmer was asked to comment on the effectiveness of the bushfire warning messages issued<br />

during the fires. 165 In particular, he was asked to comment on bushfire warnings placed on the CFA website<br />

on 7 February. One of these warnings is replicated below.<br />

Table 4.2: Alert Message for the Saunders Rd, Kilmore East fire, 2:20pm<br />

Effective<br />

From<br />

Effective<br />

To<br />

News<br />

Title<br />

Message<br />

Type<br />

Message<br />

Authorised<br />

by<br />

Review<br />

date/<br />

time<br />

7/02/<strong>2009</strong><br />

14:25<br />

7/02/<strong>2009</strong><br />

14:40<br />

Saunders<br />

Rd,<br />

Kilmore<br />

East fire,<br />

2.20pm<br />

Alert<br />

Message<br />

for fire at<br />

Kilmore<br />

East<br />

Incident Information: A grass fire is burning<br />

3 kilometres east of Kilmore, near Saunders<br />

Road (VicRoads Map reference 417 C4).<br />

It is burning in a south easterly direction.<br />

This fire is not currently posing a threat to<br />

communities, however the communities<br />

of Kilmore East, Wandong and Clonbinane<br />

need to be aware of this fire. This fire has now<br />

jumped the Hume Highway and significant<br />

spotting has occurred. The fire is impacting<br />

on the outskirts of the Wandong township.<br />

Estimated size is over 600 hectares. Core<br />

Advice: People in the area need to remain<br />

alert as there may not be a warning should<br />

conditions change unexpectedly. Continue<br />

to listen to ABC or local radio for updates on<br />

this fire. Be prepared to activate your bushfire<br />

survival plan if necessary. Decide now if you<br />

are going to stay or go. Remember that it is<br />

very dangerous to leave late with a fire in the<br />

area. Road use in the area will be extremely<br />

hazardous due to low visibility from smoke.<br />

Watch out for fallen trees, power lines,<br />

abandoned cars, wildlife and emergency<br />

services vehicles. If you plan to stay,<br />

remember to seek shelter from radiant heat.<br />

Should the fire reach your property, close all<br />

doors and windows and stay inside the house<br />

while the fire passes. Remain alert, extinguish<br />

any small fires and if necessary, move outside<br />

to burnt ground once the fire has passed.<br />

Drink plenty of fluids to avoid dehydration.<br />

For information on fires in Victoria and general<br />

fire safety advice, please contact the <strong>Victorian</strong><br />

Bushfire Information Line (VBIL) on freecall<br />

1800 240 667. Callers who are deaf, hard of<br />

hearing, or have a speech/communication<br />

impairment may call textphone/telewriter (TTY)<br />

on 1800 122 969. Information is also available<br />

at www.dse.vic.gov.au/fires<br />

SDO Gregg<br />

Patterson<br />

(null)<br />

137<br />

Source: Exhibit 3 – Statement of Rees, Annexure 31 (WIT.004.001.0509) at 0530–0531 166


<strong>2009</strong> <strong>Victorian</strong> <strong>Bushfires</strong> <strong>Royal</strong> <strong>Commission</strong>—Interim Report<br />

4 WARNINGS<br />

4.122<br />

In relation to this message, Professor Handmer made the following points:<br />

■■<br />

■■<br />

Layout: subheadings are present but hard to find, people have to read the whole statement carefully<br />

to find what they might want.<br />

Content and wording: This is an alert message, but the timeframe it is relevant for is only 15 minutes.<br />

This appears inconsistent with the message ‘the fire is not currently posing a threat to communities’,<br />

and the statement that the fire ‘is impacting’ on the outskirts of the Wandong township. He concludes<br />

that ‘much of that message is generic in all the alert messages but it is quite confusing, more than<br />

quite confusing’. 167<br />

4.123 The confusion caused by a message which states both that, ‘this fire is not currently posing a threat to<br />

communities’ and that ‘the fire is impacting on the outskirts of the Wandong township’ is particularly<br />

problematic. Mr Rhodes accepted that this rendered the message ‘contradictory’. 168<br />

4.124 The reference to a fire being 600 hectares in size is not, on its own, particularly informative to most members<br />

of the public, unless accompanied by an indication of the severity and speed of the fire. The reference to a<br />

VicRoads map (which appears in this warning, but not all those posted on the CFA website) may be very<br />

useful to those travelling, but other information describing the location and predicted spread of the fire is<br />

likely to be more useful to residents who are in their homes when they receive the warning.<br />

4.125 In the context of an exploration of these mixed messages, Mr Esplin stated that he was aware the CFA<br />

and DSE were already reviewing the language in the messages. 169 The terminology, design and content<br />

of the messages indeed needs urgent review.<br />

4.126 A real problem with this message, and others like it, is the failure to indicate the severity of the approaching fire,<br />

and the failure to refer explicitly to the window of time until the fire reaches Wandong and other communities.<br />

4.127 When asked to comment on urgent threat messages, Mr Esplin said such a message should not be<br />

regarded as a warning to leave. He asserted that it is rather ‘the last bit of information for a community that<br />

has prepared itself to stay and defend its property’. He said ‘If you get an urgent alert message [sic], it is<br />

to help those people who are planning to stay and defend their properties and it should not be seen as a<br />

trigger to flee, which all the research at that stage had highlighted was the most dangerous option to you’. 170<br />

4.128 This suggests that urgent threat warnings carry meaning only for those who have determined to stay and<br />

defend their properties. However, it is clear that many in the community decide to leave when threatened<br />

by fire and that for some, an urgent threat message is the first indication they receive of fire in their area.<br />

Such messages must be crafted with this reality in mind.<br />

LAY WITNESSES VIEWS ON THE WARNINGS<br />

4.129 Lay witnesses provided useful evidence about warnings relevant to their communities. A number of those<br />

who gave evidence did not hear specific bushfire warnings for their community. Some did not receive a<br />

warning because a timely warning was not disseminated for their community. Some were unable to receive<br />

warnings as their homes had lost power by the critical time. Others did not actively seek warnings or<br />

‘missed’ specific warnings, because they were engaged in other activities, or were preparing their homes<br />

or focusing on other communication sources when the warning was disseminated. Some heard warnings,<br />

but found them inadequate in their description of the speed and severity of the fire.<br />

4.130 Many of those who gave evidence before the <strong>Commission</strong> expressed grief, anger and frustration about<br />

the fact that they or their family members did not receive timely or accurate (or in some cases any) warnings<br />

sufficient to enable them to take steps to protect themselves and their families.<br />

4.131 Witnesses drew on various sources for information and warnings. Dr Lachlan Fraser of Marysville was aware<br />

of the weather forecast. He saw smoke at about 3:30pm on the afternoon of 7 February and then sought<br />

information from the VBIL, which confirmed that there was a fire at the Murrindindi Mill. He listened to<br />

commercial radio rather than the ABC. 171<br />

138


<strong>Warnings</strong><br />

4.132 Mr John O’Neill of Steels Creek listened to the commercial stations and 774 ABC Radio. He monitored the<br />

CFA website. His family also made use of a telephone tree in their area. 172 Ms Alice Barber of Pheasant Creek<br />

heard on the television and radio about fires in Kilmore East. 173<br />

4.133 Mr Peter Olorenshaw of Calignee was aware of the severe weather and fire risk. In particular, he listened to<br />

the ABC and monitored the Bureau of Meteorology website. Mr Olorenshaw is the leading Senior Constable<br />

attached to the Latrobe Traffic Management Unit. In that capacity he attended Red Hill Road where fire was<br />

already burning, and he and his partner drove to a number of homes and personally advised residents of the<br />

approaching fire. 174<br />

REACTIONS TO THE INFORMATION BROADCAST PRIOR TO 7 FEBRUARY<br />

4.134 Some lay witnesses reported their reactions to the information concerning the weather predictions for the<br />

weekend disseminated in the days before the fire. Ms Jesse Odgers of Kinglake left her home at lunchtime<br />

on Friday 6 February having heard that ‘conditions would be worse than that of Ash Wednesday’. 175<br />

Ms Odgers said:<br />

There are two parts to my decision, that it was a risk on the Saturday and that was the weather forecast.<br />

I have never heard before in my life a weather forecast that stated that conditions would be worse than that<br />

of Ash Wednesday and together with that and the forecast for extreme winds, temperatures in the low<br />

to mid forties and so that is one part of the external information; and the second part of that information<br />

was my physical experience of where I lived ... seeing the leaves drop from the trees, I had never seen<br />

that before in my life and I thought that was another extreme indicator that something was very wrong. 176<br />

4.135<br />

Mr Peter Newman of Buxton said:<br />

All that week the weather forecasts had got progressively worse, and they started dynamite, anyway, and<br />

they said Saturday is going to be the worst on record … You can’t get any plainer than that they said this<br />

is going to be the worse day on record. On that day we got to 48 degrees and 4 per cent humidity I was<br />

told. You can’t get any worse than that. 177<br />

4.136<br />

Mr Brian Patten of Upper Plenty said: ‘I was well aware that Saturday was going to be a big day for fires or<br />

a dangerous day for fires’. 178 Mr Ken Rogers of St Andrews was aware that 7 February had been declared<br />

a day of Total Fire Ban and regarded this as ‘an indication’ and had undertaken various preparations but<br />

was nevertheless expecting to hear a specific warning. 179 Mr Rogers said:<br />

We understood that it was going to be a pretty bloody day and with a high risk of fire and to be ready for<br />

it. Also, it should be remembered, after 4 days, after [sic] 43, the place was tinder dry. It was obviously a<br />

very high risk of fire, but I think, you never really think it’s going to happen to you. They always seem to<br />

happen to other people. They always had in the past anyway. 180<br />

4.137<br />

Dr John Ferguson of Buxton was aware of weather predictions to the effect that it was to be ‘potentially the<br />

worst bushfire day in Victoria’s history’. Dr Ferguson was listening to ABC Radio, but did not hear the warning<br />

message for Marysville and Buxton at 5:34pm, as by then the power had gone off at his home. He noted,<br />

however, that by that time he could see the smoke in the sky and it was obvious the fire was coming. 181<br />

Waiting for a trigger<br />

4.138 A common theme among lay witnesses was that they expected to receive information about whether the<br />

fire had reached certain areas or towns, which they regarded as an indication that the fire was ‘in their area’.<br />

Some of those witnesses were then overtaken by the speed of the fire when it reached their homes.<br />

For example, Mr Denis Spooner of Strathewen and his family were waiting for an indication that the<br />

fire was in or near Whittlesea. 182 Ultimately, the family left their home, but became separated. 183<br />

Sadly, Mr Spooner’s wife and adult son died in the fire.<br />

Ms Jacqueline Hainsworth of Kinglake West, heard the warning from the Premier on the Friday.<br />

4.139<br />

184<br />

But she<br />

anticipated that the trigger for her to leave would be news of a bushfire anywhere in her area including<br />

Whittlesea, Mount Disappointment, Humevale, Strathewen, St Andrews or Kinglake, rather than declaration<br />

of a Total Fire Ban day. 185<br />

139


<strong>2009</strong> <strong>Victorian</strong> <strong>Bushfires</strong> <strong>Royal</strong> <strong>Commission</strong>—Interim Report<br />

4 WARNINGS<br />

4.140 Mr Illiya Ananiev of St Andrews said his family was relying on a ‘trigger’ from the internet or the CFA<br />

scanner. Mr Ananiev was aware of the high fire danger, but his first awareness of a fire in his area was being<br />

showered by blackened sticks in his family swimming pool. At that time, the only information on the website<br />

was that a Kilmore fire was ‘going’ and Mr Ananiev was not concerned by this information. In the end his<br />

family had to evacuate at the very last minute. 186<br />

4.141 Mr Bevan Gobbett of Clonbinane planned to commence his preparations when he received word that<br />

a fire had started in his shire. Mr Gobbett was first notified by a friend that a fire had started in Kilmore East.<br />

He accepted that due to a family function on that day he had not heard or seen some of the earlier<br />

warnings. Mr Gobbett had access to a CFA scanner, and the CFA and DSE websites, but found that<br />

the substantive web pages were inaccessible. He also listened to ABC Radio. 187<br />

4.142 Mrs Joan Davey was aware that her son and daughter-in-law from Kinglake were making preparations while<br />

monitoring the CFA website and looking for information about fires in their area. The fire consumed the<br />

family home and tragically took the lives of the young family, including Mrs Davey’s two grandchildren. 188<br />

Informal sources AND visual cues<br />

4.143 Some who gave evidence were not aware of a fire until they saw smoke in the area — for example,<br />

Mr Daryl Hull working in Marysville. 189 Others first heard of fire in their area from friends and family. 190<br />

Others heard information on CFA scanners — or later expressed the wish that they had been able to do so. 191<br />

4.144 Mr Christopher Casey of Long Gully heard nothing about the fires as he was listening to a commercial radio<br />

station. His first indication was noticing smoke in the distance. Ultimately Mr Casey went out into his local<br />

area and was advised by a police officer of the need to evacuate. 192<br />

4.145 Ms Sharon McCulloch of Kinglake was aware that the weather conditions leading up to 7 February were<br />

as bad or worse than Ash Wednesday, but the first indication she had that the fire was approaching was<br />

when she saw smoke and was informed by a relative. She did not hear any warnings for Kinglake on<br />

ABC Radio during the brief period she listened to it. 193<br />

4.146 Mr Douglas Walter of Taggerty had been listening to 774 ABC Radio and heard notification of a fire in<br />

Kilmore that was moving quickly. However, the first indication he had of the progress of the fire was his<br />

direct observations of the smoke. 194<br />

4.147 Mr David O’Halloran and his family monitored ABC Radio and the DSE and CFA websites. He did not<br />

hear a warning for his town of Flowerdale, although he accepted that a warning was broadcast on the<br />

ABC shortly after ten past six. He heard from a neighbour that fire was approaching Kinglake. 195<br />

4.148 Ms Anastasia Scott of Marysville was aware of the forecast weather. But her first indication that a fire had<br />

started at the Murrindindi Mill came from a phone call from a friend. She also received advice personally<br />

from a DSE employee who happened to live nearby. 196<br />

4.149 Ms Christine Glassford of Reedy Creek was aware of the weather forecasts and knew it was going to<br />

be very hot. Ms Glassford’s first information concerning the fire was when she noticed smoke; she then<br />

checked that information on the CFA website but it did not appear to match her observations. 197<br />

Lack of timely warnings<br />

4.150 <strong>Chapter</strong> 1 describes the main fires on 7 February and contains information on the provision of warnings.<br />

For a number of the fires there is a serious time lag from the point of activation of emergency services to<br />

the provision of information, alert and warning messages to the community. The <strong>Commission</strong> will hear<br />

further evidence on the timeliness and accuracy of the warnings given for each major fire in future hearings.<br />

4.151 Mr David Brown of Strathewen was aware of the predictions for fire risk for Saturday 7 February. He said<br />

that they were waiting for a trigger, that is an indication a fire was in their vicinity. The fire that came upon<br />

them had started over four hours before it reached them. 198 Mr D Brown said:<br />

140


<strong>Warnings</strong><br />

I cannot understand how if the two senior officers with the command responsibility for the CFA on the<br />

one hand and DSE on the other were prepared to go public a week or so later in the press and make<br />

the statements they did about how certain they were where this fire was going to come out, that a<br />

warning was not given to the community that was in the path of that fire. I cannot understand it. 199<br />

4.152 Mrs Carol Matthews of St Andrews knew that her children were monitoring the CFA website while<br />

undertaking careful preparatory steps for the approach of possible fires. There was no reference in the<br />

material available to her children to fire approaching or reaching the town of St Andrews. Mrs Matthews<br />

listened to 774 ABC Radio herself and could hear no mention of St Andrews being in the path of the fire. 200<br />

The fire approached the family home rapidly, and tragically took the life of her son.<br />

Views about the content of the warnings<br />

4.153 A number of witnesses expressed concerns about the way in which information was conveyed to the public,<br />

and suggested improvements.<br />

201<br />

4.154 For example Dr Christopher Harvey of Kinglake was aware of the weather predictions for 7 February.<br />

But in his view, there were shortcomings in the way in which the extreme fire danger was conveyed to<br />

the community:<br />

We needed more. My dead neighbours, my deceased neighbours, my friends, we needed more<br />

information. An extreme fire danger day to us is a day to be vigilant. That is as far as I would<br />

describe that. 202<br />

4.155 Dr Harvey called, in particular, for more information about the fire danger index, noting that this would<br />

have to be accompanied by an education program. 203<br />

4.156 Mr D Brown explained that his wife listened to the radio all day and monitored the CFA website. They became<br />

aware that there was a fire in Kilmore East early in the afternoon, but were surprised by the speed by which<br />

it came to their property. 204 Mr D Brown also stated that information about the fire danger index would have<br />

helped people understand the severity of the fire. He said:<br />

I think it would have been a very graphic way of demonstrating the level of potential risk. When you have<br />

an index that normally runs from 0-100 as its top end and it was registering 328, that is a very graphic<br />

illustration of the seriousness of the potential event and I think that would have been quite easy for<br />

people to understand and I think … it would have caused us to think a lot harder about the potential risk<br />

the Kilmore East fire, once we learnt about it on the afternoon of the Saturday, represented to us. 205<br />

4.157 Mr Peter Brown of St Andrews became aware of the Kilmore East fire via an ABC Radio broadcast. He said<br />

they only heard ‘snippets of information’ about the Kilmore East fire on the radio and had to ‘wade through<br />

everybody else’s fires before we would get a little snippet about our fire’. A broadcast heard on ABC Radio<br />

at about 4:00pm informed him that there was a fire in the Clonbinane area, which was advancing slowly with<br />

a south-westerly change already coming through. This caused him to believe the fire would be pushed to<br />

the north-east, away from his valley: 206<br />

I had a strong belief that the information that I was receiving was accurate. I put it quite bluntly<br />

that I would rather receive no warning at all than a warning that is patently inaccurate because,<br />

rightly or wrongly, you pace your day to what information you’re hearing. 207<br />

4.158<br />

Mr P Brown also called for use of plain language:<br />

I feel that when language like ‘held within containment lines’… what are they? The euphemisms for ‘held<br />

within containment lines’ is, ‘oh, we’ve got it under control’… what does that mean? ... I think we have to<br />

be absolutely blunt that, once these fires are out of control, they are out of control and unless you have<br />

some form of backup plan on your property for life preservation you should get out. 208<br />

141


<strong>2009</strong> <strong>Victorian</strong> <strong>Bushfires</strong> <strong>Royal</strong> <strong>Commission</strong>—Interim Report<br />

4 WARNINGS<br />

4.159 Ms Karen Ward of Mudgegonga was aware of the weather forecast and predictions. She heard a message<br />

on ABC Radio in the evening, which was helpful because ‘it let us know that it was going to be us that was<br />

directly affected’. Ms Ward also sought more information about warnings and suggested it would be useful<br />

if fire was rated so it was clear if the approaching fire is going to be extreme. 209<br />

4.160 Mr John Williams of Yarra Glen noted that on Friday ‘the tempo of the warnings certainly increased’ and<br />

recalled seeing the warning given by the Premier. 210 He took this as a trigger to commence preparations to<br />

defend the winery. He said, however, that the warnings he heard on ABC Radio were difficult to understand:<br />

There were warnings issued from time to time in a very sort of performance type language, ‘a warning<br />

is issued to the people of such and such that you may be about to endure an ember attack,’ this sort<br />

of language, and I had to concentrate very carefully on each one of these messages just to see to whom<br />

it did apply. If I missed the beginning of the statement, the rest of it was of no consequence whatsoever.<br />

These messages went on, very lengthy, using up a lot of valuable time and I kept mumbling to myself,<br />

‘get on with it, give a short, pithy messages that are up to date.’ They were out of date. I can see more<br />

going on here than what’s being told over the radio. 211<br />

4.161<br />

He emphasised the need for short messages and suggested the following model:<br />

‘A message for the people of Timbuktu. A message is issued at 1:35pm. You may be enduring an ember<br />

attack within the next hour. This is a message for Timbuktu timed at 1:35pm’, and then move onto the<br />

next one. 212<br />

4.162 Ms Jillian Kane of Bendigo, gave evidence on the death of her disabled brother in Long Gully. She noted<br />

that given his vulnerability he, and those like him, require ‘a more effective warning system’ and advance<br />

notice to be able to arrange to relocate. 213<br />

conclusions on the construction and content of BUSHFIRE warnings<br />

4.163 Changes should be made to the content of bushfire warnings. Many of the warnings used by the fire<br />

agencies on 7 February were deficient in the following respects:<br />

■■<br />

many warnings did not indicate the likely severity of the fire; this is a significant shortcoming<br />

■■ the warnings rarely identified the window of time during which the fire was predicted to reach<br />

certain towns or communities; this information is vital to the community<br />

■■ some warnings were imprecise in their description of the location of a particular fire or the direction in<br />

which the fire was spreading; again, this information is important to those preparing to meet the threat<br />

■■ the advice in many warnings was lengthy and confusing, sometimes even contradictory; it was difficult<br />

to identify the important information<br />

■■ the terminology used in some warnings was vague and euphemistic; it did not serve to grab the<br />

audience’s attention.<br />

4.164 On the particular language to be used in bushfire warnings, as Mr Rees agrees, terms like ‘going’ and<br />

‘out of control’ — though they have meaning to fire specialists — fail to convey sufficient meaning to the<br />

public. 214 In his evidence, Mr Lawson agreed that the use of a term such as ‘extremely dangerous bushfire’<br />

would be in keeping with the desire to use plain language. 215 Mr Pearce agreed that using the term ‘severe’<br />

would improve communication about the severity of fires. 216 Terms which convey clearly the severity and<br />

intensity of bushfires should be used.<br />

142


<strong>Warnings</strong><br />

RECOMMENDATION 4.2<br />

The State ensure that the content of bushfire warnings issued in Victoria reflects the principles set out<br />

in the Commonwealth policy paper Emergency <strong>Warnings</strong> — Choosing Your Words (2008). In particular,<br />

all bushfire warnings issued in Victoria must use clear language, avoid euphemisms, and contain explicit<br />

information in relation to:<br />

■■<br />

■■<br />

the severity, location, predicted direction and likely time of impact of bushfires on specific communities<br />

and locations; and<br />

the predicted severity of impact of the bushfire and whether a specific fire poses a threat to human life.<br />

TOWARDS A LONGER TERM APPROACH — A NEW CATEGORISATION SYSTEM<br />

4.165 A number of witnesses who appeared before the <strong>Commission</strong> said that it may be desirable to develop<br />

a clearer means of communicating the severity of a bushfire to the public. Some witnesses proposed drawing<br />

on the ‘category one, category two’ terminology used in cyclone warnings. For example, Mr P Brown<br />

suggested an improved system of fire danger rating:<br />

… you could have a total fire ban season and you could train people up on the type of equipment that<br />

can be used on any given day, and then what happens is you rate everyday during the fire season from<br />

a 1 through to a 5. You can have it such that, as you move through it, the response from the fire authority<br />

can go from being at a 1, where the fire can be contained within a given time and so the community can<br />

have confidence that it is actually within a scale that the fire authorities can control, right through to a<br />

5, where straightaway we know that, when the fire occurs, unless it is under control within the first ten<br />

minutes to a quarter of an hour, it’s now out of control … the community needs to know that. 217<br />

4.166 Similarly, Mr Ananiev suggested, ‘All we are looking for is a category 1, 2, 3, or 5, and maybe a colour,<br />

red, yellow, green, to mix in with it’. When asked about use of the terminology ‘extremely dangerous’,<br />

he said ‘For me it would be category 1. One red’. 218<br />

4.167 Ms Glassford said she found the information on ABC Radio confusing:<br />

I would have probably personally preferred to have heard that the fire was in a particular location and the<br />

direction it was heading rather than hearing about what towns were under threat. I think that probably<br />

reflects the fact that I’m not really close to a particular town … I know a lot of people who were leaving late<br />

that day. I think also just knowing where it was and the direction it was heading may have aided them in<br />

choosing the direction to escape the fire. 219<br />

4.168<br />

Dr Harvey agreed:<br />

You know you can’t be calling it a very extreme fire day, you can’t use that sort of language,<br />

it just doesn’t mean a thing. Numbers mean things to people. 220<br />

4.169 Professor Handmer drew comparisons with other warning systems used for natural disasters. He explained<br />

that in relation to cyclones, there is a categorisation system ranging, ‘from 1 or 2, very low impact, to 5,<br />

extreme cyclone’. He explained further the benefits of cyclone warnings, while noting that cyclones are<br />

easier than bushfires to ‘detect, track and issue warnings for’. 221<br />

4.170 There are important differences between floods, cyclones and fires, and different challenges are raised in<br />

relation to warning systems for each. However, a more readily understood ‘severity scale’ to be used when<br />

grading bushfires would assist the community in responding to bushfire warnings.<br />

143


<strong>2009</strong> <strong>Victorian</strong> <strong>Bushfires</strong> <strong>Royal</strong> <strong>Commission</strong>—Interim Report<br />

4 WARNINGS<br />

4.171 The AFAC <strong>2009</strong> draft paper, A National Systems Approach to Community <strong>Warnings</strong>, recommended that<br />

categorisation levels should be developed for other emergencies, and in particular that the use of the fire<br />

danger index should be reconsidered, incorporating the experiences of dealing with cyclones. 222 Such an<br />

approach has benefits and may be capable of more starkly bringing to the attention of the public the severe<br />

risks attached to some fires.<br />

4.172 In a related context, a number of witnesses spoke of the difficulty of conveying the severity of extreme fires<br />

by reference to the current fire danger index scale. This matter is discussed in more detail below in <strong>Chapter</strong> 5.<br />

4.173 In relation to the possible introduction of a numerical system of grading severity of fires, Professor Handmer<br />

said that it may require some years of education but people would understand it, so long as it was<br />

accompanied by an appropriate education awareness program. 223<br />

RECOMMENDATION 4.3<br />

The State commission research into the development of a new fire severity scale that denotes the risk<br />

posed by dangerous and extremely dangerous bushfires (similar to the cyclone categories 1 to 5).<br />

LESSONS FROM THE 2005 WANGARY FIRES AND PROJECT PHOENIX<br />

4.174 In January 2005, the Wangary fire on the Eyre Peninsula in South Australia resulted in the deaths of nine<br />

people and the destruction of 93 homes. After the Wangary fire, Mr Andrew Lawson was appointed as the<br />

Country Fire Service of South Australia (CFS) Liaison Officer to the Coronial Investigation Team and to assist<br />

those conducting an independent review into the same fire. 224<br />

4.175 Mr Lawson is currently Deputy Chief Fire Officer of the CFS. He is also a member of the AFAC Operations<br />

Strategy Group and the Urban Strategy Group. Mr Lawson has extensive experience in all areas of the<br />

fire industry, including operational firefighting, fire planning and mapping, administration, management<br />

and policy development. 225<br />

4.176 Mr Lawson gave evidence effectively ‘wearing two hats’. He attested to his experience dealing with the<br />

aftermath of the Wangary fires and the implementation of a new bushfire warning system in South Australia.<br />

He also gave evidence in his capacity as a member of AFAC’s Operations Strategy Group and as principal<br />

author of the 2005 AFAC draft paper discussed at paragraph 4.48.<br />

4.177 Mr Lawson explained that as a result of the Wangary fires, the CFS immediately commenced an extensive<br />

‘lessons learnt’ process known as Project Phoenix. The aims of that project included identifying and<br />

implementing improvements prior to the 2005–06 fire danger season. 226 One such improvement was the<br />

introduction of a new bushfire warning system.<br />

4.178 In January 2005, the CFS was using four levels of bushfire warnings. Part of the learning of Project<br />

Phoenix was that there was widespread confusion about the numbering system and the meaning of<br />

each phase in the system. 227 The CFS has since simplified the warning system to two levels, comprising<br />

bushfire information messages and bushfire warnings. The new system is now known as the CFS Bushfire<br />

Information and Warning System. 228<br />

4.179 Bushfire information messages inform the community about a bushfire that is burning or ‘going’, and may<br />

be threatening, but does not necessarily demand urgent action by the community. Bushfire information<br />

messages may also include information and advice on the state of a more distant bushfire. 229<br />

144


<strong>Warnings</strong><br />

4.180 The second stage, the bushfire warning message, warns the community that a major bushfire is burning out<br />

of control under high to extreme conditions and is a threat to public safety. A significant threat to life exists,<br />

and the community needs to respond immediately to ensure their safety and survival. In South Australia,<br />

a bushfire warning message is accompanied by use of SEWS. 230<br />

4.181 Compared with the <strong>Victorian</strong> bushfire warnings, the South Australian regime involves less dense text, and<br />

more explicit reference to a ‘threat to public safety’. Mr Lawson explained that the construction of the South<br />

Australian messages takes into account the COAG recommendation of 2004. He said ‘we believe that it is<br />

most important that the community understand what the risk is in as simple and as plain terms as possible’. 231<br />

4.182 Professor Handmer was asked to consider the South Australian warning examples for comparison. He said<br />

the South Australian examples were clear and straightforward and that the wording was ‘better practice’ in<br />

how it describes the fire and locality. 232<br />

The South Australian one is a bit more punchy. I often think a lot of CFA material is very sound but<br />

perhaps it is directed more for people who like to read a lot of material — it is not a criticism; I like to<br />

read a lot of material — whereas the South Australian one is minimalist and it would be seen, I think,<br />

as good practice in warnings to try to just head in that direction that’s all. 233<br />

4.183 When issued, CFS warning messages are displayed on the CFS website, broadcast on ABC Radio and<br />

5AA (a commercial radio station) and sent to subscribers who opt in to receive CFS messages via email<br />

and fax stream. 234<br />

4.184 Mr Lawson explained that the CFS has an MOU with the ABC and the commercial radio station 5AA.<br />

Those radio stations have undertaken to read on air a bushfire warning message immediately, regardless<br />

of their programming commitments and to repeat it every 15 minutes thereafter. Each bushfire warning<br />

message is preceded by SEWS. 235<br />

4.185 South Australia implemented changes to its warning system very rapidly following the January 2005 fires.<br />

The new system was in place by May 2005. Mr Lawson explained that ‘we had to do something prior to<br />

the 2005–06 fire season’. 236 He indicated that it would be difficult for a new system to be introduced in<br />

Victoria by October or November this year but that this should nonetheless be undertaken. 237<br />

4.186 The State of Victoria’s submissions note that steps are ‘already being taken’ to ensure changes to<br />

warnings will be implemented by next fire season. 238<br />

4.187 Use of a two-part system of warnings, instead of the three used in Victoria, has appeal as a simpler approach<br />

that is likely to be more easily understood by the public. The first level is essentially an information or alert<br />

message of the existence of a fire, which does not necessarily require any action to be taken by the public,<br />

other than to keep it under notice. The second level encourages urgent action, such as to activate a predetermined<br />

fire plan. The level of threat can range from low to high depending upon the language used.<br />

The Choosing Your Words publication provides a hierarchy of terms to match the assessed degree of risk,<br />

urgency and need for action.<br />

RECOMMENDATION 4.4<br />

The State ensure bushfire warnings in Victoria are confined to two categories or stages:<br />

■■<br />

■■<br />

Bushfire Information — a message providing information to the community on a bushfire that is ‘going’<br />

and has the potential to threaten public safety; and<br />

Bushfire Warning — a warning to the community about any dangerous or extremely dangerous bushfire,<br />

particularly one that is burning out of control and poses a threat to human life.<br />

145


<strong>2009</strong> <strong>Victorian</strong> <strong>Bushfires</strong> <strong>Royal</strong> <strong>Commission</strong>—Interim Report<br />

4 WARNINGS<br />

RETHINKING THE Standard emergency warning signal<br />

4.188 As noted in paragraph 4.7, SEWS is not a warning. It is a distinctive alert tone or signal broadcast prior<br />

to warnings for major emergencies. It is designed to ‘alert listeners or viewers of radio or television that<br />

an official emergency announcement is about to be made concerning an actual or potential emergency<br />

which has the potential to affect them’. 239<br />

4.189 The use of SEWS is not referred to in the Emergency Management Manual Victoria, but a protocol is set<br />

out in a document titled SEWS Guidelines for its Use in Victoria (October 2006). 240 The current protocol<br />

for the use of SEWS requires the control agency to request the police to authorise its use. 241<br />

4.190 SEWS was not used in Victoria on 7 February. There were no discussions with the Chief <strong>Commission</strong>er<br />

of Victoria Police about the use of SEWS on the day. 242<br />

4.191 The Commonwealth had been considering a ‘relaunch’ of SEWS; however, it ceased that work in<br />

anticipation of the findings of this <strong>Commission</strong>. 243<br />

4.192 There is evidence of a clear reticence on the part of the emergency services in Victoria to use SEWS.<br />

The signal has not been regularly used in Victoria, because of concerns about its so called ‘overuse’<br />

and the emergency services’ view that its use may cause confusion. 244 This appeared, in part, to be<br />

derived from reviews of past fires. For example, Mr Rees said:<br />

Although the decision to use SEWS rests with an Incident Controller, the current practice within the CFA<br />

is not to utilise SEWS. This is because whilst SEWS remains available for use, the current process of<br />

graduated warnings is considered more sophisticated. That view has been reached on the basis of both<br />

anecdotal evidence and reviews conducted following fires in 2006–07. 245<br />

246<br />

4.193 In evidence, Mr Rees expressed the view that SEWS does not have a place if there are multiple fires,<br />

and expressed concern that if SEWS had been used on 7 February prior to each urgent threat message<br />

on the ABC, it would have been played 510 times on the day.<br />

4.194 There was criticism about the use of SEWS following the 2005–06 fires in the report Debrief Outcomes<br />

Significant <strong>Victorian</strong> Fires December 2005 and January 2006, Review by Ross Smith 12 July 2006.<br />

In particular, the report was critical of the risk of ‘SEWS overload’. It also noted that messages were<br />

broadcast late, and that SEWS messages must be initiated well before the anticipated fire impact. 247<br />

4.195 It is obvious that SEWS has little utility if broadcast too late. However, a criticism about the late use of<br />

SEWS does not justify a conclusion that SEWS should not be used at all or that the mere use of SEWS<br />

has the capacity to confuse the listener. Mr Esplin agreed that there were no reports following the 2005–06<br />

fires of dangerous or late evacuations or death that could be traced back to use or misuse of SEWS. 248<br />

4.196 Further consideration was given to use of SEWS in the report Joint CFA/DSE Review of Effectiveness<br />

of Information Flow to Communities and Media During Fire Incidents – Preliminary Findings (July 2006)<br />

(CFA/DSE Review of Information Flows). 249 This review suggested that the use of SEWS during 2006 fires<br />

was inconsistent and sometimes inappropriate. It was overused to the degree that the public were<br />

‘sick of it’. The consensus in the debriefs was that SEWS messages had become counter-productive. 250<br />

4.197 The use of SEWS must be consistent. This could be achieved by adopting appropriate protocols, such as<br />

one that the signal would be used to precede the proposed bushfire warning messages that relate to fires<br />

of a particular severity — namely those which are ‘extremely dangerous’ and those that pose a threat to<br />

human life.<br />

4.198 The CFA/DSE Review of Information Flows report contains a curious comment. It states that, ‘other than<br />

performing the role of an initial notification, SEWS in this context may arguably have become obsolete’. 251<br />

However, the only appropriate role for SEWS is just that — as a signal, or what the review refers to as the<br />

‘initial notification’. When seen in the correct light, SEWS does have an important and useful role to play,<br />

as has been demonstrated in South Australia.<br />

146


<strong>Warnings</strong><br />

4.199 The South Australian CFS uses SEWS whenever lives are at threat or when a fire is burning out of control<br />

on a very high to extreme fire danger day. 252 SEWS precedes each bushfire warning message. Mr Lawson<br />

explained that an education program was implemented prior to the re-introduction of SEWS. He was asked<br />

whether, since the changes to the warning system were introduced in May 2005, the CFS had received<br />

feedback about the use of SEWS, including any suggestions of irritation, confusion or panic. Mr Lawson<br />

indicated the following:<br />

We have received feedback from very small numbers of communities saying that it raises their level of<br />

awareness unduly, that we have used the signal when the fire didn’t pose the threat that they believed<br />

it should have as a result of using the warning, but we continued to use the SEWS warning. 253<br />

4.200<br />

When asked why the CFS continues to use the warning in the face of such criticism, Mr Lawson stated<br />

the following:<br />

We take that view that we have made that decision to use the SEWS, and until we have strong evidence<br />

to the contrary that suggests it does in fact provide confusion to the community, then we will continue to<br />

use the SEWS. 254<br />

4.201 Professor Handmer suggests that SEWS can be useful: ‘warnings to me operate in a competitive<br />

environment often with everything else people are doing or listening to, and there is often, not always,<br />

but often needs to be some way of cutting through all the haze and the idea of SEWS is to do that’. 255<br />

Mr Esplin said that he would prefer SEWS to remain available as a tool for the control agencies to use<br />

‘if they believe it will materially assist the delivery of messaging to the community’. 256<br />

4.202 The State and the ABC expressed concerns during the hearing that the introduction of a protocol for the use<br />

of SEWS may lead to irritation or confusion in the community. 257 However, it has been possible to overcome<br />

these issues in South Australia, as Mr Lawson outlined, by disaggregating the broadcasting network and<br />

issuing warning and information messages to specific communities through the regional radio system. 258<br />

4.203 The concerns expressed about the use of SEWS may be addressed by various means, including adopting<br />

a sensible approach to a new protocol for its use. This could include:<br />

■■<br />

■■<br />

grouping bushfire warnings that require the use of SEWS<br />

reducing the length of time SEWS is played when used multiple times<br />

■■ disaggregating ABC broadcasts on occasions when multiple fires are threatening different parts<br />

of the State<br />

■■ arrangements concerning the number of times particular warnings are repeated.<br />

4.204 Professor Handmer indicated that, in his view, SEWS could be introduced to the <strong>Victorian</strong> community<br />

before the next fire season. 259<br />

4.205 In light of this discussion, it appears likely that a reintroduction of SEWS, accompanied by appropriate<br />

education, could indeed be achieved prior to the next fire season. Of course, its reintroduction must be<br />

accompanied by education on its purpose. 260 Further, any concerns about the effects of overuse of SEWS<br />

could be addressed by the ABC, CFA and DSE implementing a protocol for a streamlined process for the<br />

use of SEWS on ABC Radio and television.<br />

147


<strong>2009</strong> <strong>Victorian</strong> <strong>Bushfires</strong> <strong>Royal</strong> <strong>Commission</strong>—Interim Report<br />

4 WARNINGS<br />

RECOMMENDATION 4.5<br />

The State ensure that the Standard Emergency Warning Signal (SEWS) be used in Victoria to precede<br />

each bushfire warning or group of warnings for bushfires that are dangerous or extremely dangerous,<br />

particularly for a fire that is burning out of control and poses a threat to human life, subject to appropriate<br />

limits on the maximum frequency of use.<br />

RECOMMENDATION 4.6<br />

The State invite commercial operators to enter into a Memorandum of Understanding (MOU), similar to<br />

its MOU with the ABC, on the dissemination of bushfire warning messages and the use of the Standard<br />

Emergency Warning Signal by those operators.<br />

THE USE OF SIRENS AS A BUSHFIRE WARNING<br />

4.206 Sirens are intended as a signal to those in the vicinity to seek further information or take protective action<br />

according to procedures established in the minds of those hearing the siren. 261 When understood correctly<br />

(that is, as a trigger used against the background of an existing procedure for correct response) it is clear<br />

that a siren may have a useful role as part of an overall system of bushfire warnings.<br />

262<br />

4.207 CFA policy is that sirens are not to be used for warning the public. Mr Rhodes expressed the view<br />

that sirens have many limitations. 263 He confirmed that the CFA does not advocate the use of sirens. 264<br />

4.208 The <strong>Commission</strong> has heard evidence on the use of sirens in some communities in Victoria and South Australia.<br />

Whether the use of a siren is appropriate as a fire danger warning depends on local circumstances, including<br />

a developed community appreciation of its function. There is scope to investigate and develop the use of<br />

sirens in communities that would benefit from such an alert system. In addition, sirens may be useful outdoors,<br />

particularly for travellers and campers. 265<br />

4.209 A small number of lay witnesses who gave evidence before the <strong>Commission</strong> referred to the use of sirens.<br />

For example, Mr Hull and Dr Fraser spoke of hearing the siren in Marysville sound briefly, but Mr Hull thought<br />

it was a false alarm, given how quickly it stopped. 266 Dr Fraser heard something, but it was not a ‘wail’ and<br />

did not appear to indicate that there was a fire in the area. 267 Ms Barber was waiting to hear the CFA siren<br />

in Kinglake West, but it did not sound. 268<br />

148<br />

Ferny creek — a local solution<br />

4.210 There is compelling evidence before the <strong>Commission</strong> of the manner in which a siren may be developed<br />

for use by a town to serve its local needs and purposes. In 2001, the OESC facilitated the trial of a siren in<br />

Ferny Creek. That process gave rise to a written report, The Ferny Creek Fire Alert Siren Evaluation Report<br />

— Office of the Emergency Services <strong>Commission</strong>er (2001). 269<br />

4.211 The Ferny Creek fire alert siren trial was initiated following the recommendations of the State Coroner’s<br />

inquest into the deaths of three people during the Ferny Creek fire on 21 January 1997. 270 A number of<br />

residents expressed concern that the CFA fire siren could not be heard in their location and, as a result,<br />

they had received little or no warning of the impending fire. This concern prompted a group of residents<br />

to lobby all levels of government for the installation of a CFA-type siren that was audible to all residents<br />

in an identified area in Ferny Creek. 271<br />

4.212 The Ferny Creek trial was conducted by a working group of representatives from the CFA, Victoria Police,<br />

Shire of Yarra Ranges, the OESC and three community resident representatives. 272 The report noted that the<br />

process of reaching consensus about use of a siren involved a ‘shift from antagonism to acceptance’, and<br />

that ‘it is also an example of the emergency services having the courage to move outside their comfort zone<br />

and actively contribute to the trial of a system about which they have strong reservations’. 273


<strong>Warnings</strong><br />

274<br />

4.213 The CFA’s opposition to the use of sirens is recorded in the report. In this context, the report noted<br />

that statewide CFA messaging does not always suit local issues: ‘It does not consider people such as<br />

recreational bushwalkers who may not have any warning about an approaching bushfire and those residents<br />

(children and older people) who are not aware of safety procedures or who are not able to leave their homes<br />

on days of total fire ban’. 275<br />

4.214 It appears that the tension referred to above, which may exist between the statewide bushfire preparedness<br />

policy and local interest in early warning systems that suit a particular community, continues to plague the<br />

development of local solutions. One of the lessons from February <strong>2009</strong> is that greater weight ought to be<br />

given to communities’ desires to fashion warning systems appropriate to their location and their needs.<br />

4.215<br />

Mr Esplin described the Ferny Creek siren in the following way:<br />

They are a unique community in the sense of, firstly, their preparedness for fire; secondly in their accepting<br />

that they have chosen to live in a place in the State that is particularly beautiful most of the time but<br />

particularly high risk in a very small percentage of time. They accepted that risk and understood that<br />

they had a responsibility to take steps themselves to protect themselves and their community. They were<br />

prepared to take on responsibility for the siren which they have done and maintained to this time. 276<br />

4.216 The community in Ferny Creek use their siren as a ‘contribution to promoting appropriate bushfire survival<br />

behaviour’. It is not promoted as a trigger to evacuate, but rather it prompts residents to ‘access further<br />

sources of information’ 277 and to activate defensive actions.<br />

4.217 The progress of the Ferny Creek fire alert siren was further considered in a subsequent evaluation report:<br />

Community Alerting For Bushfire — A Local Solution For a Local Need: The Ferny Creek Fire Alert Siren<br />

Follow-up Evaluation 2002 conducted by the OESC. 278 The follow-up evaluation confirmed that the fire alert<br />

siren is now ‘an established element within bushfire preparedness planning and response. The fire alert siren<br />

is one link in a chain of communication being used and accessed by community residents’. 279<br />

4.218 The evaluation noted that a belief remains in the emergency management sector that sirens encourage<br />

residents to unsafely leave their homes if a bushfire threatens. The evaluation has in fact shown that, with<br />

appropriate community education and communication ‘the role of the alert siren can be incorporated into<br />

appropriate and safe planning and decision making’. 280<br />

4.219 This example provides robust evidence that a siren can be part of a successful program for bushfire<br />

preparedness and that, if properly understood and implemented, a protocol for the use of a siren does not<br />

undermine statewide policies such as ‘stay or go’, which is further discussed in <strong>Chapter</strong> 7. The success of<br />

the project is the result of considerable effort and goodwill on the part of the community, the local CFA and<br />

the OESC.<br />

THE USE OF SIRENS IN Boolarra<br />

4.220 The <strong>Commission</strong> heard evidence from Mr Lou Sigmund on the use of a CFA siren in the town of Boolarra<br />

on 30 January <strong>2009</strong>, when the town was impacted by the Delburn fires. This evidence provides a vivid<br />

example of how a siren might be used in a particular community and its capacity to save lives.<br />

4.221 Mr Sigmund, who lives in Boolarra, has been a CFA Group Officer responsible for eight brigades in the<br />

Morwell Group. He has been a volunteer fire fighter for the CFA since 1998. He has fire-fighting qualifications<br />

and fought in a number of major fires. He was Operations Officer for the Ashfords Road fire (part of the<br />

Delburn fires) between 28 and 30 January <strong>2009</strong>. 281<br />

4.222 Mr Sigmund gave a detailed account of his efforts while fighting the fires near Boolarra and about his role<br />

in deciding to sound the siren. 282 The idea of sounding the siren came about at a community meeting on<br />

30 January <strong>2009</strong>, at which Mr Sigmund had expressed his strong view (contrary to advice from a CFA<br />

representative) that the town was in imminent danger of being overrun by the fire. 283 Mr Sigmund then<br />

told the meeting that once the ember attacks started ‘we will set the sirens’. 284<br />

149


<strong>2009</strong> <strong>Victorian</strong> <strong>Bushfires</strong> <strong>Royal</strong> <strong>Commission</strong>—Interim Report<br />

4 WARNINGS<br />

4.223 The CFA siren was activated in Boolarra shortly after 1:00pm that day. A large number of people evacuated<br />

the town. The main street was described as filled with caravans, boats and horse floats hooked up to cars<br />

heading for Churchill. 285<br />

4.224 Mr Sigmund’s direction to use the siren was contrary to CFA policy. Mr Sigmund was aware of the policy<br />

against use of the brigade siren and he was chastised for its use. 286 He attested that he had received<br />

‘nothing but positive feedback from townspeople. They have written letters; rung me and given me nothing<br />

but support for the actions I took’. 287<br />

288<br />

4.225 Mr Sigmund, by his own account, acted on the spur of the moment. He accepted that his decision carried<br />

risks and that if the fire had come from another direction, he might have been sending people into danger. 289<br />

In this context, Mr Sigmund expressed the view that the ‘stay or go’ policy is impossible for ordinary people<br />

to apply, because there are no trigger points to allow the average resident to make a judgement as to their<br />

safety. 290 He said: ‘that is why at the meeting we decided to give them a trigger in the form of a siren’. 291<br />

292<br />

4.226 Twenty nine houses were lost in the fires at Boolarra but no-one died. Despite the siren being used in a<br />

manner that is contrary to CFA policy, it appears to have served a useful purpose in warning townsfolk to<br />

leave. Many appear to have acted on that trigger.<br />

4.227 Mr Rhodes expressed serious reservations about the use of sirens, but he did note that the siren worked<br />

in Boolarra on that occasion because its use was defined at the community meeting and the residents<br />

understood its use. 293<br />

4.228 In addition, Mr Lawson gave evidence that sirens are used in South Australia to alert the community<br />

to the activity of the fire service. The South Australian CFS encourages local brigades to engage with<br />

their communities and to use sirens for purposes determined by the community in consultation with<br />

the brigade. 294 Some brigades use sirens to alert the community to fire, others do not. Mr Lawson said:<br />

‘We leave it to the brigade to make that decision with the community’. 295<br />

USE OF SIRENS AND REFUGES<br />

4.229 There is also evidence before the <strong>Commission</strong> concerning the use of sirens in a number of communities<br />

in conjunction with the use of refuges. One such community is Walhalla. The town of Walhalla uses the<br />

Long Tunnel Mine as a refuge. 296 The use of this refuge is described in more detail in <strong>Chapter</strong> 8.<br />

Woods Point also has an established procedure for the use of a siren in conjunction with its refuge. 297<br />

4.230 The <strong>Commission</strong> also heard evidence about the use of a police car siren as a means of getting people’s<br />

attention in Marysville. 298<br />

Support for a new approach TO THE USE OF SIRENS<br />

4.231 Mr Esplin accepted in evidence that individual communities who support the use of sirens as a means of<br />

taking action to preserve lives and property should be supported by agencies in doing so. 299 Mr Rees also<br />

accepted that the use of sirens should be reconsidered. 300<br />

4.232 There is potential for more communities to attempt a comparable approach as that in use in Ferny Creek,<br />

Walhalla or Woods Point. Not all communities will want to institute a local alert siren. Some communities<br />

will determine to use their siren in different ways for different purposes. The option to pursue local solutions,<br />

including sirens, should be part of Municipal Emergency Response Plans and should also be given more<br />

prominence and assistance in the education campaigns and advice concerning bushfire preparedness.<br />

As Mr Esplin notes in relation to the Ferny Creek fire alert siren:<br />

The community should not be just a passive recipient of services; it should be an active participant<br />

in developing safety strategies that it knows how to apply and is willing to apply, and applies, and<br />

it is involved in a partnership with the emergency services and with local government … and it is<br />

my philosophy that where such a tripartite partnership can be recreated, the safety outcomes are<br />

maximised, but risk is mitigated to the greatest extent. 301<br />

150


<strong>Warnings</strong><br />

4.233 Sirens are one of a number of options that might be deployed in some areas to ensure the community is<br />

alerted to the need to be ready to receive warnings, search out further information, take defensive actions<br />

or prepare to implement a protocol for a local refuge.<br />

RECOMMENDATION 4.7<br />

The Office of the Emergency Services <strong>Commission</strong>er and the CFA develop guidelines for the use of sirens<br />

in communities that decide to use a siren as part of their response to bushfires.<br />

A TELEPHONY-BASED EMERGENCY WARNING SYSTEM<br />

4.234 The evidence before the <strong>Commission</strong> establishes that the principal modes of warning the community about<br />

the threat of fire on 7 February were broadcasts on ABC Radio and messages displayed on the CFA and<br />

DSE websites.<br />

4.235 However, the evidence also shows that members of the community often sought out more than one source<br />

of information. Sources such as the VBIL, commercial media, CFA scanners, Twitter sites, phone calls and text<br />

messages from friends or family were also important sources of information and warnings. Others formed their<br />

own views based on their own observations of events as they unfolded.<br />

4.236 Employing multiple modes to disseminate warnings is desirable to ensure the widest possible audience is<br />

reached and to guard against the risk of failure of any one mode. Technology in particular has a role to play<br />

but should not be solely relied upon.<br />

4.237 This section considers the new technology, in particular a telephony-based warning system, that is available<br />

to disseminate warnings.<br />

TRIALlING A nATIONAL EMERGENCY WARNING SYSTEM<br />

4.238 In 2005, the OESC — in partnership with Telstra, ABC Radio, DSE, Victoria’s emergency services, the Shires<br />

of Yarra Ranges and Northern Grampians and the communities of Mt Evelyn, Stawell and Halls Gap — ran<br />

a successful trial of an opt-in landline telephony-based community warning system known as CIWS: see the<br />

report Community Information and Warning System — The Report of the Trial and Evaluation Office of the<br />

Emergency Services <strong>Commission</strong>er Report 2006. 302 The report stated that:<br />

The purpose of a public warning system is to help minimise the impact or perceive threat of emergencies<br />

on affected communities by providing timely and accurate information to assist people and organisations<br />

to make decisions about their own safety. 303<br />

4.239 At the time of the trial there were restrictions on Telstra’s use of the Integrated Public Number Database<br />

(IPND). The IPND is an industry-wide database of all listed and unlisted public telephone numbers. It was<br />

established in 1998 and is managed by Telstra under the terms of its carrier licence condition. As a result,<br />

it was necessary to seek participating residents’ permission to use their telephone numbers and property<br />

addresses to develop the CIWS trial database. 304 The report indicated that the CIWS Trial and Evaluation<br />

was informed by key national and international research.<br />

4.240<br />

The report concluded:<br />

The evaluation findings strongly demonstrated that the majority of the participating residents understood<br />

the link between receiving the telephone message and immediately accessing ABC Radio as the secondary<br />

information source. There was also a strong response to continue using the telephone to access other<br />

sources of information (such as a telephone hotline). 305<br />

151


<strong>2009</strong> <strong>Victorian</strong> <strong>Bushfires</strong> <strong>Royal</strong> <strong>Commission</strong>—Interim Report<br />

4 WARNINGS<br />

4.241 The <strong>Victorian</strong> trial of CIWS was a clear success. There were high hopes that the success could be built on<br />

and a national telephony-based warning system could be implemented. Regrettably, these hopes did not<br />

bear fruit until <strong>2009</strong>.<br />

4.242 Since the 2005 trial, Victoria’s position has been that a national community information and warning system<br />

should be implemented. Victoria has advocated this position repeatedly and forcefully at the highest level. 306<br />

4.243<br />

For a national warning system to be implemented, a number of matters had to be resolved:<br />

■■<br />

Amendments to the Telecommunications Act 1997 (Cth) to enable access to the IPND for the purpose<br />

of issuing warnings were required. 307 There was considerable debate about the need for legislative<br />

amendments. For example, Telstra argued initially that they were not required. The Commonwealth<br />

disagreed and in the end amendments were made. 308<br />

■■ Agreement reached among the states and territories as to the model of warning system to be<br />

implemented (for example, whether it be opt-in or compulsory).<br />

■■ Funding for the establishment of the warning system needed to be secured.<br />

4.244 The chronology of events that unfolded after 2005 indicates that although steps were taken by<br />

governments, sufficient priority and urgency was not given to implementing a national warning system.<br />

4.245 It is not possible to set out every meeting, item of correspondence, event, review and paper that occurred<br />

or was produced between 2005 and <strong>2009</strong> on this issue. Suffice to say that despite political will from the<br />

<strong>Victorian</strong> Government and a lot of bureaucratic activity, progress was slow and debate was protracted. 309<br />

4.246<br />

The end result was that:<br />

■■<br />

■■<br />

■■<br />

■■<br />

On 23 February, legislative amendments were introduced to permit disclosure of data in the IPND<br />

in certain circumstances. The amendment now permits IPND information to be disclosed in the event<br />

of an emergency or when an emergency is considered likely. The Telecommunications Amendment<br />

(Integrated Public Number Database) Bill <strong>2009</strong>, which was hastened as a result of the <strong>Victorian</strong> bushfires,<br />

received <strong>Royal</strong> Assent on 26 March <strong>2009</strong>. 310<br />

On 23 February, a press release was issued announcing $11.3 million of Commonwealth funding to<br />

contribute to the development of the warning system. 311<br />

On 20 March, a tender was released for the construction of a database known as the Location Based<br />

Number Store, to provide a warning delivery mechanism to the states and territories. Funding for the<br />

development of the Location Based Number Store database and the first four years of operation is to<br />

be drawn from the $11.3 million Commonwealth contribution announced in February <strong>2009</strong>. 312<br />

On 30 April, it was announced that COAG had agreed to develop a national telephone emergency warning<br />

system. Further, the Prime Minister and the Attorney-General announced the Commonwealth investment<br />

of up to $15 million to assist the states and territories in establishing the national system. 313<br />

4.247 The new national telephone emergency warning system will be operated by the states and territories,<br />

and will be developed following an open tender process. The system will send emergency warning alerts<br />

by recorded voice and text to landline and mobile phones based on an owner’s billing address. A proposed<br />

second stage, sending warnings based on the location of a mobile (rather than its billing address) will be<br />

the subject of further research. 314<br />

4.248 It now appears that the first stage of the warning system is capable of being implemented by<br />

October <strong>2009</strong>. 315<br />

4.249 Victoria is managing the call for tenders for the proposed national Emergency Warning System.<br />

On Tuesday 14 July <strong>2009</strong>, the <strong>Victorian</strong> Premier issued a media release Brumby releases national<br />

emergency warning system tender ahead of bushfire season. 316 The selective tender apparently involves<br />

two major telecommunication providers, Optus and Telstra. Mr Brumby is quoted in the release as saying:<br />

152<br />

With the first milestone in the procurement process complete, we are on track to ensure this critical<br />

system is in place in October. 317


<strong>Warnings</strong><br />

4.250 The <strong>Commission</strong> is encouraged by reports that this project is currently ‘on track’ but, the <strong>Commission</strong><br />

remains cautious given the projects history. The <strong>Commission</strong> will hear further evidence on the progress<br />

of this project during future hearings.<br />

THE USE OF SMS ON 2 MARCH <strong>2009</strong><br />

4.251 Another ‘post fire’ event is worth mentioning in this context. On 2 March, Victoria Police and the OESC<br />

decided to issue a mass warning message via SMS to warn of predicted severe weather. 318 The message<br />

was in the following terms:<br />

Msg from Vic Police: Extreme weather in Vic expected Mon night & Tues. High wind & fire risk.<br />

Listen to local ABC radio for emergency updates. Do not reply to this message.<br />

4.252 The message did not rely on the amendments to the Telecommunications Act 1997 (Cth), as it was sent<br />

before they came into force. Approximately 2.07 million SMS messages were sent out over a number of<br />

hours to Telstra mobile phone customers. 319<br />

4.253 Due to time constraints, it was not possible to geo-code <strong>Victorian</strong> mobiles, that is, to allow warning<br />

messages to be sent to all mobiles located in a defined area at the time of the transmission. As a result,<br />

some Tasmanian customers received the SMS message. This was known prior to the message being sent,<br />

and efforts were made to minimise any confusion that might have resulted. 320<br />

321<br />

4.254 A review of this event revealed a high rate of recall by recipients and ‘success’ in the message delivery.<br />

The apparent success of the 2 March SMS message (and the fact that the capacity to send such messages<br />

has existed for some time) underscores the utility of a telephony-based warning system.<br />

Source: AAP Image<br />

153


<strong>2009</strong> <strong>Victorian</strong> <strong>Bushfires</strong> <strong>Royal</strong> <strong>Commission</strong>—Interim Report<br />

4 WARNINGS<br />

A MULTI-MODE APPROACH TO EMERGENCY WARNINGS<br />

4.255 The implementation of the first phase of the new telephony-based warning system appears to be<br />

proceeding in a timely fashion, and, as noted, the State Government has announced it believes it will<br />

be in place by October <strong>2009</strong>. The <strong>Commission</strong> commends the leadership role adopted by Victoria in<br />

the implementation of the system and the considerable work undertaken by Telstra in the development<br />

of the technology.<br />

4.256 If, by September <strong>2009</strong>, it appears unlikely that the first phase of the system will be operational throughout<br />

Australia, steps should be taken to ensure that the system is, nevertheless, operational in bushfire prone<br />

parts of Victoria as soon as practicable thereafter, and ideally in time for the <strong>2009</strong>–10 bushfire season.<br />

4.257 The introduction of the second stage of the system should be investigated and implemented as a matter<br />

of urgency. This stage will offer improvements, including the capacity to issue a warning of an emergency<br />

to visitors to an area who have access to mobile telephones.<br />

4.258 The introduction of a new national telephone emergency warning system should not replace, but rather<br />

supplement, other modes of disseminating warnings, including unofficial messages. Multiple message<br />

dissemination modes are essential, as any single mode is unlikely to reach everyone, and in a crisis<br />

some dissemination modes can fail. 322 Mr Esplin said:<br />

Well, firstly I would say that no one warning system will or is likely to capture all the community that needs<br />

to be in receipt of that particular warning, but warning messages go from as simple as a megaphone to<br />

a doorknocking, to use of the mass electronic media or, if time permits, it could be the print media, SMS<br />

messaging, emails. The new technology is providing more and more opportunities to get that message,<br />

that crucial message to more and more people. 323<br />

RECOMMENDATION 4.8<br />

The Australian Government, Council of Australian Governments and the State determine whether it is<br />

technically possible to implement the second phase of the national telephony-based warning system<br />

(that is, the delivery of warning messages to mobile phones based on the physical location of a handset<br />

at the time of the emergency) with a view to implementation for the <strong>2009</strong>–10 bushfire season.<br />

154

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!