Who was in of this incident and its development from its inception ? 2_ Was it the communication room staff ? and if so, which member of that staff was in charge. 3_ Was it the sectors supervisor ? and if so, what information did he have to make essential and basic judgments on Appropriateness of the grading The continued urgency of the situation Plan response Effectively identify the nature of that response e) Maintaining a risk analysis which reflected at all times on the of (i) the caller the safety of deployed crews (iii) the nature of the response and of members of the public who may with reasonable and thoughtful insight be identified as caught up in the response The communication staff are the primary source of incoming and outgoing information. are in & pivotal position which lends them to the management; monitoring and control of an incident from its inception to its conclusion. need to be effectively resourced both as to trained personnel and equipments_
5.Rules of practice; ie protocols need to be clear and unequivocal identifying robust rules of procedure identifiable lines of communication where appropriate but at all stages in the identifying of the individual in the management; monitoring and control ofan incident who can be properly identified as in charge of the incident in hand. Training is important as is experience and practice but it should never be a presumption or presented as an excuse for a lack of clear and unequivocal instruction and good information; on the and in specific response to a specific incident: Identifying an allocation of resource should not be a spontaneous response to a demand but & reasoned and considered response to effective planning and to positive resource evaluation. Self-selection borne of enthusiasm and worse, boredom does not make for a balanced plan and safe approach to & critical incident. Officers in this case were able simply to call in, identify themselves as available and willing: The resource controller although she had an electronic map which could identify the whereabouts of resource did not use that map it out of favour and judged not fit for purpose. Accordingly, at no stage was any resource identified even if it was available at a closer proximity. Staff must be confident in the electronic aids given to them: must be effectively trained in them and those aids and their accuracy and effectiveness constantly under review_ It is understood that at the time of this incident whilst the map was judged to be not fit for purpose, its replacement was under review appeared to be in place to readily identify the shortcomings of the map_ It is difficult to judge what is worse, having an ineffective tool or no tool at all and in the absence of a tool, having no effective backup Or resource management Electronic aids are a benefit not only to Central Control but also to responders and such electronic aids should eliminate any or debate around the fact as to route and leave the crew speculating as to the position; route or speed.
10. Electronic aids should (a) readily identify the location (6) pre-plan the route (c) determine a safe and where appropriate speedy passage. In any event; any electronic aids andlor systems must be fully integrated identified for the purpose are intended t0 serve. M. Speed was a central issue in this matter ~no charge safety safety being They They day falling being They nothing issue being they

Speed as an important element appears to have been borne of a conflict of notions within the mind of crew members as to what was required by way of a response time to this Grade incident. The Officers view was that was dictated by a need to reach the destination as soon as possible and in any event within [0 minutes_ Senior Managers however highlight that the time 10 minutes was a performance indicator; utilized subsequent to the incident to evaluate the effectiveness of the response and consequently the service given to the public. It was not to be perceived as a "pressure" on the crews to respond at speed. Such an apparent conflict of understanding of what that time response meant or means when attached to a incident or indeed a 2, or any of other five graded responses underlines an essential need for this process to be taken into some effective control and to be the subject of particular training and clear understanding on the part of both management and staff: