Procedure Attachments and Templates

State Emergency Management Procedures a​ttachments and templates.
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State Emergency Management Procedures ​attachments and templates are available on this page. The attachments and templates are divided into Prevention, Preparedness, Response and Recovery.

If you require access to the emergency management forms listed below, contact semc.policyandlegislation@dfes.wa.gov.au 

​​Prevention and Mitigation​

2.1 Emergency Risk Management (ERM) Planning

Preparedness

3.1 Development and Review of State Emergency Management Policy

​​3.2 Development and Review of State Emergency Management Plans

3.3 Revocation of State Emergency Management Plans

3.4 Development and Review of Supporting State Emergency Management Documents

3.5 Emergency Management Consultation​

3.6 District Emergency Management Committee

3.10 Delegation of Powers​

  • EM Form 1: Delegation by Hazard Management Agency 
  • EM Form 1A: Revocation of Delegation by Hazard Management Agency 
  • EM Form 2: Delegation by State Emergency Coordinator
  • EM Form 2A: Revocation of Delegation by State Emergency 

3.17 Annual Rep​​orting 

3.20 Terms of Reference, Meeting Agenda and Minutes, Agenda Item Paper Template 

Response

4.2 Incident Level Declaration

  • EM Form 23: Incident Level Declaration

4.3 Standard Emergency Warning Signal (SEWS) ​

  • SEWS Request Form 
  • Guideline for Formatting Emergency Public Information Warnings and Alerts - Common Alerting Protocols

4.4 State Emergency Coordination Group​

  • State Emergency Coordination Group (SECG) Report to SEMC 

4.5 Emergency Situation Declaration

  • EM Form 3: Emergency Situation Declaration by Hazard Management Agency 
  • EM Form 3A: Emergency Situation Declaration by State Emergency Coordinator 
  • EM Form 4: Extension of Emergency Situation Declaration 
  • EM Form 5: Revocation of Emergency Situation Declaration 

4.6 Appointment of Hazard Management Officers (HMO)

  • EM Form 17: Authorisation of Persons to Act as Hazard Management Officers During Emergency Situation  
  • EM Form 17A: Revocation of Authorisation of Persons to Act as Hazard Management Officers During an Emergency Situation​​

4.7. Direction to Close Premises in an Emergency Situation

  • EM Form 15: Direction to Close a Place of Business, Worship or Entertainment 

4.8 Direction Concerning Movement and Evacuation in an Emergency Situation​

  • EM Form 13: Direction Concerning Movement and Evacuation

​4.9 Direction to Person Exposed to Hazardous Substances in an Emergency Situation

  •  EM Form 14: Direction to Person Exposed to Hazardous Substance 

4.10 Exchange of Information in an Emergency Situation

  • EM Form 19: Request for Relevant Information 

​4.11 State of Emergency Declaration

  • EM Form 7: Declaration of State of Emergency
  • EM Form 8: Extension of State of Emergency Declaration 
  • EM Form 9: Revocation of State of Emergency Declaration 

4.13 Appointment of Authorised Officers

  • EM Form 10: Authorisation of Persons to Act as Authorised Officers During a State of Emergency ​
  • EM Form 10A: Revocation of Authorisation of Persons to Act as Authorised Officers During a State of Emergency)

4.14 Direction to Public Authority

  • EM Form 12: Direction to Public Authority 

4.15 Appointment of Officer of a Public Authority

  • EM Form 11: Appointment of Officer of Public Authority During a State of Emergency 

4.16 Direction to Close Premises During a State of Emergency

  • EM Form 15A: Direction to Close a Place of Business, Worship or Entertainment 

4.17 Direction Concerning Movement and Evacuation During a State of Emergency

  • EM Form 13A: Direction Concerning Movement and Evacuation 

4.18 Direction to Person Exposed to Hazardous Substances During a State of Emergency 

  • EM Form 14A: Direction to Person Exposed to a Hazardous Substance

4.19 Exchange of Information During a State of Emergency

  • EM Form 19: Request for Relevant Information 

4.20 Australian Government Physical Assistance

  • EM Form 22: Request for Australian Government Physical Assistance

4.21 District Emergency Coordinators to Undertake Additional Functions

  • EM Form 19: Request for Relevant Information 

4.22 Post-Operations Reports

  • Post-Operations Report Template

Recovery

5.3 State Recovery Coordination Group

5.4 Impact Statement

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