Key Coronial findings included:

  • Integrated Intelligence Platform (#10), Audio and Video surveillance (#13) – ESP.
  • Poor information availability for operational decision making – No indoor mapping until 5 hours into the siege.
  • Keys for emergency doors were not effective/available, building information more generally was not available: CCTV, access Control “eyes in the building”, evacuation paths, exit routes, occupancy numbers and contact details for ECO members. Disorganised “evacuation vs shelter in place” for whole CBD.
  • With ESP dynamic and current data on the Emergency Plan for each building is fed directly to operational command.