AMENDMENT TO ALLOCATION OF
OPERATIONAL RESPONSE FUNCTIONS
FBMA 22.0.1
Queensland State Emergency Service
EMQ Region
EMQ Area
SES Unit
SES Group
Please complete Section 1, 2 ,3 OR 4 as relevant to the amendment you require for this Group, the completion of
Sections 4 , 5 and 6 are mandatory for all applications.
SECTION 1: FUNCTION ADDITION
Function:
Activity/ies:
Explanation for addition of function:
Outline community needs, explanation for increased risk profile, alignment to Local Disaster Management Plan and number of
activations performed in this function in area of coverage in past 12 months.
Sustainability of function by membership base:
Outline number of members currently competent to perform function and/or number of members identified to be trained in the
function and the strategy for the delivery of applicable training delivery to members.
Equipment and Resources:
Outline current equipment resources available to support the delivery of the function or strategy to acquire necessary
equipment and resources. (Copy of current FBMR 2.0.1 Equipment Audit Record for the Group is to be attached.)
Proposed Accreditation Level:
1
2
3
Outline current status of requirements for accreditation level:
Activations
Communications
Shift Roster
Operational Support
Transport
SECTION 2: FUNCTION REMOVAL
Function:
Activity/ies:
Explanation for removal of function:
Select the reason/s which have resulted in a requirement for the removal of this function:
Number of Competent Members Unsustainable
Provide Details:
Change in Community Needs / Decreased Risk
Provide Details:
Other
Provide Details:
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Date: 06/01/2009
FBMA 22.0.1
If function is a role prescribed in the State Rescue Policy, outline strategy for future delivery of function:
Number of activations performed in this function in the area of coverage in the past 12 months:
Equipment and Resources:
Outline current equipment resources held by the Group to support this function and the strategy for the future use of
this equipment at Unit/Area/Region or availability for redistribution at State level. (Copy of current FBMR 2.0.1 Equipment Audit
Record for the Group is to be attached.)
Note: Ensure following the deletion of this function that the Group still meets minimum requirements for a functional Group in
accordance with section 5.1 of “ODO 2.0 SES Functions and Allocation”. If not, closure of Group needs to be considered.
SECTION 3: FUNCTION TRANSFER
Reason for Function transfer:
Transferred from Group:
Transferred to Group:
Equipment and Resources:
Where the function being transferred includes a requirement for specific equipment, the equipment should be transferred with the
function. FBMR 5.0.1 Equipment Loss, Disposal or Transfer forms should be completed for the equipment and attached .
Note: If this transfer is related to the amalgamation or closure of a Group/s this form should be attached in support of a FBMA 10.0.1
Application for Group Amalgamation / Closure.
SECTION 4: ACCREDITATION LEVEL ADJUSTMENT
Current Accreditation Level:
1
2
3
Proposed Accreditation Level:
1
2
3
Outline current status of requirements for proposed accreditation level:
Member
Composition
Activations
Communications
Shift Roster
Operational Support
Transport
SECTION 5: CONSULTATION AND COMMENCEMENT
Consultation at Local / Area Level
Provide details of consultation undertaken and outcomes. Insert n/a if consultation with agency is not applicable to fun ction.
Local Government
Queensland Ambulance Service
Queensland Fire and Rescue Service
Other
Date Amendment is Proposed to Commence
In nominating a date that the amendment is to commence, any requirements for training or equipment acquisition need to be
considered and a timeframe placed on when these issues will be addressed .
Date of approval by the Executive Director on this form
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Date: 06/01/2009
OR
Other date proposed:
FBMA 22.0.1
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SECTION 6: ACKNOWLEDGEMENT AND APPROVALS
Acknowledged by Group Leader
Acknowledged by Local Controller
Comments:
Signature
Comments:
Date
/
/
Signature
Date
Area Director, EMQ
/
/
Supported / Not Supported
Comments:
Name
Signature
Date
Regional Director, EMQ
/
/
Endorsed / Not Endorsed
Comments:
Name
Signature
Date
/
/
Where the application is for the addition or removal of a function which is also prescribed in the State Register of Regional Rescue
Units as defined by the State Rescue Policy the shaded approvals below must also be obtained. Functions prescribed in the State
Rescue Policy and further information on the approval process is outlined in “BMA 21.0.1 Register of SES Operational Response
Functions”.
Chair, Regional Planning and Coordination Team
Recommended/Not Recommended
Comments:
Name
Signature
Director, SES
Date
/
/
Recommended/Not Recommended
Comments:
Name
Signature
Date
Executive Director, EMQ
/
/
Approved / Not Approved
Comments:
Name
Signature
Date
Chair State Rescue Committee
/
/
Endorsed / Not Endorsed
Comments:
Name
Signature
Date
Joint Operations Group
/
/
Approved / Not Approved
Comments:
Name
Signature
Date
/
Upon the completion of all necessary approvals this form should be returned to the Director, SES.
EMQ, State Emergency Service Unit, Kedron
Notify decision in writing to:
Regional Director, EMQ
Date
/
/
If approved, update:
Register of SES Operational Response Functions
Date
/
/
Date
/
/
If approved, where appropriate, provide copy to Chair, State Rescue Committee to update:
State Register of Regional Rescue Units
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Date: 06/01/2009
FBMA 22.0.1
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