Publication:Westralia Board of Inquiry
These documents are related to the tragic fire and subsequent loss of life that occurred onboard HMAS Westralia on 5th May 1998. Contained are the full Board Of Inquiry and Coroners Reports.
Due to the nature of these documents they are currently only available on the website as PDF.
Coroners Report
- HMAS Westralia Findings (1.87Mb)
Board of Inquiry
- Full Report(5.3Mb)
- Executive Summary(313Kb)
Report by Sections
- Title Page - Authorisation,Outline, Contents etc (212Kb)
- Section 1: - Introduction (1.3Mb)
- Section 2: - Narrative of Events of 5 May 1998 (107Kb)
- Section 3: - Actions of the Ship's Company, their Training and Competence (96Kb)
- Section 4: - Medical Response to the Incident (58Kb)
- Section 5: - Death and Injury of Personnel (35Kb)
- Section 6: - External Assistance (78Kb)
- Section 7: - Firefighting and Safety Equipment (36Kb)
- Section 8: - Materiel State of the Ship (422Kb)
- Section 9: - Causes of Fire (1.5Mb)
- Section 10: - How Hoses of Inadequate Design came to be Fitted (106Kb)
- Section 11: - RAN Configuration Management (12Kb)
- Section 12: - Quality Assurance (19Kb)
- Section 13: - System Safety Management (29Kb)
- Section 14: - Comcare (11Kb)
- Section 15: - (not to be released)
- Section 16: - Principal Findings (7Kb)
- Section 17: - Conclusion (47Kb)
- Section 18: - Recommendations (27Kb)
Annexes
- Annex A: - Personnel onboard HMAS WESTRALIA at 1030H on 5 May 98 (12Kb)
- Annex B: - List of Witnesses (18Kb)
- Annex C: - List of Exhibits (132Kb)
- Annex D: - Transcript of HMAS WESTRALIA Bridge Tape (80Kb)
- Annex E: - Timeline of the Incident (12Kb)
- Annex F: - Firefighting Equipment and Techniques (936Kb)
- Annex G: - Biographies of Board Members (17Kb)
- Annex H: - Glossary of Terms and Acronyms (18Kb)
