Procedure Attachments and Templates
State Emergency Management Procedures attachments and templates are available on this page. The attachments and templates are divided into Prevention, Preparedness, Response and Recovery.
Prevention and Mitigation
2.1 Emergency Risk Management (ERM) Planning
Western Australian Emergency Risk Management - Attachment to State EM Prevention and Mitigation Procedure 2.1: 
PDF 2.2 MB
Guidelines for Preparing a Bushfire Risk Management Plan - found on the Rural Fire Division webpage under Resources
Preparedness
3.1 Development and Review of State Emergency Management
Policy
Policy Communication and Marketing Strategy 
WORD 22 KB
SEMC Agenda Item Paper Template and Handbook
Memorandum Requesting Revocation of State EM Policy WORD 30 KB
3.2 Development and Review of State Emergency Management
Plans
Plan Communication and Marketing Strategy WORD 23 KB
SEMC Agenda Item Paper Template and Handbook
3.3 Revocation of State Emergency Management Plans
EM Form 18: Revocation of a State Hazard Plan - EM Forms (Password Protected)
Plan Revocation Communication and Marketing Strategy WORD 22 KB
Plan Revocation Report WORD 30 KB
3.4 Development and Review of Supporting State Emergency
Management Documents
Supporting State EM Document Communication and Marketing Strategy WORD 22 KB
SEMC Agenda Item Paper Template and Handbook
Memorandum Requesting Revocation of Supporting State EM Document WORD 31 KB
3.5 Emergency Management Consultation
Consultation Feedback Template WORD 344 KB
3.10 Delegation of Powers
EM Form 1: Delegation by Hazard Management Agency - EM Forms (Password Protected)
EM Form 1A: Revocation of Delegation by Hazard Management Agency - EM Forms (Password Protected)
EM Form 2: Delegation by State Emergency Coordinator - EM Forms (Password Protected)
EM Form 2A: Revocation of Delegation by State Emergency - EM Forms (Password Protected)
3.17 Annual Reporting - This procedure and templates are currently under review - Reach out to info@semc.wa.gov.au for more information.
SEMC Subcommittee Annual Report Template
DEMC Annual Report Template
LEMC Annual Report Template
3.20 SEMC Subcommittees and Reference Groups
SEMC Subcommittee/Reference Group Terms of Reference Template 
WORD 27 KB PDF 1.4 MB
SEMC Working Group Terms of Reference Template WORD 27 KB PDF 1.4 MB
Response
4.2 Incident Level Declaration
EM Form 23: Incident Level Declaration - EM Forms (Password Protected)
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
SECG Report to SEMC
4.5 Emergency Situation Declaration
EM Form 3: Emergency Situation Declaration by Hazard Management Agency - EM Forms (Password Protected)
EM Form 3A: Emergency Situation Declaration by State Emergency Coordinator - EM Forms (Password Protected)
EM Form 4: Extension of Emergency Situation Declaration - EM Forms (Password Protected)
EM Form 5: Revocation of Emergency Situation Declaration - EM Forms (Password Protected)
4.6 Appointment of Hazard Management Officers (HMO)
EM Form 17: Authorisation of Persons to Act as Hazard Management Officers During Emergency Situation - EM Forms (Password Protected)
EM Form 17A: Revocation of Authorisation of Persons to Act as Hazard Management Officers During an
Emergency Situation - EM Forms (Password Protected)
4.7. Direction to Close Premises in an Emergency Situation
EM Form 15: Direction to Close a Place of Business, Worship or Entertainment - EM Forms (Password Protected)
4.8 Direction Concerning Movement and Evacuation in an
Emergency Situation
EM Form 13: Direction Concerning Movement and Evacuation - EM Forms (Password Protected)
4.9 Direction to Person Exposed to Hazardous Substances
in an Emergency Situation
EM Form 14: Direction to Person Exposed to Hazardous Substance - EM Forms (Password Protected)
4.10 Exchange of Information in an Emergency Situation
EM Form 19: Request for Relevant Information - EM Forms (Password Protected)
4.11 State of Emergency Declaration
EM Form 7: Declaration of State of Emergency - EM Forms (Password Protected)
EM Form 8: Extension of State of Emergency Declaration - EM Forms (Password Protected)
EM Form 9: Revocation of State of Emergency Declaration - EM Forms (Password Protected)
4.13 Appointment of Authorised Officers
EM Form 10: Authorisation of Persons to Act as Authorised Officers During a State of Emergency - EM Forms (Password Protected)
EM Form 10A: Revocation of Authorisation of Persons to Act as Authorised Officers During a State of
Emergency - EM Forms (Password Protected)
4.14 Direction to Public Authority
EM Form 12: Direction to Public Authority - EM Forms (Password Protected)
4.15 Appointment of Officer of a Public Authority
EM Form 11: Appointment of Officer of Public Authority During a State of Emergency - EM Forms (Password Protected)
4.16 Direction to Close Premises During a State of
Emergency
EM Form 15A: Direction to Close a Place of Business, Worship or Entertainment - EM Forms (Password Protected)
4.17 Direction Concerning Movement and Evacuation During a
State of Emergency
EM Form 13A: Direction Concerning Movement and Evacuation - EM Forms (Password Protected)
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 - EM Forms (Password Protected)
4.19 Exchange of Information During a State of Emergency
EM Form 19: Request for Relevant Information - EM Forms (Password Protected)
4.20 Australian Government Physical Assistance
EM Form 22: Request for Australian Government Physical Assistance - EM Forms (Password Protected)
4.21 District Emergency Coordinators to Undertake
Additional Functions
EM Form 19: Request for Relevant Information - EM Forms (Password Protected)
4.22 Post-Operations Reports
Post-Operations Report Template
SEMC Agenda Item Paper Template and Handbook
Recovery
State EM Recovery Procedure 5.3
State Recovery Coordination Group Agenda Template WORD 27 KB PDF 1.4 MB
State-Level Recovery Plan Template WORD 26 KB PDF 2.7 MB
State Recovery Coordination Group Report Template WORD 26 KB PDF 68 KB
State EM Recovery Procedure 5.4
Impact Statement Guide - Attachment to State Emergency Recovery Procedure 5.4 PDF 1.1 MB
Impact Statement Template WORD 1.2 MB
