Recommendations

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Recommendations

Recommendation 1: Appointment of a mediator
The Board of Inquiry recommends a Victorian Government Minister appoint an experienced mediator to engage in a structured process with the Shire, SEW, affected landowners and any other necessary parties, with a view to reaching agreement in relation to appropriate landslide mitigation and remediation works at and around the site of the McCrae Landslide.
Recommendation 2: Participation in the mediation process
The Board of Inquiry recommends the Shire and SEW appoint or engage a suitably experienced individual to lead and oversee their participation in the mediation process (Recommendation 1), with a view to bringing a fresh and pragmatic perspective to the issues.
Recommendation 3: Trench stops and carrier pipes
The Board of Inquiry recommends the Shire and SEW obtain expert advice about the use of trench stops and carrier pipes in parts of McCrae to mitigate the risk of landslides, including the use of such measures in more remote locations where water leaks may be less readily detected.

Recommendation 4: Assessment of infrastructure
The Board of Inquiry recommends the Shire and SEW thoroughly assess their water infrastructure in McCrae to identify any need for repair or replacement works to mitigate landslide risk. SEW should also adopt this measure in relation to its sewer system.
Recommendation 5: Shire's McCrae Landslide Incident Group
The Board of Inquiry recommends the Chief Executive Officer of the Shire review and improve the approach that has been and is being taken by the Shire’s McCrae Landslide Incident Group, with the assistance of a suitably experienced external independent consultant.

Recommendation 6: EMO
The Board of Inquiry recommends the Shire progress the work that is currently underway to amend the existing EMO schedules, or add a new schedule, to the Mornington Peninsula Planning Scheme, which has the effect of applying an EMO to at least those areas of the Shire that are highly susceptible to landslides. The Shire should take advice from a geotechnical engineer as to the appropriate scope of the schedule(s).
Recommendation 7: Process for responding to landslide incidents

The Board of Inquiry recommends the Shire review and improve its processes for responding to landslide incidents with a view to including, amongst other things:

a. protocols for timely information sharing with relevant entities, agencies and individuals; and

b. mechanisms for urgent steps to be taken to mitigate the risk of a subsequent landslide, such as contacting the VicSES when there is a threat of a subsequent landslide, and using equipment on Shire or private land (with permission) to try to divert hazardous water flow.

Recommendation 8: Process for responding to water incidents
The Board of Inquiry recommends the Shire review and improve its processes for responding to incidents of water upwelling in and around areas highly susceptible to landslides.

Recommendation 9: Landslide risk assessment and mitigation project

The Board of Inquiry recommends the Shire progress the work that is planned or currently underway to assess and mitigate landslide risk in McCrae, including undertaking a strategic assessment of landslide risk patterns across the full escarpment area and updating its asset management strategies and processes to account for landslide risk.

To the extent not already incorporated, the project should include:

a. obtaining external expert advice about any necessary modifications to the Shire’s stormwater system in McCrae;

b. obtaining external expert advice about the presence and management of excess water around 6 and 10–12 View Point Road and Penny Lane, McCrae; and

c. consideration of the additional mitigation matters identified in section 9.3 of the PSM Landslide Risk Assessment dated 28 May 2025.

Recommendation 10: SEW's McCrae Strategy Group
The Board of Inquiry recommends the new Managing Director of SEW review and improve the approach that has been and is being taken by SEW's McCrae Strategy Group, with the assistance of a suitably experienced external independent consultant.
Recommendation 11: Calibration of SEW alarms
The Board of Inquiry recommends SEW progress its work on calibrating its alarms in areas susceptible to landslides to drive effective and timely leak investigations.

Recommendation 12: Real-time flow balancing
The Board of Inquiry recommends SEW progress its work on developing flow balancing algorithms required for real-time flow balancing, with the objective of enhancing its ability to detect potential water leaks in a timely manner, especially in areas susceptible to landslides.

Recommendation 13: Documentation of leak detection processes and procedures

The Board of Inquiry recommends SEW clearly document its leak detection processes and procedures to:

a. outline training requirements to ensure employees and contractors apply procedures consistently;

b. set out the systematic steps that employees and contractors must take when investigating unknown sources of water;

c. provide guidance on the interpretation of field test results;

d. require employees and contractors, in more complex cases, to assess whether the unknown water may be originating from a SEW asset located uphill or at a more distant location;

e. set out roles, responsibilities, and escalation pathways for decision-making; and

f. include provisions for periodic review and updating of the processes and procedures to account for any lessons learnt, new technology, or changes in risk profile.

Recommendation 14: Adapting leak detection practices and processes
The Board of Inquiry recommends SEW review its leak detection practices and processes to ensure they are appropriately adapted to address the heightened risk of excess water accumulating or surfacing in areas susceptible to landslides.

Recommendation 15: Interpreting on-site electrical conductivity readings
The Board of Inquiry recommends SEW ensure that on-site electrical conductivity readings outside mains water range are not taken as conclusive evidence that leaking water has not originated from its assets. Appropriate processes and procedures should be developed to account for the possibility that the water may have travelled through the ground and changed in its chemical composition.

Recommendation 16: Identifying clusters of complaints
The Board of Inquiry recommends SEW progress its work to develop systems and processes capable of identifying the potential relationship between clusters of complaints in relation to potential water leaks, particularly in areas that are susceptible to landslides.

Recommendation 17: The SEMP and the landslide sub-plan to the SEMP

The Board of Inquiry recommends the Victoria State Emergency Service (the VicSES) progress the development of a landslide sub-plan to the SEMP.

In this context, it is also recommended the Emergency Management Commissioner consider consequential amendments to the SEMP, including making water corporations and local councils participating agencies for landslide mitigation activities, such activities should include the:

a. identification of landslide risk;

b. development of operational and maintenance plans and processes for water assets; and

c. sharing of information between water corporations and local councils to assist in the identification of landslide risk and the management of water assets.

Recommendation 18: Landslide training and education programs
The Board of Inquiry recommends Emergency Management Victoria, the VicSES, and the Inspector-General for Emergency Management update existing training and education programs to incorporate and reflect the development of the landslide sub-plan and any related amendments made to the SEMP.
Recommendation 19: Emergency management plans
The Board of Inquiry recommends Victorian regional and municipal emergency management planning committees, including the Southern Metropolitan and Mornington Peninsula Committees, review their emergency management plans to ensure that landslide risk management is appropriately addressed. This includes reviewing and updating previous risk assessments, and where landslide risk is identified, water corporations should be represented on the committee.
Recommendation 20: Addressing data gaps on landslide risk

The Board of Inquiry recommends the Victorian Government develop and implement a project that addresses data gaps on landslide risk. As part of the project, the Victorian Government should explore options for how landslide risk data can be shared and made broadly accessible, including by those living in areas with landslide risk for use in mitigating and managing the risk.

Consideration should be given to all options, including:

a. the creation of an online data resource;

b. engaging with Geoscience Australia to explore opportunities, such as a partnership, aimed at resuming online data collection of Victorian landslides which was ceased in 2018;

c. the provision of technical or financial assistance to local government authorities where necessary; and

d. statewide mapping of landslide susceptibility, in coordination with relevant government departments.

Recommendation 21: Shire landslide training and guidelines
The Board of Inquiry recommends the Shire arrange appropriate training and develop guidelines for relevant staff about local landslide risk, mitigation and management.
Recommendation 22: Community information events
The Board of Inquiry recommends the Shire arrange appropriate community information events to educate residents, business owners and service providers about local landslide risk, mitigation and management in order to support them in identifying and reducing risks on their land.

Recommendation 23: Early identification of landslide risk
The Board of Inquiry recommends the Victorian Government, local councils and relevant stakeholders work together to identify pathways for early identification of landslide risk and ensure escalation processes and procedures are well understood. This is a matter which may be most appropriately addressed as part of the development of the landslide sub-plan to the SEMP.

Recommendation 24: Emergency management planning committee debriefing
The Board of Inquiry recommends municipal emergency management planning committees review their procedures to ensure that, following landslide incidents there is appropriate debriefing which includes actively considering opportunities to improve mitigation, planning and preparedness measures.
Recommendation 25: Obtaining insights and expanding other programs
The Board of Inquiry recommends the Victorian Government consider how insights from the Victorian Coastal Monitoring Program could be applied to landslides and explore options to expand or build on the program, including by monitoring areas identified as being highly susceptible to landslides.
Recommendation 26: Strengthening the land use planning system

The Board of Inquiry recommends the Victorian Government review and strengthen the management of landslide risk within the land use planning system to ensure Victorians can have confidence that areas at risk of landslide are subject to proportionate, timely and consistent planning controls.

Consideration should be given to:

a. developing consistent principles for the application of planning overlays, including threshold requirements such as slope gradient;

b. identifying consistent tolerable levels of residual risk to the community;

c. the appropriateness of continuing to combine landslide risk and coastal erosion within a single overlay;

d. building internal geotechnical engineering expertise in the Department of Transport and Planning to support appropriate technical review and applications to amend planning schemes;

e. providing technical and financial support when appropriate to municipal councils to support the identification of landslide risk for the purpose of planning scheme amendments;

f. developing planning practice notes and guidance;

g. incorporating the Australian guidelines for landslide developed by the Australian Geomechanics Society;

h. providing planning authorities with best practice guidance on how to consider cross-cutting hazards such as bushfire and landslide; and

i. requiring more frequent reviews of hazard-related planning controls such as overlays, to ensure they reflect changing environmental impacts.

Recommendation 27: Interim EMO
The Board of Inquiry recommends the Shire urgently implement an interim EMO schedule that applies, at a minimum, to the land that was identified as highly susceptible to landslides in the 2012 mapping obtained by the Shire. The Shire should promptly obtain advice from geotechnical engineers about the appropriateness of including a wider area on an interim basis.

Recommendation 28: Progressing the interim EMO
The Board of Inquiry recommends the Victorian Minister for Planning ensure that the Shire’s application for an interim EMO schedule (Recommendation 27) proceeds expeditiously, including by constituting herself to act as the planning authority if deemed appropriate and necessary to achieve this outcome.

Recommendation 29: Landslide mitigation roles and responsibilities
The Board of Inquiry recommends the Victorian Government develop guidance materials clarifying the roles and responsibilities of local councils, municipal building surveyors and residents in respect of landslide mitigation works following landslides and more generally.

Recommendation 30: Management of landslide risk on private land
The Board of Inquiry recommends the Victorian Government consider the current regulatory environment for how local government and private landowners manage risks on and from private land susceptible to landslides, both to the wider community and the environment.

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