An independent investigation into the deaths of two volunteer firefighters at Muriwai has concluded they did not recognise the warning signs a landslide was imminent.
The volunteer firefighters - Craig Stevens and Dave van Zwanenberg - were killed by a slip in the coastal community of Muriwai in Auckland in February.
Fire and Emergency New Zealand says it is working on four recommendations from the report including more training and equipment for firefighters and urban search and rescue teams.
But the review concludes that FENZ's risk management systems "did not identify landslides as a hazard that could harm its firefighters".
This resulted in a lack of procedures and training.
"The Muriwai firefighters knew about Muriwai's general susceptibility to landslides but did not recognise the warning signs that indicated an imminent landslide threat."
It says once the specialist search and rescue teams arrived everything practicable was done to rescue the firefighters in very difficult conditions.
FENZ chief executive Kerry Gregory told a media briefing today the report's release was another chapter in the pain and grief, but also the healing that the tragedy had brought about.
He began by saying it was a significant day for the service.
"This tragedy has had such an outpouring of grief right across the country - both within Fire and Emergency but also outside of Fire and Emergency as well."
He acknowledged the families of the two firefighters who died and also the Muriwai volunteer brigade.
He also acknowledged the wider Muriwai community.
"In small communities tragedies like this have a profound impact and our thoughts are with all of them too as they rebuild in the aftermath of the cyclone."
He also thanked everyone involved in the search and rescue operation during the "extremely challenging" night of the tragedy.
"This continues to be an awful reminder of the risks our firefighters can be exposed to on any given day," he said.
The investigation was undertaken not to attribute fault, blame or liability, but to ensure FENZ could learn from the "catastrophic event" and reduce the risk of something like it happening again.
Three firefighters went to the flooded home that was hit by the landslide and they had decided to dig a trench, Gregory said.
They were in the house for under seven minutes when it was hit. An extensive search and rescue operation began in pitch black conditions with gale force winds and heavy rain.
Early on 14 February rescuers found Stevens, while van Zwanenberg was found around 10am the next day.
Van Zwanenberg died at the scene while the critically injured Stevens died in hospital three days later.
During the search for van Zwanenberg, firefighters and Urban Search and Rescue crews removed 2000 cubic metres of soil and debris, picked the house apart piece by piece, and used thermal imaging, a dog and listening devices in the hope of finding him alive, the report said.
The report had made four recommendations:
- Better training of the hazards and warning signs of imminent landslides
- Consider having a local assessment of landslides susceptibility at each station
- Review risk management standards and align them with ISO standards
- Review FENZ critical risk programme
Gregory said FENZ had already begun introducing several measures in response to the report and other safety concerns.
A review of the risk management standard and ISO alignment had been completed, he said.
A national safety notice with advice on landslides and land subsidence had been issued to firefighters.
Learning modules were being developed on slip awareness and response to landslides.
Search and Rescue capability was also being improved, with better training in areas prone to earthquakes and landslides.
"These actions won't change what happened to Dave and Craig but as adverse events like Cyclone Gabrielle become more common and unpredictable, the steps we're taking will give a greater level of knowledge and training to keep our firefighters safer in these circumstances.
The review was carried out by a FENZ veteran Paul McGill who held a number of senior roles during his 40-year career. He was assisted by a health and safety investigator, Andy Evans.
Gregory concluded by thanking the two investigators who took care in their inquiries while also being aware of the pain many were suffering, he said.
Journalists were not allowed to ask any questions at the briefing because an operational review of FENZ's response to the cyclone and the 27 January floods in Auckland was also being carried out.