Basis for Recommendation
No scenario planned emergency exercises/tabletop exercises were carried out prior to the incident at Bray, despite a self-detrainment at Dun Laoghaire in 2017 as a result, IÉ- were ill prepared for the incident. In addition, as it exercises were not carried out, documents were not updated to reflect any lessons learnt, such as the Emergency Scenario Response Risk Register, which was not updated to include the risk associated with self-detrainment, despite being updated regularly.