He killed six people and injured 10 others over three minutes before being shot dead by NSW Police Inspector Amy Scott.

During an inquest, it was disclosed that the security officer did not contact emergency services until 10 minutes after the incident took place.

The audio recording of the call revealed that the guard, whose identity is legally protected, reported an armed individual on the premises and mentioned that shots had been fired.

“Do you know if anyone’s been injured there?” the operator asks.

“We’re not aware,” the guard replied.

She then changed her answer, saying three to four people had been injured and two people stabbed.

At the NSW Coroners Court today, international counterterrorism, policing and security expert Scott Wilson called this response “inadequate”.

“It was just all mixed up and it should have been a lot clearer,” he said.

“Ten minutes in is just not good enough.”

He said the call may have suggested that both a gun and a knife had been used by the attacker.

Wilson said he could not believe the security guard was not aware of the extent of the casualties by the time she made the call.

“She must know she’s dealing with multiple victims of a stabbing,” he said.

Giving unclear information to the triple-zero operator could have led to confusion among attending police operators, the court was told.

While at the time, police knew that Cauchi was the sole armed offender who had been shot, information could have come in from the triple-zero call about another potential offender with a gun, Wilson said.

He also questioned why the security guard remained in the room instead of being replaced by someone more competent as the emergency and its aftermath unfolded.

This was despite obvious deficiencies in her knowledge being flagged prior to the attacks. Further training had been scheduled.

“If you’ve not got faith in her, why leave her in that room?” Wilson asked.

He acknowledged changes in procedures made after the incident by Scentre Group, which runs the Bondi Junction Westfield.

These include that two people have to remain in the control room at all times, and that officers do not need to get authorisation from their superiors before calling triple zero in an emergency.

Cauchi was experiencing psychotic symptoms at the time of his stabbing spree after being diagnosed with schizophrenia as a teen.

He had been successfully treated with antipsychotics for decades before his private psychiatrist formed a plan to wean him off the medication.

By mid-2019, he was not taking any more medication, and by early 2020 he had stopped seeing a psychiatrist regularly after moving from Toowoomba to Brisbane.

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