The operator's joint testing procedures were not comprehensive with respect to hazard identification and the use of standard phraseology.
The operator has instigated a number of changes to its procedures and training including a checklist for use prior to testing.
In response to this accident, the operator has:
[Introduced] a STOP procedure for platform work. (Stop before moving towards the conductor. S = stop T= talk, O= observe, P= proceed).
Updated and upgraded company Work Instructions to a new format which is more detailed and better highlights caution and warning points and includes detailed risk assessments. Initial upgraded focused on Platform procedures WI 611/01, 02 05, 06, and 22
Ordered electronic cockpit voice prompt machines. And review a black box voice recorder.
The ATSB is satisfied that the action taken by the helicopter operator adequately addresses the safety issue.
