The Civil Aviation Safety Authority (CASA) did not have an effective framework to approve and oversight air displays, predominantly due to the following factors:
The combination of these factors significantly increased the likelihood that safety risks associated with the conduct of the air display were not adequately managed.
The Australian Transport Safety Bureau (ATSB) acknowledges the actions taken by the Civil Aviation Safety Authority (CASA) to enhance their tools and guidance for air display approval and oversight, and procedures to ensure the suitability of those responsible for organising, coordinating and participating in air displays. Further, these documents, along with CASA inspectors training and guidance material, will enable a consistent approach to authorisation and oversight of Air Displays in Australia. The ATSB noted that CASA did not implement their proposed Industry training for Display Organiser and Flying Display Director Approvals, which would have brought Australian Air Displays in line with international best practice. However, overall, the ATSB has assessed the actions taken by CASA will reduce the risk to participants and spectators/general public, with regards to Air Displays in Australia to an acceptable level.
The Australian Transport Safety Bureau recommends that the Civil Aviation Safety Authority undertake further work to enhance their tools and guidance for air display approval and oversight, and procedures to ensure the suitability of those responsible for organising, coordinating and participating in air displays.
CASA acknowledges the recommendation and agrees that formal procedures to ensure the suitability of those responsible for organising, coordinating and participating in air displays is an essential component of the guidance material to be included in the CASA air display manual.
CASA has had a documented Air Display approval process manual since 1998. The manual has undergone various iterations over the years with a comprehensive rework in 2017 to enhance guidance material for display organisers.
After the Swan River accident, a Regulatory and Safety Review (RSR) was conducted by CASA. Information from that report was used in the ASTB report on the accident. The RSR also contained recommendations that were provided to the DAS for consideration. In December 2017, a signed minute from the DAS was produced in respect to those recommendations.
The 2017 document provided updated detail on key roles and responsibilities. Further, the amendment introduced a requirement to conduct a risk assessment as part of the application process. The amendment also aligned references to Parts 61/141/142.
In April 2018, version (3.0) of the manual updated the participant form, which was expanded to assist pilots with their display preparation. The form included a requirement to identify and provide justification for any additional persons on board a display aircraft. The form also included a section to provide additional assurance around completion of the display coordinator’s responsibilities. Version 3.0 was approved by the Executive Manager, Regulatory Services and Surveillance Division (EM, RSSD). The sponsor of the manual is the Branch Manager, General Recreation & Sports Aviation (GRSA). The manual is due for review in April 2020.
Current state:
From early 2018 and continuing today, the following are updates/amendments/additions that have been undertaken since the issue of the minute by the DAS.
Future state:
Currently, the Executive Manager, RSS is the Manual Owner for the Air Display Manual. However, the Manual and assessment process has been sponsored by content from the Branch Manager, GRSA. Recent discussions have centred around moving the Air Display Process wholly within RSS, with GRSA Sport SMEs available for complex technical advice only – not routine peer review.
This will centralise the business and manual amendment processes and streamline the assessment of air display applications.
Summary:
CASA is continually reviewing the Air Display assessment process including information contained within the Air Display Administration and Procedure Manual. Following the move to centralise oversight of Air Displays within RSSD, a more holistic review and amendment process can be achieved to further improve the guidance material for both CASA and industry participants.
Following the initial changes made in 2018 and as part of the continual improvement process, a comprehensive review of the Display Administration and Procedure Manual (ADAPM) and associated processes, forms and guidance was completed in June 2020, to ensure:
A key focus of the review was to strengthen existing processes for current legislation, whilst enabling a seamless transition to Part 91 and the proposal to align with international best practice. As the review has been recently completed and the document approval process is nearing finalisation, once formal approval has been granted, CASA will forward all updated documentation, including the ADAPM, Assessor Worksheet, Forms 696 (Air Display Application), Form 697 (Air Display Pilot Details) and new Post Display Report to the ATSB. In the interim, examples of the standard Air Display Approval and Pilot Approvals are attached for reference.
It is envisaged that once published, the new forms, industry facing website and ADAPM will provide additional guidance to industry, and clearly state all considerations required to conduct an air display in a safe and compliant manner. It is anticipated the new forms and updated ADAPM will improve the quality of applications received from Display Organisers and will provide relevant information to CASA in a timelier manner. Air display assessments will be conducted by inspectors that have undertaken the required training with emphasis being placed on the use of the updated ADAPM, assessor worksheet and standard approvals. Additional inspector training is scheduled to commence for both initial and recurrent training in August 2020.
Internal Training Documentation for Assessors is currently being reviewed and updated to align with the ADAPM, application forms and assessor worksheet. All updated documentation will be provided to the ATSB for review as soon as the document approval process is complete.
Approval for Display Organisers will be implemented as part of the transition to Part 91 and will be addressed in accordance with the proposed timeline (below).
Future State and Proposed Timelines:
A key element of the continual improvement process adopted by CASA has been to conduct a first principles review of the legislation governing air displays and a gap analysis between Domestic and International Regulations and world’s best practice. The review has concluded that it would be highly beneficial for CASA to adopt elements of Part 91 rules pertaining to Aviation Events found in the New Zealand and UKCAA rulesets. Planning for the integration into the existing CASA Part 91 ruleset is well underway and would permit a seamless and highly beneficial transition for both CASA and Industry.
Benefit to CASA and Industry:
The ATSB welcomes the safety action taken by CASA to date and acknowledges the procedural improvements in the planning, approval and conduct of air displays. The ATSB will continue to monitor CASA’s planned safety improvements, in anticipation that successful implementation will address the safety issue and align with international best practice.
Air Display Implementation Project - update
Stage 1 – Interim state (October 2021 to June 2022 completed) Air Display
Administration and Procedures Manual (ADAPM) and forms updated to incorporate the Part 91 General operating and flight rules, and training given to CASA inspectors to understand and complete Small Air Display Assessments.
Stage 2 – Target State (On Hold TBA) To be re started when time permits. This would involve industry consultation on the interim state ADAPM for lessons learnt, development of Protocol Principle Worksheets, turn the ADAPM into an Advisory Circular (AC), conduct further training with the inspectorate RE Large Air Displays and Ongoing Approval Assessments.
The ADAPM (air display and procedures manual) was updated to align with the new flight operations regulations. This is now published on the CASA website: Air displays | Civil Aviation Safety Authority (casa.gov.au). Training has been completed in June 2022 for assessing inspectors. This means the process for assessing applications for air displays is now functioning.
In order to align air displays with current CASA processes, CASA is drafting guidance (advisory circular) for industry as well as a protocol (including an assessor worksheet). This content will be similar to the current ADAPM, just in a different format, as there have been no significant changes. This process will include a level of industry consultation and further training for (new) inspectors as required. The aim is to have this completed by the end of November 2022.
The outcomes of the consultation have been integrated in the guidance as published. There are no further outstanding actions for the Air Display reform.
For your information, here’s a link to the published AC: https://www.casa.gov.au/sites/default/files/2022-11/advisory-circular-91-21-air-displays.pdf
In order to align with current regulations and CASA processes, the Air Display and Procedures Manual was updated, and following industry consultation, was published as Advisory Circular AC 91-21 Air Displays, in November 2022. AC 91-21, along with the associated forms, will assist in the preparation of an application for an Air Display. Further, these documents, along with CASA inspectors training and guidance material, will enable a consistent approach to authorisation and oversight of Air Displays in Australia
The Australian Transport Safety Bureau (ATSB) acknowledges the actions taken by the Civil Aviation Safety Authority (CASA) to enhance their tools and guidance for air display approval and oversight, and procedures to ensure the suitability of those responsible for organising, coordinating and participating in air displays. Further, these documents, along with CASA inspectors training and guidance material, will enable a consistent approach to authorisation and oversight of Air Displays in Australia. The ATSB noted that CASA did not implement their proposed Industry training for Display Organiser and Flying Display Director Approvals, which would have brought Australian Air Displays in line with international best practice. However, overall, the ATSB has assessed the actions taken by CASA will reduce the risk to participants and spectators/general public, with regards to Air Displays in Australia to an acceptable level.
At the time of the occurrence, the Civil Aviation Safety Authority (CASA) had a revised air display guidance manual in draft. This was subsequently published in September 2017 as the Air Display Administration and Procedure Manual. Version 3.0 of this manual was published in April 2018. Pro-active safety actions arising from the new publication included:
The ATSB acknowledges the improvements to the Civil Aviation Safety Authority’s Air Display Administration and Procedure Manual, and associated forms. While these changes improve existing guidance and partially address the safety issue, The ATSB considers that further improvements can be made to provide additional assurance of the suitability of key personnel, and to provide enhanced guidance and tools around the approval and oversight of air displays. Accordingly, the ATSB issues the following recommendation.