Crew resource management practice
Date issue released
Issue number
Issue Status
Open – Safety action pending
Transport Function
Aviation: General aviation
Issue Owner
Coulson Aviation
Mode of Transport
Aviation
Safety Issue Description

The Coulson Aviation crew resource management practice of limiting the pilot monitoring (PM) announcements to deviations outside the target retardant drop parameter tolerances increased the risk of the aircraft entering an unrecoverable state before the PM would alert the pilot flying.

Issue Status Justification

Coulson Aviation have not advised the ATSB of any safety action taken to address this safety issue and therefore the ATSB issues the following safety recommendation.

Safety recommendation
Action number
AO-2023-008-SR-33
Organisation
Coulson Aviation
Action Status
Released
Action description

The Australian Transport Safety Bureau recommends that Coulson Aviation takes safety action to address their crew resource management procedures for retardant drops to reduce the risk of the aircraft entering an unrecoverable state before the pilot monitoring alerts the pilot flying.