Brisbane port authorities had not put in place sufficient procedures, checklists and/or supporting documents to ensure VTS staff were adequately prepared, trained and practiced to handle a predictable incident such as this.
The ATSB is satisfied that the MSQ actions in assessing its procedures and training regime to identify the risks and responses associated with this type of incident will adequately address this safety issue.
The ATSB has been advised that Maritime Safety Queensland (MSQ) will review and update procedures for its Brisbane and Queensland port network as a result of this and any other marine incident.
The ATSB is satisfied that the actions taken by MSQ will adequately address this safety issue.