The safety management system for Corsair did not include detailed guidance and reference material for the safe navigation of Port Phillip Heads, the effective use of launch navigational equipment and the role of the launch deckhand in supporting safe navigation.
The completed and proposed proactive safety actions should reduce the risk associated with this safety issue. The status is assessed as partially addressed due to safety actions not yet being complete
Port Phillip Sea Pilots has developed additional guidance material for pilot launch operations through Port Phillip Heads and the effective use of navigational equipment and crew resources. This work is ongoing and includes the review of risks associated with single person error and the updating of safety management systems.
