The importance of maintaining situational awareness and the risks of pilot distraction are two of the major safety lessons featured in the latest edition of the ATSB's investigation bulletin, released today. Situational awareness was a factor in air proximity events, breakdowns of separation, ground handling and wirestrikes. An example of a situational awareness issue occurred when a Pilatus PC-12/45 and Aeronautica MacchiAL60 passed within close proximity to each other while flying. This incident highlighted the need for aircrew to conduct diligent radio broadcasts and continual visual…

The Australian Transport Safety Bureau (ATSB) is urging shipping operators to regularly check and replace their container lashing equipment as a result of an incident involving the Hong Kong registered container ship Pacific Adventurer. On 11 March 2009, Pacific Adventurer lost 31 containers overboard during severe weather and large swells off Cape Moreton, Queensland. As the unsecured containers went overboard, they holed two of the ship's fuel oil bunker tanks. This caused the ship to leak 270 tonnes of bunker oil into the sea which affected 70kms of Queensland's coastline. The ATSB…

Operators of Robinson R44 helicopters are being advised to inspect the security of their helicopters' hydraulic-boost servos following a fatal accident at Cessnock Aerodrome, NSW. On 4 February 2011, a Robinson R44 Astro helicopter crashed after part of the aircraft's flight controls separated from the hydraulic-boost system during circuit operations. The pilot survived, but the flight instructor and a passenger died in the accident. The Australian Transport Safety Bureau's (ATSB's) preliminary factual report, released today, reveals that a bolt securing…

On Thursday 14 April 2011, the Australian Transport Safety Bureau (ATSB) will hold a media briefing to accompany the release of its final investigation report into the 3 April 2010 grounding of Chinese bulk carrier Shen Neng 1 on Douglas Shoal, off the coast of Queensland near Gladstone. ATSB Chief Commissioner Mr Martin Dolan will present the facts of the investigation and highlight the key safety actions that have occurred to prevent a recurrence. Where: 62 Northbourne Avenue, Canberra City, ACT(ATSB Central Office) Time: 10.30am (AEDT), Thursday 14…

In a preliminary investigation report released today, the ATSB outlines safety actions that have already been taken in response to an uncontained engine failure on board a Qantas A380 aircraft over Batam Island, Indonesia on 4 November 2010. "The investigation highlights Australian and international cooperation in the interests of aviation safety," said the ATSB's Chief Commissioner, Martin Dolan. "The ATSB is the lead investigator, but many others are involved, and their cooperation has been essential". "We're still in the early stages of investigation…

The ATSB has issued a safety recommendation about potential engine problems in some Airbus A380 aircraft. The safety recommendation identifies a potential manufacturing defect with an oil tube connection to the high-pressure (HP)/intermediate-pressure (IP) bearing structure of the Trent 900 engine installed in some A380 aircraft. The problem relates to the potential for misaligned oil pipe counter-boring, which could lead to fatigue cracking, oil leakage and potential engine failure from an oil fire within the HP/IP bearing buffer space. In response to the recommendation Rolls Royce, affected…

An electrical systems failure onboard a Boeing 747 aircraft near Bangkok, Thailand has prompted extensive safety actions from Qantas, Boeing and the US Federal Aviation Administration. On 7 January 2008, the aircraft lost electrical power to many of its onboard systems as a result of overflowing drain water entering generator control units that control the distribution of electrical power. In response to the event and the ATSB investigation, Qantas, Boeing and the US Federal Aviation Administration (FAA) have implemented a number of safety actions to prevent a recurrence. These actions…

The Australian Transport Safety Bureau (ATSB) will undertake a systemic safety investigation into Queensland's coastal pilotage operations. This follows the ATSB's investigation into the 7 February 2009 grounding of the tanker Atlantic Blue in the Torres Strait. ATSB Chief Commissioner, Mr Martin Dolan, said the ATSB decided to conduct this broader safety investigation to address information that came to light during the Atlantic Blue investigation as well as earlier, similar investigations. "The Atlantic Blue investigation is one in a number of cases where we received…

The Papua New Guinea Accident Investigation Commission (AIC) has distributed to directly involved parties a draft report of its investigation into the accident that occurred near Kokoda, Papua New Guinea on 11 August 2009. Directly involved parties are those who were directly involved in the accident or who may have influenced the circumstances that led to it. Those parties have until 23 January 2011 to comment on the factual accuracy of the report and to provide additional evidence in support of any comments. The AIC…

On Friday 3 December 2010, the Australian Transport Safety Bureau (ATSB) will hold a media briefing to accompany the release of its preliminary factual investigation report into the 4 November 2010 engine failure onboard Qantas Flight QF32 over Batam Island, Indonesia. ATSB Chief Commissioner Mr Martin Dolan will present the facts gathered from the investigation to date and highlight the key safety actions relevant parties have taken to prevent a recurrence.Where: 62 Northbourne Avenue, Canberra City, ACT(ATSB Central Office)Time: 10.30am (AEDT), Friday 3…