An ATSB investigation report has found that while an emergency passenger evacuation at Hobart was conducted rapidly and in a pro-active manner in the interests of passenger safety, there were problems with communication involving the pilots, ground crew, and cabin crew that created potential risk and has led to improved safety action for the future. The Australian Transport Safety Bureau's final report into the Boeing 717 evacuation on 17 May 2005 found that a right engine starter had failed during the engine start due to loss of lubricating oil because a seal retaining ring was incorrectly…
An Australian Transport Safety Bureau (ATSB) investigation found that the collision between the Australian registered tug Tom Tough and the Panamanian registered bulk carrier Global Peace resulted in a spill of approximately 25 cubic metres of oil in Gladstone Harbour on 24 January 2006. At about 2130 on the evening of 24 January, Global Peace entered Gladstone harbour for the transit to the Clinton Coal Terminal. The plan was for the ship to berth at Clinton number three berth with the assistance of three z-peller tugs. As the ship was approaching the berth, the pilot asked all three tugs to…
An ATSB investigation has found that high track temperatures, track stability and the movement of rolling stock led to derailments involving Train 6MP4 at Koolyanobbing WA and Train 6SP5 at Booraan WA on the afternoon of 30 January 2005. Koolyanobbing and Booraan are respectively about 200 kilometres and 360 kilometres west of Kalgoorlie. Both freight trains had been travelling to Perth on the Defined Interstate Rail Network (DIRN), 6MP4 having started its journey in Melbourne and 6SP5 in Sydney. There were no serious injuries due to either derailment but many wagons from each train sustained…
An Australian Transport Safety Bureau (ATSB) investigation has found that a lack of hazard awareness and safety control measures led to the chief engineer on board the Australian bulk carrier River Embley sustaining burns to 45 percent of his body when he was scalded by hot water that unexpectedly sprayed from a steam valve he and a junior engineer were working on. On the morning of 14 October 2005, the engineers were working in the engine room while the ship was at anchor off Gladstone. While they were dismantling the turbo alternator exhaust steam valve a thousand litres of pressurised hot…
The ATSB's on-site investigation into the 5 October 2006 fatal accident involving a BAC-167 Strikemaster jet, NE of Bathurst, NSW, is continuing. Access to the accident site has been hampered by the presence of a large bushfire, which is currently being fought by the NSW Rural Fire Service. The Australian Transport Safety Bureau's on-site investigation team has reported that the aircraft wreckage trail extends more than 1 kilometre. Team members have been able to access some of the aircraft wreckage during a period of limited access to the accident site over the last 2 days. During that time…
The ATSB has released a further Interim Factual Investigation Report into the Lockhart River accident on 7 May 2005 in which both pilots and all 13 passengers perished and says that it expects to complete its draft final report by the end of November. This is the third factual report issued by the Australian Transport Safety Bureau since the tragic accident and, in accordance with international convention, it contains no analysis. The ATSB has previously issued a number of safety recommendations arising from the accident and others will be considered ahead of the final report if or as needed…
An ATSB discussion paper has found from a large survey of endorsed pilots that a recently introduced type of satellite approach [termed RNAV (GNSS)] used during the May 2005 fatal accident near Lockhart River is perceived as difficult, particularly in bad weather and without automation and vertical guidance instruments. The Australian Transport Safety Bureau sent the survey to all Australian pilots with Area Navigation (RNAV) Global Navigation Satellite System (GNSS) endorsement and received 748 representative responses, a response rate of 22 per cent. The most difficult RNAV (GNSS)…
An ATSB discussion paper has found that from 1990 to 2005 Queensland had a higher fatal aviation accident rate than the rest of Australia but that the results for Tasmania were much worse, and that the fatal accident rate for Far North Queensland was better than for Queensland's North and Central regions. Like NSW/ACT, QLD was the location for 102 of the 318 fatal accidents in Australia from 1990 to 2005. Compared with the national rate of 0.7 fatal accidents per 100,000 landings 1990-2004, TAS had 1.8 and QLD the next highest at 0.9. QLD had 32% of the accidents and 24% of the landings so…
An ATSB has found that inadequate load securing methods, combined with reduced track clearances, lead to a collision between a steel plate freight load and a passenger train at Eden Hills station platform on 30 September 2005. The freight load had been protruding from the side of the freight train for at least 85 km before the collision occurred. Eden Hills is located about 14 km south of Adelaide in the Adelaide Hills region. Both trains were heading towards Adelaide when the collision occurred. There were no injuries and only minor damage to track and rollingstock infrastructure. The…
The ATSB has found that deficient boat design and construction, inadequate equipment and training, fatigue and poor decision-making, weather conditions and regulatory confusion, all combined in the tragic loss of five Torres Strait Islanders travelling on board the 6 metre boat Malu Sara in Torres Strait on 15 October 2005. According to the final investigation report by the Australian Transport Safety Bureau (ATSB), the boat did not meet basic freeboard or stability requirements. When operating at slow speed or stopped, water flooded the boat's cockpit from the stern freeing port. The four…