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Overcrowding with the use of three car passenger trains during peak hour
RR2023-00025
Flight crew fatigue
RA2023-00092
Discouragement of fatigue reporting
RA2023-00096
The ATSB notes that neither the operator nor the regulator specifically addressed the discouragement of fatigue reporting by flight crew due to potential financial penalty. The ATSB would welcome the opportunity to receive a summary of the post-implementation review following the trial period to ascertain if there has been a decrease in fatigue reporting.
Flight crew fatigue
RA2023-00141
High levels of cabin crew fatigue as a result of inadequate rest time
RA2023-00193
Separation event involving a Cessna 208B and Cessna T210N, Near Kati Thanda – Lake Eyre, South Australia, on 30 July 2024
AB-2024-036
Proposed Air Traffic Controller En Route Conditional Endorsement
RA2023-00140
The ATSB notes ECE concerns have previously been raised through REPCON RA2022-00053. At the time, CASA had not been provided detailed information on the proposed implementation. The ATSB has since received additional concerns as above. The ATSB therefore asked Airservices and CASA to provide any updates / comments on the proposed implementation and risk management plan.
Taxi on to a closed section of taxiway involving a Pilatus PC-12/47E, VH-FXJ, at Adelaide Airport, South Australia, on 4 November 2024
Adelaide Airport, Pinnaroo, PC-12/47E, 1541, Turboprop, VH-FXJ, Part 135 Air transport operations - smaller aeroplanes, Nil, Pilatus Aircraft Ltd, Royal Flying Doctor Service of Australia Central Operations
AO-2024-061
Inadvertent rudder trim input led to 737 in-flight upset
A pilot of a Virgin Australia Boeing 737 inadvertently input full left rudder trim when they intended to activate the flight deck door switch, resulting in an in-flight upset and a cabin crew…
Annual Report 2023–24
Annual Report 2023–24
The ATSB Annual Report 2023–24 outlines performance against the outcome and program structure in the Department of Infrastructure, Transport, Regional Development, Communications and the Arts' Portfolio Budget Statements 2023–24. Chief Commissioner’s Review I am privileged to present the ATSB annual report for 2023–24, a year in which the agency took significant steps to drive greater efficiencies in our operating model, while delivering an increase in our measured effectiveness in improving transport safety for all Australians. Central to our…