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Safety changes after Newcastle coal train collision
A loaded coal train collided with the rear of a stationary train in low-light conditions at the Port of Newcastle, after network control was not advised that the second train was…
Wirestrike highlights the importance of conducting a risk assessment before unplanned mustering tasks
Key points: Pilot was asked to carry out previously-unplanned mustering of cattle to a yard; Hazards at the yard likely not identified as pilot did not conduct a new risk…
Landing gear not retracted after take-off demonstrates how diverted attention or focus may result in errors of omission
Key points: Q400’s landing gear not retracted until aircraft reached 15,900 ft; Aircraft was below the maximum landing gear operating speed but exceeded the maximum altitude at…
Risk and change management limitations contributed to near collision between passenger trains south of Brisbane
Key points: A New Generation Rollingstock (NGR) train left a station when the departure signal was displaying a stop indication, resulting in a near collision with another…
Ore train runaway and derailment highlights the importance of change management, risk assessment processes
Change management and risk assessment processes, and unclear communication of a safety-critical action to train drivers, contributed to the runaway and derailment of a fully-loaded 42,500…
ATSB investigation highlights potential to further reduce Ballina airspace safety risk
Key points: Vertical separation between an A320 and a Jabiru aircraft on intersecting flight paths reduced to approximately 600 ft; Pilots of neither aircraft had been able to…
Passenger jet take-off without airspeed information highlights how individually straightforward factors can combine to nullify multiple critical safety barriers
The Australian Transport Safety Bureau has released the final report from its systemic investigation into a serious incident where a Malaysia Airlines Airbus A330 with 14 crew and 215…
Powerline survey aircraft stalled at a height too low for recovery
A Cessna 172 aircraft conducting powerline inspections near Canberra stalled and entered a spin at a height too low for recovery before it collided with the ground, an Australian Transport…
Correctly fitted, secured and maintained flight helmets can save lives
The Australian Transport Safety Bureau (ATSB) has issued a Safety Advisory Notice that strongly encourages all pilots conducting low-level operations to wear a properly fitted and maintained…
A320 main landing gear torque link apex pin fatigue failure
The main landing gear of an Airbus A320 could not be fully retracted due to the fatigue failure of a pin in the aircraft’s left main landing gear, an ATSB investigation report details.…