Introduction The Australian Transport Safety Bureau (ATSB) 2012–13 Annual Report outlines performance against the outcome and program structure in the 2012–13 Infrastructure and Transport Portfolio Budget Statements.  Chief Commissioner’s review 2012–13 2012–13 was the ATSB’s fourth year in its current form as a fully independent agency within the Infrastructure and Transport portfolio. It has been a productive year. Our investigations yielded a range of important safety messages that touched every element of transport, from the manufacturing of vehicles through to the effectiveness of…

Why the ATSB did this research Emergency locator transmitters are radio beacons carried on most aircraft so that in the event of an accident in a remote location the aircraft wreckage and its occupants can be located quickly by search and rescue (SAR) operations. Finding the aircraft wreckage quickly not only increases the chance of survival of the occupants, but also reduces the risk to pilots of SAR aircraft who commonly need to operate in marginal weather conditions and over mountainous terrain. Airframe mounted emergency locator transmitters (ELTs) are designed to automatically activate…

The Aviation Short Investigation Bulletin covers a range of the ATSB’s short investigations and highlights valuable safety lessons for pilots, operators and safety managers. Released periodically, the Bulletin provides a summary of the less-complex factual investigation reports conducted by the ATSB. The results, based on information supplied by organisations or individuals involved in the occurrence, detail the facts behind the event, as well as any safety actions undertaken. The Bulletin also highlights important Safety Messages for the broader aviation community, drawing on earlier ATSB…

Why have we done this report Significant debate has occurred within the aviation industry regarding the issues of pilot training and experience, particularly with regard to the introduction of new pilot training programs that are focused on training cadet pilots. The main concern being presented by some sectors of the industry that are not in favour of these concepts is that these low-hour co-pilots are not as competent as their high-hour peers. The ATSB gathered data from three airlines to explore the issue of pilot performance as a function of both flight hour experience, and entry pathway…

The Aviation Short Investigation Bulletin covers a range of the ATSB’s short investigations and highlights valuable safety lessons for pilots, operators and safety managers. Released periodically, the Bulletin provides a summary of the less-complex factual investigation reports conducted by the ATSB. The results, based on information supplied by organisations or individuals involved in the occurrence, detail the facts behind the event, as well as any safety actions undertaken. The Bulletin also highlights important Safety Messages for the broader aviation community, drawing on earlier ATSB…

The Aviation Short Investigation Bulletin covers a range of the ATSB’s short investigations and highlights valuable safety lessons for pilots, operators and safety managers. Released periodically, the Bulletin provides a summary of the less-complex factual investigation reports conducted by the ATSB. The results, based on information supplied by organisations or individuals involved in the occurrence, detail the facts behind the event, as well as any safety actions undertaken. The Bulletin also highlights important Safety Messages for the broader aviation community, drawing on earlier ATSB…

Introduction As pilots, we are familiar with well-publicised events of aircrew who, as a result of their experience and exceptional airmanship, avoided what could have been a disaster and a tragic loss of life. Pilots, such as Captain ‘Al’ Haynes in command of a United Airlines Douglas DC-10 on a flight from Denver to Chicago in July 1989, that had the fan wheel of its number two (centre) engine disintegrate, causing a loss of all three of its hydraulic control systems — an unprecedented problem that made the aircraft nearly impossible to fly or land. Captain Haynes and his crew…

Why is the ATSB doing this research? Each year, the ATSB conducts investigations into transport safety matters in aviation, rail and marine. Most of these reports document safety issues (factors that have a potential to adversely affect the safety of future operations) identified during the investigation, along with the assigned risk level for each safety issue. The ATSB also individually documents safety actions completed by industry or regulators in response to the identified safety issues. When no or inadequate safety action occurs, the ATSB may also release a safety recommendation, which…

Why have we done this report In the last three decades, Australia has seen a significant growth in the number of amateur-built aeroplanes (aircraft built for personal use from an original design, established plans or kit, which are not entirely built and assembled in a factory).  However, the safety record of amateur-built aircraft in Australia had not been robustly established. What did this report do The ATSB investigated the safety history of amateur-built aircraft in Australia through analysis of accident data held in the ATSB’s occurrence database from 1988 to 2010. Comparisons were…

Why did we do this report The ATSB receives reports on accidents and other safety incidents involving Australian registered trading vessels (cargo and/or passengers) around the world and trading vessels flying foreign flags within Australia’s maritime jurisdictions. The aim of this report is to provide participants in the shipping industry and other interested parties with information on what accidents and incidents have happened, how often they have happened, and what can be learnt from them. What the ATSB found In 2012, there were 154 marine safety occurrences reported to the Australian…