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Safety issues and actions
Issue, description, who it affects Date, status, type
Issue, description, who it affects
Issue: AO-2017-013-SI-01Air display approval and oversight
Number: AO-2017-013-SI-01
Description: AO-2017-013-SI-01:The Civil Aviation Safety Authority (CASA) did not have an effective framework to approve and oversight air displays, predominantly due to the following factors: While the Air Display Manual provided guidance to organisers conducting an air display, it did not inherently provide the processes and tools needed for CASA to approve ...
Who it affects: Air displays: Organisers and participants in air displays
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: Other
Date, status, type
Date: 19 Nov 2019
Status: Safety action pending
Type: Proactive Action
  Recommendation
Issue, description, who it affects
Issue: AO-2018-025-SI-01CASA ALA guidance on runway overrun areas
Number: AO-2018-025-SI-01
Description: AO-2018-025-SI-01:The Civil Aviation Advisory Publication for Aeroplane Landing Areas (92-1(1)) did not have guidance for the inclusion of a safe runway overrun area.
Who it affects: All owners and users of ALAs
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: General aviation
Date, status, type
Date: 22 Oct 2019
Status: Safety action pending
Type: Recommendation
Issue, description, who it affects
Issue: AO-2017-005-SI-08Regulatory surveillance – scoping of surveillance events
Number: AO-2017-005-SI-08
Description: AO-2017-005-SI-08:The Civil Aviation Safety Authority’s procedures and guidance for scoping a surveillance event included several important aspects, but it did not formally include the nature of the operator’s activities, the inherent threats or hazards associated with those activities, and the risk controls that were important for managing those threats or ...
Who it affects: All operators.
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: Air transport
Date, status, type
Date: 17 Oct 2019
Status: Safety action pending
Type: Recommendation
Issue, description, who it affects
Issue: AO-2017-005-SI-07 Requirements for briefing the brace position in small aircraft
Number: AO-2017-005-SI-07
Description: AO-2017-005-SI-07 :There was no requirement for operators of passenger transport flights in aircraft with six or less seats to provide passengers with a verbal briefing, or written briefing material, on the brace position for an emergency landing or ditching, even for aircraft without upper torso restraints fitted to all passenger seats.
Who it affects: All aircraft owners, operators, pilots and passengers of small aeroplanes.
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: Air transport
Date, status, type
Date: 17 Oct 2019
Status: Safety action pending
Type: Proactive Action
  Proactive Action
Issue, description, who it affects
Issue: AO-2017-005-SI-06 Requirements for upper torso restraints in small aircraft
Number: AO-2017-005-SI-06
Description: AO-2017-005-SI-06 :Upper torso restraints (UTRs) were not required for all passenger seats for small aeroplanes manufactured before December 1986 and helicopters manufactured before September 1992, including for passenger transport operations. Although options for retrofitting UTRs are available for many models of small aircraft, many of these aircraft manufactured before the applicable ...
Who it affects: All aircraft owners, operators, pilots and passengers of small aircraft without upper torso restraints for all passenger seats.
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: Air transport
Date, status, type
Date: 17 Oct 2019
Status: Safety action pending
Type: Recommendation
Issue, description, who it affects
Issue: AO-2017-069-SI-04Regulatory differentiation between community service flying and private operations
Number: AO-2017-069-SI-04
Description: AO-2017-069-SI-04:CASA did not have a system to differentiate between community service flights and other private operations, which limited its ability to identify risks. This hindered the Civil Aviation Safety Authority's ability to manage risks associated with community service flights.
Who it affects: All passengers on community service flights conducted by Angel Flight Australia
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: General aviation
Date, status, type
Date: 13 Aug 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2015-046-SI-05In-flight landing distance safety margin may be inadequate
Number: AO-2015-046-SI-05
Description: AO-2015-046-SI-05:Civil Aviation Order 20.7.1B stipulated that a 1.15 (15 per cent) safety margin was to be applied to the actual landing distance for jet-engine aircraft with a maximum take-off weight greater than 5,700 kg. This safety margin may be inadequate under certain runway conditions, which increases the risk of a ...
Who it affects: Civil Aviation Safety Authority
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: Air transport
Date, status, type
Date: 18 Sep 2018
Status: Safety action pending
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2015-046-SI-02Regulatory direction regarding damp runways
Number: AO-2015-046-SI-02
Description: AO-2015-046-SI-02:There was no regulatory direction from the Civil Aviation Safety Authority on how a damp runway was to be considered for aircraft landing performance.
Who it affects: Operators and pilots of aircraft where landing performance data is not available for damp runway surface conditions
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: Air transport
Date, status, type
Date: 18 Sep 2018
Status: Safety action pending
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2016-078-SI-01Air Operator Certificate holder fuel policy requirements
Number: AO-2016-078-SI-01
Description: AO-2016-078-SI-01:The current legislation does not require commercial operators of aircraft not greater than 5,700 kg maximum take-off weight to provide instructions and procedures for crosschecking the quantity of fuel on board before and/or during flight. This increases the risk that operators in this category will not implement effective fuel policies ...
Who it affects: Air Operator Certificate holders
Issue owner: Civil Aviation Safety Authority (CASA)
Operation affected: Aviation: Air transport
Date, status, type
Date: 02 Aug 2018
Status: Adequately addressed
Type: Proactive Action
  Safety Advisory Notice
Issue, description, who it affects
Issue: AO-2014-190-SI-15Regulatory surveillance – assessing process in practice
Number: AO-2014-190-SI-15
Description: AO-2014-190-SI-15:Consistent with widely-agreed safety science principles, the Civil Aviation Safety Authority’s approach to surveillance of larger charter operators had placed significant emphasis on systems-based audits. However, its implementation of this approach resulted in minimal emphasis on evaluating the actual conduct of line operations (or ‘process in practice’).
Who it affects: All operators
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: Air transport
Date, status, type
Date: 23 Nov 2017
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2014-190-SI-14Regulatory surveillance – scoping of audits
Number: AO-2014-190-SI-14
Description: AO-2014-190-SI-14:The Civil Aviation Safety Authority’s procedures and guidance for scoping an audit included several important aspects, but it did not formally include the nature of the operator’s activities, the inherent threats or hazards associated with those activities, and the risk controls that were important for managing those threats or hazards.
Who it affects: All operators
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: Air transport
Date, status, type
Date: 23 Nov 2017
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2014-190-SI-13Regulatory surveillance – surveillance planning
Number: AO-2014-190-SI-13
Description: AO-2014-190-SI-13:Although the Civil Aviation Safety Authority (CASA) collected or had access to many types of information about a charter and/or aerial work operator, the information was not integrated to form a useful operations or safety profile of the operator. In addition, CASA’s processes for obtaining information on the nature and ...
Who it affects: All operators
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: Air transport
Date, status, type
Date: 23 Nov 2017
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2014-190-SI-12Classification of air ambulance operations
Number: AO-2014-190-SI-12
Description: AO-2014-190-SI-12:Although air ambulance flights involved transporting passengers, in Australia they were classified as ‘aerial work’ rather than ‘charter’. Consequently, they were subject to a lower level of regulatory requirements than other passenger-transport operations (including requirements for fuel planning flights to remote islands).
Who it affects: All operators and flight crew that conduct air ambulance operations
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: Air transport
Date, status, type
Date: 23 Nov 2017
Status:
Type: Proactive Action
  Recommendation
Issue, description, who it affects
Issue: AO-2014-190-SI-11Regulatory requirements and guidance for in-flight fuel management
Number: AO-2014-190-SI-11
Description: AO-2014-190-SI-11:The available regulatory guidance on in-flight fuel management and on seeking and applying en route weather updates was too general and increased the risk of inconsistent in-flight fuel management and decisions to divert.
Who it affects: All operators and flight crew, particularly those who conduct flights to remote or isolated aerodromes
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: Air transport
Date, status, type
Date: 23 Nov 2017
Status:
Type: Proactive Action
  Recommendation
Issue, description, who it affects
Issue: AO-2014-190-SI-10Regulatory requirements and guidance for fuel planning of flights to remote islands and isolated aerodromes
Number: AO-2014-190-SI-10
Description: AO-2014-190-SI-10:Although passenger-carrying charter flights to Australian remote islands were required to carry alternate fuel, there were no explicit fuel planning requirements for other types of other passenger-carrying flights to remote islands. There were also no explicit Australian regulatory requirements for fuel planning of flights to isolated aerodromes. In addition, Australia ...
Who it affects: All operators and flight crew who conduct flights to remote or isolated aerodromes
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: Air transport
Date, status, type
Date: 23 Nov 2017
Status:
Type: Proactive Action
  Proactive Action
  Recommendation
Issue, description, who it affects
Issue: AO-2014-053-SI-05 Classification of parachuting operations
Number: AO-2014-053-SI-05
Description: AO-2014-053-SI-05 :Classification of parachuting operations in the private category did not provide comparable risk controls to other similar aviation activities that involve the carriage of the general public for payment.
Who it affects: Australian parachuting industry
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: General aviation
Date, status, type
Date: 23 Jun 2017
Status: Safety action pending
Type: Proactive Action
  Proactive Action
  Recommendation
Issue, description, who it affects
Issue: AO-2014-053-SI-03Dual-point restraints
Number: AO-2014-053-SI-03
Description: AO-2014-053-SI-03:Research has identified that rear‑facing occupants of parachuting aircraft have a higher chance of survival when secured by dual-point restraints, rather than the standard single-point restraints that were generally fitted to Australian parachuting aircraft.
Who it affects: Australian parachuting industry
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: General aviation
Date, status, type
Date: 23 Jun 2017
Status: Safety action pending
Type: Proactive Action
  Recommendation
  Proactive Action
  Recommendation
Issue, description, who it affects
Issue: AO-2014-053-SI-02Unapproved aircraft flight control modifications
Number: AO-2014-053-SI-02
Description: AO-2014-053-SI-02:Some Cessna 206 parachuting aircraft, including VH-FRT, had their flight control systems modified without an appropriate maintenance procedure or approval. That increased the risk of flight control obstruction.
Who it affects: Parachute jump operators
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: General aviation
Date, status, type
Date: 23 Jun 2017
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2014-053-SI-01 Secondary seat stop modification not mandatory
Number: AO-2014-053-SI-01
Description: AO-2014-053-SI-01 :Despite being categorised as mandatory for the pilot’s seat by the aircraft manufacturer, a secondary seat stop modification designed to prevent uncommanded rearward pilot seat movement and potential loss of control was not fitted to VH-FRT, nor was it required to be under United States or Australian regulations.
Who it affects: Single engine Cessna aircraft operators
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: General aviation
Date, status, type
Date: 23 Jun 2017
Status: Adequately addressed
Type: Recommendation
Issue, description, who it affects
Issue: AO-2014-163-SI-01Flight manual requirements for amateur-built experimental aircraft
Number: AO-2014-163-SI-01
Description: AO-2014-163-SI-01:The Civil Aviation Safety Authority did not require builders of amateur‑built experimental aircraft to produce a flight manual, or equivalent, for their aircraft following flight testing. Without a flight manual the builder, other pilots and subsequent owners do not have reference to operational and performance data necessary to safely operate ...
Who it affects: Operators of amateur-built experimental aircraft
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: General aviation
Date, status, type
Date: 14 Apr 2016
Status: Safety action pending
Type: Recommendation
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