Search
First page Page 1 of 86 Last page Total records: 1713
Safety issues and actions
Issue, description, who it affects Date, status, type
Issue, description, who it affects
Issue: AO-2015-107-SI-02NAV ADR DISAGREE procedure
Number: AO-2015-107-SI-02
Description: AO-2015-107-SI-02:A NAV ADR DISAGREE alert can be triggered by either an airspeed discrepancy, or angle of attack discrepancy. The alert does not identify which, and the associated procedure may lead flight crews to incorrectly diagnosing the source of the alert when the airspeed is erroneous for a short period and ...
Who it affects: Operators of Airbus A320 aircraft
Issue owner: Airbus
Operation affected: Aviation: Air transport
Date, status, type
Date: 04 Apr 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2015-107-SI-01Priority of NAV ADR DISAGREE alert
Number: AO-2015-107-SI-01
Description: AO-2015-107-SI-01:Although the NAV ADR DISAGREE had more immediate safety implications relating to unreliable airspeed, the ECAM alert priority logic placed this alert below the engine-related faults. As a result, the NAV ADR DISAGREE alert was not immediately visible to the flight crew due to the limited space available on the ...
Who it affects: Operators of Airbus A320 aircraft
Issue owner: Airbus
Operation affected: Aviation: Air transport
Date, status, type
Date: 04 Apr 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2017-044-SI-02Re-evaluating hold speeds for a change in altitude
Number: AO-2017-044-SI-02
Description: AO-2017-044-SI-02:The operator provided flight crew with limited training and guidance relating to the need for crew to re-evaluate their holding speed for a change in altitude.
Who it affects: Qantas Airways Boeing 747 flight crew
Issue owner: Qantas Airways
Operation affected: Aviation: Air transport
Date, status, type
Date: 27 Mar 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2017-044-SI-01Stall prevention and recovery at high altitudes
Number: AO-2017-044-SI-01
Description: AO-2017-044-SI-01:The operator provided flight crew with limited training and guidance in stall prevention and recovery techniques at high altitudes or with engine power above idle.
Who it affects: Qantas Airways Boeing 747 flight crew
Issue owner: Qantas Airways
Operation affected: Aviation: Air transport
Date, status, type
Date: 27 Mar 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2016-001-SI-03Maintenance response to recurring track defects in areas with a degraded formation
Number: RO-2016-001-SI-03
Description: RO-2016-001-SI-03:A more stringent maintenance response than that for an isolated track geometry defect was not considered or implemented in accordance with ARTC’s COP. A more stringent maintenance response should have been implemented given the degraded formation and the track’s rapid deterioration between 12-14 January 2016, two days prior to the ...
Who it affects: Rail Infrastructure Managers (RIMs)
Issue owner: Australian Rail Track Corporation (ARTC)
Operation affected: Rail: Infrastructure
Date, status, type
Date: 25 Mar 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2016-001-SI-01Shear key installation
Number: RO-2016-001-SI-01
Description: RO-2016-001-SI-01:The shear key was not constructed in accordance with the geotechnical engineer’s specification with respect to the following: a) It did not include a cross-drain. b) Its width was less than the specified width.
Who it affects: Rail Infrastructure Managers (RIMs)
Issue owner: Australian Rail Track Corporation (ARTC)
Operation affected: Rail: Infrastructure
Date, status, type
Date: 25 Mar 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2016-001-SI-02Surface drainage in areas with degraded formations
Number: RO-2016-001-SI-02
Description: RO-2016-001-SI-02:The infrastructure manager did not ensure that there was adequate surface drainage. Vegetation blocking the drains and the lack of an adequate gradient as well as the location being at a sag point likely contributed to this. 
Who it affects: Rail Infrastructure Managers (RIMs)
Issue owner: Australian Rail Track Corporation (ARTC)
Operation affected: Rail: Infrastructure
Date, status, type
Date: 25 Mar 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2017-016-SI-01Track defect management
Number: RO-2017-016-SI-01
Description: RO-2017-016-SI-01:ARTC allowed identified track twist defects to remain in track contrary to network track geometry requirements.
Who it affects: Track Managers
Issue owner: Australian Rail Track Corporation (ARTC)
Operation affected: Rail: Freight
Date, status, type
Date: 06 Mar 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2018-002-SI-01Train driver maintenance of competency assurance
Number: RO-2018-002-SI-01
Description: RO-2018-002-SI-01:Queensland Rail’s administration of the Maintenance of Competency assessment process provided limited assurance that its Citytrain rail traffic drivers meet relevant competency requirements.
Who it affects: Queensland Rail Citytrain rail traffic drivers
Issue owner: Queensland Rail
Operation affected: Rail: Passenger - metropolitan
Date, status, type
Date: 27 Feb 2019
Status: Safety action pending
Type: Proactive Action
Issue, description, who it affects
Issue: MO-2017-001-SI-01Inadequate on-board documentation
Number: MO-2017-001-SI-01
Description: MO-2017-001-SI-01:Guidelines for the provision, care and use of shipboard equipment were not supported by suitable documentation. The only documentation was for mobile scaffolding equipment of different design and not for that in use on the ship.
Who it affects: All owners and operators and crewmembers involved in working aloft
Issue owner: Asia Maritime Pacific
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 21 Feb 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: MO-2015-007-SI-04Audit response
Number: MO-2015-007-SI-04
Description: MO-2015-007-SI-04:The regional harbour master and the pilotage service did not have processes in place to follow up audit findings, to ensure that they were appropriately monitored, actioned and closed out in a timely manner.
Who it affects: All ships entering and departing Townsville under pilotage
Issue owner: Maritime Safety Queensland
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 19 Feb 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: MO-2015-007-SI-03Tug reduction process
Number: MO-2015-007-SI-03
Description: MO-2015-007-SI-03:The Port Procedures manual for Townsville allowed shipping agents to request a tug reduction without the knowledge of the ship’s master.
Who it affects: All ships entering and departing Townsville under pilotage
Issue owner: Maritime Safety Queensland and Port of Townsville Limited Pilotage Services
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 19 Feb 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: MO-2015-007-SI-02Contingency planning
Number: MO-2015-007-SI-02
Description: MO-2015-007-SI-02:The Port of Townsville Limited Pilotage Services’ Pilotage Service Safety Management System did not have documented guidance on berthing manoeuvres nor any associated contingencies.
Who it affects: All ships entering and departing Townsville under pilotage
Issue owner: Port of Townsville Limited Pilotage Services
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 19 Feb 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: MO-2015-007-SI-01Risk management
Number: MO-2015-007-SI-01
Description: MO-2015-007-SI-01:The Port of Townsville Limited Pilotage Service risk management processes were not sufficiently mature nor resilient enough to effectively identify and mitigate risks during pilotage.
Who it affects: All ships entering and departing Townsville under pilotage
Issue owner: Port of Townsville Limited Pilotage Services
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 19 Feb 2019
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AR-2017-011-SI-01 Wake turbulence occurrences at Sydney Airport
Number: AR-2017-011-SI-01
Description: AR-2017-011-SI-01 :Given the parallel runway configuration, there was a disproportionate rate of reported wake turbulence occurrences for aircraft arriving at Sydney Airport compared to other major Australian airports in the years 2012 to 2016. Wake turbulence occurrences at Sydney Airport were found to be primarily associated with three factors: arrival densities of ...
Who it affects: Aircraft arriving at Sydney Airport
Issue owner: Airservices Australia
Operation affected: Aviation: Air transport
Date, status, type
Date: 15 Feb 2019
Status: Safety action pending
Type: Recommendation
Issue, description, who it affects
Issue: RO-2017-001-SI-01Loading of train
Number: RO-2017-001-SI-01
Description: RO-2017-001-SI-01:The train was loaded by approximately 10 per cent more than that recorded on the consist, it is probable that the additional mass placed an extra load on the braking system and affected the handling characteristics of the train.
Who it affects: All owners and operators of freight wagons
Issue owner: Qube Logistics
Operation affected: Rail: Freight
Date, status, type
Date: 05 Dec 2018
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2016-160-SI-01Policies and procedures for planning IFR and NVIS flights
Number: AO-2016-160-SI-01
Description: AO-2016-160-SI-01:Although the operator’s operations manual stated that emergency medical service flights should be conducted under instrument flight rules (IFR) ‘where practical’, its procedures for night visual flight rules (NVFR) operations using night vision goggles did not clearly state when IFR rather than NVFR should be used.  
Who it affects: Operating crew and other occupants on emergency medical service flights
Issue owner: CHC Helicopter Australia
Operation affected: Aviation: Air transport
Date, status, type
Date: 06 Nov 2018
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2018-016-SI-02 Balloon passenger briefing procedures
Number: AO-2018-016-SI-02
Description: AO-2018-016-SI-02 :Although the operator had procedures for conducting a verbal safety briefing prior to flight and had safety briefing cards available, its risk controls did not provide assurance that all passengers would understand the required procedures for emergency landings. More specifically: safety briefing cards were not routinely made available to passengers prior ...
Who it affects: Crew and passengers on the operator’s flights
Issue owner: Go Wild Ballooning Pty Ltd
Operation affected: Aviation: General aviation
Date, status, type
Date: 30 Oct 2018
Status: Partially addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2018-016-SI-01 Procedures for uploading balloon forecasts
Number: AO-2018-016-SI-01
Description: AO-2018-016-SI-01 :The Bureau of Meteorology did not have a procedure to ensure that a recording of the local weather forecast for balloon operations in the Melbourne area was correctly uploaded and accessible to balloon pilots.
Who it affects: All balloon operators and pilots in the Melbourne region
Issue owner: Bureau of Meteorology
Operation affected: Aviation: General aviation
Date, status, type
Date: 30 Oct 2018
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: RO-2015-023-SI-01 Rail condition
Number: RO-2015-023-SI-01
Description: RO-2015-023-SI-01 :The general condition of the rail on the west track, in the vicinity of the rail fracture, contributed to relatively frequent failures in that area.
Who it affects: Users of the affected rail track
Issue owner: BHP Billiton
Operation affected: Rail: Freight
Date, status, type
Date: 12 Oct 2018
Status: Adequately addressed
Type: Proactive Action
First page Page 1 of 86 Last page Total records: 1713