Jump to Content
Search
First page Previous page Page 3 of 43 Next page Last page Total records: 849
Safety issues and actions
Issue, description, who it affects Date, status, type
Issue, description, who it affects
Issue: AO-2013-172-SI-01Uncontained failure of air turbine starter led to loss of engine oil
Number: AO-2013-172-SI-01
Description: AO-2013-172-SI-01:Debris originating from the starter failure was not contained by the starter casing and severed the number one engine B-sump oil scavenge pipe. 
Who it affects: All operators of engines fitted with Honeywell ATS200-61 model starters
Issue owner: Honeywell / General Electric
Operation affected: Aviation: Air transport
Date, status, type
Date: 10 Dec 2015
Status: Adequately addressed
Type: Proactive Action
  Proactive Action
  Proactive Action
  Proactive Action
  Proactive Action
  Proactive Action
Issue, description, who it affects
Issue: AO-2014-162-SI-01Flight crew operating manual procedure for Vref40 check
Number: AO-2014-162-SI-01
Description: AO-2014-162-SI-01:The Flight Crew Operating Manual procedure for crew comparison of the calculated Vref40 speed, while designed to assist in identifying a data entry error, could be misinterpreted, thereby negating the effectiveness of the check.
Who it affects: All Qantas Boeing 737 pilots
Issue owner: Qantas Airways Ltd
Operation affected: Aviation: Air transport
Date, status, type
Date: 16 Nov 2015
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2013-160-SI-01Absence of prior planning
Number: AO-2013-160-SI-01
Description: AO-2013-160-SI-01:The applicability of a general requirement to conduct aviation risk assessments for complex, new, unusual or irregular activities was open to interpretation.
Who it affects: Department of Defence air traffic services
Issue owner: Department of Defence
Operation affected: Aviation: Airspace management
Date, status, type
Date: 12 Nov 2015
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2012-120-SI-01Assigning approaches to foreign operators
Number: AO-2012-120-SI-01
Description: AO-2012-120-SI-01:Unlike other Australian standard arrival routes that included a visual segment, the visual approach to runway 34 at Melbourne via the SHEED waypoint could be issued to super or heavy jet aircraft operated by foreign operators, despite there being more occurrences involving the SHEED waypoint than other comparable approaches.
Who it affects: All foreign operators of super or heavy jet aircraft conducting a visual approach to runway 34 at Melbourne via the SHEED waypoint
Issue owner: Airservices Australia
Operation affected: Aviation: Airspace management
Date, status, type
Date: 01 Sep 2015
Status: Adequately addressed
Type: Proactive Action
  Proactive Action
Issue, description, who it affects
Issue: AO-2012-120-SI-02Design of the LIZZI FIVE RWY 34 VICTOR ARRIVAL at Melbourne Airport
Number: AO-2012-120-SI-02
Description: AO-2012-120-SI-02:The LIZZI FIVE RWY 34 VICTOR ARRIVAL required a 3.5° descent profile after passing the SHEED waypoint for visual approach to runway 34 at Melbourne, increasing the risk of an unstable approach.
Who it affects: All flight crew of large jet aircraft conducting the visual approach via SHEED waypoint to runway 34 at Melbourne.
Issue owner: Civil Aviation Safety Authority
Operation affected: Aviation: Airspace management
Date, status, type
Date: 01 Sep 2015
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2013-095-SI-01Annunciation of mode changes
Number: AO-2013-095-SI-01
Description: AO-2013-095-SI-01:The Virgin Australia procedures did not require its flight crews to, whenever practicable, announce flight mode changes.
Who it affects: Virgin Australia flight crews
Issue owner: Virgin Australia
Operation affected: Aviation: Air transport
Date, status, type
Date: 07 Aug 2015
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2013-095-SI-02 Provision of traffic information
Number: AO-2013-095-SI-02
Description: AO-2013-095-SI-02 :Air traffic control did not, and was not required to provide traffic information to aircraft using adjacent runways and abeam each other during independent visual approach procedures at Sydney.
Who it affects: All Sydney Terminal Control Unit Director controllers
Issue owner: Airservices Australia
Operation affected: Aviation: Airspace management
Date, status, type
Date: 07 Aug 2015
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2013-130-SI-01Guidance material
Number: AO-2013-130-SI-01
Description: AO-2013-130-SI-01:The presentation of the runway 34 visual approach in the operator's Route and Airport Information Manual increased the risk of the runway threshold crossing altitude being entered into the runway extension waypoint.
Who it affects: Virgin Australia International Airlines B777 pilots
Issue owner: Virgin Australia International Airlines
Operation affected: Aviation: Air transport
Date, status, type
Date: 15 Jul 2015
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2013-047-SI-01Visual approach guidance
Number: AO-2013-047-SI-01
Description: AO-2013-047-SI-01:Qantas provided limited guidance on the conduct of a visual approach and the associated briefing required to enable the flight crew to have a shared understanding of the intended approach.
Who it affects: Flight crew
Issue owner: Qantas
Operation affected: Aviation: Air transport
Date, status, type
Date: 09 Jul 2015
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2013-055-SI-02Fitment of bladder-type fuel tanks to R44 helicopters (US)
Number: AO-2013-055-SI-02
Description: AO-2013-055-SI-02:Accidents involving Robinson R44 helicopters without bladder-type tanks fitted result in a significantly higher proportion of post-impact fires than for other similar helicopter types. In addition, the existing United States regulatory arrangements are not sufficient to ensure all R44 operators and owners comply with the manufacturer's Service Bulletin SB-78B and ...
Who it affects: All owners and operators of R44 helicopters
Issue owner: United States Federal Aviation Administration
Operation affected: Aviation: General aviation
Date, status, type
Date: 04 Jun 2015
Status: Safety action pending
Type: Recommendation
  Proactive Action
Issue, description, who it affects
Issue: AO-2013-055-SI-03Helicopters not manufactured with a crash-resistant fuel system
Number: AO-2013-055-SI-03
Description: AO-2013-055-SI-03:Although certification requirements for helicopters to include a crash-resistant fuel system (CRFS) were introduced in 1994, several helicopter types certified before these requirements became applicable are still being manufactured without a CRFS.
Who it affects: All owners and operators of helicopters not fitted with crash-resistant fuel systems
Issue owner: United States Federal Aviation Administration
Operation affected: Aviation: General aviation
Date, status, type
Date: 04 Jun 2015
Status: Safety action pending
Type: Recommendation
Issue, description, who it affects
Issue: AO-2013-055-SI-04 Existing helicopters not fitted with a crash-resistant fuel system
Number: AO-2013-055-SI-04
Description: AO-2013-055-SI-04 :Many of the existing civil helicopter fleet are not fitted with a crash-resistant fuel system, or do not have an equivalent level of safety associated with post-impact fire prevention.
Who it affects: All owners and operators of aircraft not fitted with crash-resistant fuel systems
Issue owner: United States Federal Aviation Administration
Operation affected: Aviation: General aviation
Date, status, type
Date: 04 Jun 2015
Status: Safety action pending
Type: Proactive Action
  Recommendation
  Recommendation
Issue, description, who it affects
Issue: AO-2012-132-SI-01Controller training for black ‘not concerned’ track awareness
Number: AO-2012-132-SI-01
Description: AO-2012-132-SI-01:Controllers were routinely exposed to ‘not concerned’ radar tracks that were generally inconsequential in the en route environment, leading to a high level of expectancy that such tracks were not relevant for aircraft separation purposes. Training did not emphasise the importance of scanning ‘not concerned’ radar tracks in jurisdiction airspace.
Who it affects: All Airservices Australia en route air traffic controllers providing surveillance services
Issue owner: Airservices Australia
Operation affected: Aviation: Airspace management
Date, status, type
Date: 20 Mar 2015
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2012-132-SI-02Limited system features for protection against inhibited tracks
Number: AO-2012-132-SI-02
Description: AO-2012-132-SI-02:The limited interoperability between The Australian Advanced Air Traffic System and Australian Defence Air Traffic System increased the risk of error due to the need for a number of manual interventions or processes to facilitate the coordination and processing of traffic.
Who it affects: All Airservices Australia en route air traffic controllers providing surveillance services
Issue owner: Airservices Australia
Operation affected: Aviation: Airspace management
Date, status, type
Date: 20 Mar 2015
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2013-085-SI-03Virgin Australia Regional Airlines Pty Ltd TAWS under reporting
Number: AO-2013-085-SI-03
Description: AO-2013-085-SI-03:There was a significant underreporting by Virgin Australia Regional Airlines Pty Ltd ATR72 terrain awareness warning system-related occurrences.
Who it affects: Virgin Australia Regional Airlines flight crew
Issue owner: Virgin Australia Regional Airlines Pty Ltd
Operation affected: Aviation: Air transport
Date, status, type
Date: 12 Mar 2015
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2013-161-SI-01Convergent air routes and airspace sectorisation
Number: AO-2013-161-SI-01
Description: AO-2013-161-SI-01:The convergence of many published air routes overhead Adelaide, combined with the convergence point being positioned on the sector boundary of the Augusta and Tailem Bend sectors, reduced the separation assurance provided by strategically separated one-way air routes and increased the potential requirement for controller intervention to assure separation.
Who it affects: All Augusta and Tailem Bend en route controllers, and associated airspace users
Issue owner: Airservices Australia
Operation affected: Aviation: Airspace management
Date, status, type
Date: 05 Mar 2015
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2012-116-SI-01Go-around preparedness
Number: AO-2012-116-SI-01
Description: AO-2012-116-SI-01:All-engine go-arounds in modern air transport aircraft are often a challenging task when there is a requirement to level-off at a low altitude, and many pilots have had limited preparation for this task.
Who it affects: All operators and flight crew of modern air transport aircraft
Issue owner: Jetstar Airways
Operation affected: Aviation: Air transport
Date, status, type
Date: 03 Nov 2014
Status: Adequately addressed
Type: Proactive Action
  Proactive Action
Issue, description, who it affects
Issue: AO-2012-138-SI-01Required navigation performance approach procedure
Number: AO-2012-138-SI-01
Description: AO-2012-138-SI-01:The company’s Required Navigation Performance approach procedure allowed the flight crew to set the approach minimum altitude in the auto-flight system prior to commencing the approach. This did not ensure the altitude alerting system reflected the assigned altitude limit of 7,000 ft and removed the defence of that alert when ...
Who it affects: Flight crew conducting RNP-AR operations
Issue owner: Qantas Airways Limited
Operation affected: Aviation: Air transport
Date, status, type
Date: 29 Oct 2014
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2012-131-SI-03CADAS risk assessment and review process
Number: AO-2012-131-SI-03
Description: AO-2012-131-SI-03:The Department of Defence’s risk assessment and review processes for the implementation of the Comsoft Aeronautical Data Access System and removal of the flight data position did not effectively identify or manage the risks associated with the resulting increased workload in the Darwin Approach environment, in particular with regard to ...
Who it affects: All Darwin Approach Supervisor, Approach and Planner rated Joint Battlefield Airspace Controllers
Issue owner: Department of Defence
Operation affected: Aviation: Other
Date, status, type
Date: 02 Oct 2014
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: AO-2012-131-SI-04Long-range display effectiveness
Number: AO-2012-131-SI-04
Description: AO-2012-131-SI-04:The Darwin Approach long-range display was a low resolution screen that presented air traffic control system information with reduced clarity and resulted in it having diminished effectiveness as a situation awareness tool.
Who it affects: All Darwin Approach rated Joint Battlefield Airspace Controllers
Issue owner: Department of Defence
Operation affected: Aviation: Other
Date, status, type
Date: 02 Oct 2014
Status: Adequately addressed
Type: Proactive Action
First page Previous page Page 3 of 43 Next page Last page Total records: 849
 
Share this page Comment