Subject Index

A

Accident
hypothetical, 35
major, preparedness for, 35
practical exercises, 35
Adelaide airport, 3, 62
Advanced Marine Pilot seminars and
courses, 45
Advertising, 180
Aerial application
safety, 2014–15, 40
Aerial Application Association of Australia Convention, 45
Aircraft
engine failure and malfunctions, 37–8
ATSB research investigation, 126–8
fatal accidents, 38
VH-registered powered aircraft, involving, 5, 20, 38
landing below minima, 3, 62
Airport Safety Week event, 45
Airservices Australia, 3, 8, 11, 33, 41, 63
Waypoint 2015, 45
APS Values, Employment Principles and Code of Conduct, 169
Asia Pacific region
Asia Pacific Accident Investigation Group (APAC AIG), 42
engagement in, 3, 12, 13, 42
Audit Committee, 166, 168, 170
AusRail Plus 2015, 45
AusTender
exempt contracts, 174
Australian Federal of Air Pilots seminars, 45
Australian National Audit Office
access clauses, 174
Australian National University (ANU), 57
Australian Parts Manufacturer Approval (APMA), 64
Australian Public Service Commission's (APSC)
website, 169

Australian Seafarers Welfare Council, 45
Australian statistics, 13
Australian Transport Safety Bureau
24-hour service, 10
annual performance statement, 26
annual plan, 167
annual report, 19
business continuity plan, 167
business planning and reporting, 167
challenges, 2, 5
Commission, 166
communication by, 43
confidential reporting, 12, 33
Corporate Plan 2015–16, 26, 169, 170
data, interrogating, 5
decision-making powers, 186
Entity Resource Statement 2015–16, 187
establishment, 8
executive management, 15, 166
Facebook page, 43, 44, 45
financial performance, 46
financial statements, 132
functions, 186
going digital, 45
highest priority, 20
industry engagement, 45
Infrastructure and Regional Development portfolio, 8
key results, 29
limitations, 2
list of requirements, 194
management and accountability, 166
national information set, 9
notifications, 10
objectives, 9
observer status, 11
ongoing challenges, 2
online survey, 43
organisational structure, 14
outcome and program structure, 19
outlook for 2016–17, 4
outside participation, arrangements for, 186
overview, 8
primary function, 8

programme 1.1 objective, 19
purchasing, 173
purpose, 8, 26
records held by, 185
regional cooperation/engagement, 13, 42
Registered Training Organisation, 173
report on performance, 26
reportable matters, 20
reporting, 10, 19, 33
resource constraints, 2
results against performance criteria, 26–7, 29–30
role, 9
stakeholder awareness, 43
transport industry, cooperation with, 10
Twitter account, 44
website, 44, 45, 167

Australian Women's Pilots Association Conference, 45
Aviation
accident investigations, 11
broad hierarchy, 20
commercial air transport, 39
confidential reporting, 33–4
dangerous goods advice, 34
datasets, 5
emerging trends, 40–1
fatal accidents, 5, 38, 175
investigations, 31, 62–6
notifications, 10
observer status of ATSB, 11
online database, 45
overseas investigations, 11
responses to safety issues identified in 2015–16, 82–9
safety education, 5
safety investigations, 3
safety recommendations, 113–15
safety trends, 5, 40–1
short factual investigations, 3
significant investigations, 62–6
statistics, 13, 37, 38–9
trend monitoring, 40–1
weather forecasts, 3

Aviation Occurrence Statistics, 13, 37, 38–9
2005–2014, 38

B

BHP Billiton, 68
Black box data analysis, 12
Boeing 737 aircraft
landing below minima, 3, 62
Bureau of Meteorology, 3, 63
Business Continuity Plan, 168

C

Cape Splendor
accommodation ladder, 69, 70
man overboard fatality, 4, 68–70
Carriers
low-cost, 5
Chief Commissioner's review 2015–16, 2
Civil Aviation Safety Authority, 8, 11, 33, 35, 41, 62
Civil proceedings, 177
Collision
freight trains, Mile End, 70–1
passenger train and track worker, 72
Commission
ATSB, governing, 166
Commonwealth Disability Strategy, 182
Commonwealth Procurement Rules, 173
Commonwealth Scientific and Industrial Research Organisation (CSIRO), 58
drift analysis by, 58
Confidential reporting, 12, 33
Consultants, 174
Convention on Civil Aviation (Chicago Convention 1944) Aircraft Accident and Incident Investigation, 11, 58
Annex 13, 58, 66
Coroners
assistance to, 175
ATSB Investigations, 175–7
coronial inquests, 175
Council of Australian Governments (COAG), 36

Intergovernmental Agreement on Rail Safety Regulation and Investigation Reform, 3, 11, 36

D

Defined Interstate Rail Network, 3, 11
Department of Defence, 41
Department of Finance, 19
Department of Infrastructure and Regional Development, 8, 11
Disability reporting, 182
Dolan, Martin, 2
Dong Hai Jiu 101, 53, 54
Dutch Safety Board (DSB), 4, 66

E

Ecologically sustainable development, 181
Edgecliff station, 75
Energy Efficiency in Government Operations (EEGO) policy, 181
Entity Resource Statement 2015–16, 187
Environment Protection and Biodiversity Conservation Act 1999, 181
section 516A, 181
Environmental performance reporting, 181
Ethical standards, 169
Exercise BARCO, 35
External scrutiny and participation, 175

F

Fatal accidents
aviation, in, 5, 38, 175
helicopter winching accident, 176
man overboard, 4, 68–70
passenger, 4, 73–4
VH-registered powered aircraft, involving, 5, 20, 38
Foley, Peter, 17
Fraud control, 168
Freedom of information, 182–5
Freight trains
collision, Mile End, 70
Fugro Discovery, 51–2, 54

Fugro Equator, 51–2

G

Geoscience Australia, 57
Glossary, 188
Global Drifter Program, 58
Grant programs, 181
Guildford, Western Australia, 72

H

Hart, Noel, 16
Havila Harmony, 52, 53, 54, 55
Helicopter
winching accident, 176
Heyington Railway Station, Victoria, 4, 73–4
Hood, Greg, 15
Hrabove, Ukraine, 4, 66
Human resources, 169

I

Indigenous employees, 171
Indonesia, 43
Fundamentals of Marine Electronic Data (FMED) course, 42
Indonesia Transport Safety Assistance Package (ITSAP), 42
National Transportation Safety Committee (NTSC), 35, 42
Industry engagement, 45
In-flight break-up
aircraft accidents, 63–4
Infrastructure and Regional Development portfolio, 8
International Civil Aviation Organization (ICAO), 13
International cooperation, 13
International Maritime Organization (IMO), 13
Casualty Investigation Code, 11
Investigations
aviation, 31, 62–6
level of response, 21, 22
levels 1–5, 22
major investigations, 22

marine, 32, 67–70
'no blame', 10, 31
priorities for, 20
rail, 32, 70–7
reports, 2
short, 12, 13, 32
significant, 62

J

Jabiru Aircraft Pty Ltd, 127
Jabiru engines, 37–8, 126, 128
ATSB research investigation on engine failures, 126–8
Judiciary Act 1903, 174

K

Korea, 43

L

La Réunion Island, 56
Legal services and expenditure, 174
Light aeroplanes
engine failures and malfunctions, 37–8
ATSB research investigation, 126–8

M

M18/M18A Dromader aircraft, 4
in-flight break-up, 63–6
Macau, 43
MacMahon, Paul, 175
McNamara, Colin, 18
Major accident
preparedness for, 35
Malaysia, 43, 50, 58
Ministry of Transport, 35
Malaysia Airlines Boeing 777–200
Dutch Safety Board Investigation, 66
wreckage, 66
Malaysia Airlines Flight MH370
accredited representative to
investigation, 4
aircraft debris, discovery of, 56–7

Australian Government contribution, 50
AUV, 52
bathymetry, 51
China's contribution, 51
contacts of interest, 54–6
drift analysis, 58
early searches, 48
extreme weather conditions, 54
failure analysis, 58
Flight Path Reconstruction Group, 49
funding, 49
lost towfish, 54
Malaysian Government contribution, 50
marine ecology examinations, 57
medical evacuations, 54
part identification, 57
recovery activities, 58
search challenges, 54
search for, 2, 3, 9, 48
Tripartite, 50, 58
underwater search area, defining, 48
Malaysian Government, 3
Malaysian Investigation Team, 3
Man overboard fatality, 4, 68–70
Manning, Chris, 16
Marigold
engine room fire, 4, 67–8
Marine
accidents and incidents, 11
ATSB recommendations closed in 2015–16, 101–6
broad hierarchy, 21
confidential reporting, 34
investigations, 32, 67–70
responses to safety issues identified in 2015–16, 89–94
safety advisory notice, 123
safety investigations, 4
safety recommendations, 116–17
safety trends, identifying, 5
statistics, 13
work practices, 4
Marine Accident Investigators Forum in Asia (MAIFA), 42

Marine ecology
aircraft debris, 57
Market research, 180
Mauritius, 56
Media activity, 44
Mellas, Peter, 176
Mildura Airport, 3, 62
Mile End, 70
Ministry of Transport Malaysia, 35
Mozambique, 56

N

National Disability Strategy 2010–2020, 182
National Transport Commission, 8
National transport reform process, 11
National Transport Safety Committee of Indonesia, 35
New Zealand, 43
Civil Aviation Authority, 66
Transport Accident Investigation Committee, 35
'No blame' investigations, 10, 31
Norfolk Island ditching accident
investigation, 2
Notifications team
aviation notifications, 10
number of notifications, 10

O

Office of the National Rail Safety Regulator (ONRSR), 12, 34
Oman, 43
Organisational culture, 172
Organisational Development team, 169

P

Papua New Guinea
Accident Investigation Commission (AIC), 35, 43
Britten Norman Islander aircraft, crash of, 43
cooperation and capability building, 43
Memorandum of Understanding on Cooperation in the Transport Sector, 42, 43

Passenger fatality, 4, 73–4
Passenger train
collision with track worker, 72
derailment, near Edgecliff station, 75
People's Republic of China, 50, 58
Performance
analysis of performance, 27
at a glance, 28
criteria, results against, 26–7, 29–30
Phoenix International, 53
Pilots
incapacitation occurrences 2010–14, 39–40
Port Hedland, 4, 67
Procurement
Commonwealth Procurement Rules, 173
small business, supporting, 174
Professional Committee, 167
Public Governance, Performance and Accountability Act 2013 (PGPA Act), 19, 166
Public Interest Disclosure Act 2013,
168

Q

Queensland
unified national system of rail safety investigation, 4

R

Rail
accidents and incidents, 11
ATSB
ATSB recommendations closed in 2015–16, 107–12
expanded role, 36
primary responsibility of, 3
broad hierarchy, 21
Category-A occurrences, 4
confidential reporting, 34
Defined Interstate Rail Network, 3, 11
investigations, 3, 70–6
national transport reform process, 11
overloading coal trains, 34
responses to safety issues identified in 2015–16, 95–100
safety accidents, 3
safety investigations, 4
safety recommendations, 118–23
safety trends, identifying, 5
statistics, 13
track, safe work on, 4
unified national investigation system, 4
Western Australia, 4
Rail Industry Safety and Standard Board Rail Safety event, 45
Recreational Aviation Australia, 35, 37
Regional Aviation Association of Australia convention, 45
Regional cooperation/engagement, 13, 42
REPCON scheme, 12–13, 33
aviation, 33–4
marine, 34
rail, 34
Reporting, Short Investigations and Research team, 13
Research Investigations team, 32
Research reports, 32
engine failures and malfunctions in light aeroplanes, 126–8
Risk management, 168
Robertson, Peter, 18
Rodrigues Island, 57

S

Safeskies 2015, 45
Safety actions, 101
number of, 101
Safety Advisory Notice (SAN), 80
marine, 123
number of, 101
Safety awareness
fostering, 42
Safety data recording, 37
Safety education, 2, 43
aviation, in, 5
Safety issues
2015–16, identified in
KPI status, 81

number of, 81
responses to, 82–100
ATSB investigations, identified in, 81
critical, 80
other safety issue, 80
Safety recommendations
aviation, 113–15
closed in 2015–16, 101
issue of, 80
marine, 116–17
number of, 101
rail, 118–23
released in 2015–16, 113
SafetyWatch, 44
Salary rates, 171, 172
Sangston, Ian, 18
Shipwreck, discovery of, 3, 55
Shipwreck Galleries
Western Australian Museum, 55
Short investigations, 12
Singapore, 43
Small and Medium Enterprises (SME)
procurement initiatives to support, 174
statistics, 174
Social media, use of, 2, 5, 44
South Africa, 56
South Stradbroke Island, 64
Spirit of Tasmania, 35
Staffing profile, 170, 171
Indigenous employees, 171
reduction, 2, 170
staff turnover, 170
Statistics, 13, 32
Stuthridge, Stella, 176
Survey, online, 43

T

Taiwan, 43
Tanzania, 56
Technical Analysis team, 12, 35
complex investigations by, 35
Technology, 5
Tiger Moth aircraft, 4
in-flight break-up, 64–5

Training and development, 173
Transport Accident Investigation Committee of New Zealand, 35
Transport Safety Investigation Act 2003 (TSI Act), 8, 36, 66, 126
notification and reporting, 10
reporting, 19
section 12AA, 186
section 63A, 19, 62
Transport Safety Investigation Diplomas, 173
Transport Safety Investigation Regulations 2003, 10
Travelling public, 8
Twitter account, 44
Type Design Organisation, 65

U

Ukraine, 4, 66
National Bureau of Air Accident Investigation of Ukraine (NBAII), 66
Ulladulla, New South Wales, 63
United Kingdom
Civil Aviation Authority, 65

W

Walsh, Carolyn, 17
Watkins, Ian, 176, 177
Western Australia
rail network, 4
Work health and safety, 180
WHS Act, 180