Avionics system event involving Fokker F100, VH-FNR, West Angelas Aerodrome, Western Australia, on 1 September 2020 - final report
Unplanned activation of take-off/go-around mode during the landing of a Fokker F100 highlights that flight crews can be faced with non-normal situations that require good judgement and expertise to safely manage,
Depressurisation involving Boeing 737, VH-XMO, near Melbourne Airport, Victoria, on 6 July 2021 - new investigation
While passing 8,000 ft on descent, the crew received pressurisation system warnings and the cabin depressurised. The engineering inspection revealed an insulation blanket had detached and lodged in the aft outflow valve.
Unreliable airspeed indication involving Pilatus PC-12/47E, VH-OWI, on descent to Albany Airport, Western Australia on 22 June 2020 - Final report
Differing airspeed indications on a PC-12 aircraft’s two primary flight displays due to a blocked pitot tube underscores the complexity of managing spurious instrument readings, an Australian Transport Safety Bureau (ATSB) investigation notes.
Collision between out of gauge freight train 3WB3 and passenger train C181, Loftus, New South Wales, on 21 July 2020 - final report
The collision of a passenger train with the open hatch of an adjacent locomotive emphasises the need for appropriate risk controls to prevent hatches from opening during service. concluded.
Incorrect configuration involving Bombardier DHC-8-400, registered VH-QOY, near Sydney, NSW, 12 July 2021 - new investigation
After take-off, the flight crew did not retract the landing gear. This was not identified during the after take-off checks but discovered later during the climb. After confirming it was safe to do so, the flight crew retracted the landing gear and returned the aircraft to Sydney.
Visual flight rules pilots pressing on into instrument meteorological conditions without a current instrument rating carries a significant risk of spatial disorientation due to powerful and misleading orientation sensations with reduced visual cues.
» Disorientation can affect any pilot, no matter what their level of experience.
» Avoid deteriorating weather by conducting thorough pre-flight planning.
» Use a ‘personal minimums’ checklist to help control and manage risk.
» If you become disoriented or lost in marginal weather, seek whatever help is available, including support from air traffic control.