Indonesian investigator at ATSB

Indonesian safety investigator Apib Prayogi can trace his journey to working at the Australian Transport Safety Bureau in Canberra to two tragic aviation accidents.

Indonesian safety investigator Apib Prayogi can trace his journey to working at the Australian Transport Safety Bureau in Canberra to two tragic aviation accidents.

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The first was the loss of Air France Flight 4590 from Paris to New York on 25 July 2000. All 100 passengers and nine crew members aboard the Concorde died when it crashed into a hotel on take-off. On the ground, four people were killed and one was critically injured. It was the only fatal Concorde accident during its 27-year operational history.

A few years later in junior high school, Apib was fascinated by a Discovery Channel documentary on the accident and, more importantly, the investigation that followed.

“I was very curious as to how the investigators did their detective work to uncover the cause of the crash,” Apib said.

It struck a chord in the mind of the young Apib such that when career consultants paid a visit in senior high school, aeronautical engineering was presented as an option that could lead to interesting work.

With (very) solid maths results at school, Apib completed a Bachelor of Aeronautical Engineering (2010) in Adisutjipto College of Technology, Jogjakarta, and then a Master of Aeronautical Engineering (2014) from the prestigious Institute of Technology, Bandung.

This led to Apib becoming a junior investigator with Indonesia’s National Transportation Safety Committee (NTSC).

The second accident was in March 2007 when a Garuda Indonesia Boeing 737 over-ran the runway while attempting to land at Yogyakarta airport in central Java. The accident claimed 21 lives, five of whom were Australian. The accident lead to the development of the Australian government Indonesia Transport Safety Assistance Package (ITSAP).

ATSB Manager International Richard Batt says the main elements of the ATSB's contribution to ITSAP is to deliver training and support for investigators from the NTSC.

“This includes the ATSB providing staff dedicated to various capacity building projects, funding ATSB training courses in Indonesia and Australia, and opportunities for aviation, marine, and rail investigators to work with their ATSB counterparts for extended periods,” Richard said.

“Our Indonesian colleagues learn much from us. But it’s not all one way. The programs that we develop are mutually beneficial. Cooperation between the ATSB and the NTSC is a key element in ensuring lasting transportation safety for the people of Indonesia and Australian travellers to Indonesia.”

Apib, 28, was selected as the first of two junior investigators who will spend time at the ATSB in Australia this year, thanks largely to his English language skills.

“I started learning English in junior high, where it is compulsory,” Apib said. “I continued into senior high and when I did my tertiary studies, most of the aeronautical engineering texts were in English.”

Apib is delighted with his time at ATSB, working with professional and highly committed staff and expanding his knowledge and experience.

“It’s like on-the-job training, especially with the short level (Level 5) investigations. We don’t have the kind of system and databases that you have here,” he said.

“I am learning how ATSB does its investigations, especially with its more advanced tools and laboratory. I already have a better understanding of how an investigation goes. And from that I can see how we can improve in Indonesia.

“We would like to have a system, such as you have at ATSB, which meets international standards. We will get there, but in my view it may take up to 10 years.”

Perhaps not surprisingly, Apib sees himself as a senior aviation investigator ‘in about 10 years’.

Married with a young daughter, Apib will continue to gain more qualifications, expand his knowledge and undertake more training.

In the meantime, he is grateful for the opportunity to work in Canberra at the ATSB, even if it is the middle of winter.

“I would like to thank Australia, the ATSB and the ITSAP program for this opportunity, and for assisting to improve our investigator qualifications and set up our flight recorder laboratory,” Apib said.

“I especially would like to thank Dr Soerjanto (NTSC Chairman) and Dr Richard Batt and the team in Level 5 investigations at ATSB. Everyone has been helpful and supportive and given me the opportunity to learn.”

Apib said he was also grateful to those who took him “out bush” for a first-hand encounter with kangaroos, koalas and a platypus!

Rail Safety Week 2016

ATSB Chief Commissioner Greg Hood has reinforced the 2016 Rail Safety Week message that rail safety is everyone’s responsibility.

Australian Transport Safety Bureau (ATSB) Chief Commissioner Greg Hood has reinforced the 2016 Rail Safety Week message that rail safety is everyone’s responsibility.

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The 11th Rail Safety Week will take place nationally from 15–21 August 2016.

“Rail safety is ultimately everyone’s responsibility, whether you are a member of the public, rail worker or rail operator,” Mr Hood said.

“If you are a passenger, stand behind the yellow or white line on the platform at all times. When on board a train, hold on to something, be sensible, pay attention and be alert—and courteous.

“At level crossings, trains can come at any time and from either direction so pedestrians and drivers—commercial and others—need to be fully aware of their surroundings.

“Mobile devices occupy much of our time these days, but getting that text away in a flash can result in tragedy.”

Mr Hood said the ATSB would be happier having fewer rail accidents to investigate, such as the fatal level crossing collision between a train and truck at Narromine in NSW in 2015. From its investigation, the ATSB identified areas of potential improvement related to road design, especially curved approaches before railway crossings.

Mr Hood said Rail Safety Week was not just about the public taking greater responsibility, but rail workers too.

“Rail workers have a right to come home every night after work but they need to be absolutely vigilant when working on or near tracks,” he said.

“This means effective communications amongst all workers at all times. Trains can’t stop quickly and any breakdown in the communication or management of a worksite can leave workers extremely vulnerable.”

Mr Hood said the ATSB was united with the rail industry, government, road safety and police partners in promoting safety in and around the rail network.

Death and injury on rail networks are avoidable if people obey the rules and remain aware and alert at all times.

For more information visit Rail Safety Week 2016(Opens in a new tab/window) or the ATSB’s Safe Work on Rail You Tube video(Opens in a new tab/window).

Lithium battery warning

The ATSB is urging air passengers to strictly follow government safety advice when travelling with lithium batteries.

The Australian Safety Transport Bureau (ATSB) is urging air passengers to strictly follow government safety advice when travelling with lithium batteries.

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This follows an 11 August 2016 incident on a QantasLink Dash8 aircraft prior to departure at Sydney airport.

The flight was fully boarded and loaded when smoke was observed coming from a passenger’s hand luggage while it was in the overhead locker.

With fumes in the cabin, air crew initiated disembarkation procedures and the passenger was escorted to a safe area to isolate the hazard. The remaining passengers, including a wheelchair passenger, were escorted to an evacuation area.

Mobile and other electronic devices such as phones, laptops, watches and cameras containing low power lithium or lithium-ion batteries should be included in carry-on baggage only—not checked-in baggage.

The passenger’s luggage was made safe, the flight was cancelled, and passengers were moved to next service. Fortunately, no one was seriously injured but some passengers suffered side-effects from the smoke.

It was later found that the lithium batteries the passenger was carrying had ignited on board the aircraft. The operator reported that the batteries were not packaged properly (either in their original packaging or packed individually to insulate the terminals) to protect them from short circuiting.

ATSB Chief Commissioner Greg Hood said government authorities worked closely with airlines and the aviation industry to minimise the risk of aviation incidents.

“With the use of mobile devices at an all-time high, the Civil Aviation Safety Authority (CASA) has placed a greater focus on the carriage of personal electronic devices when flying,” Mr Hood said.

“Mobile and other electronic devices such as phones, laptops, watches and cameras containing low power lithium or lithium-ion batteries should be included in carry-on baggage only—not checked-in baggage.

“All spare batteries for these devices should also be placed in carry-on luggage and packaged individually to insulate the terminals to protect them from short-circuiting.

“Incidents are more likely to occur when spare batteries, such as for digital cameras, are not packaged to insulate the terminals, as was the case in this incident.

“The Australian Government has in place regulations designed to ensure the safety of passengers, but it is also everyone's responsibility to declare dangerous items and to ensure electronic devices are not only in good order but packaged according to CASA’s requirements.”

For more information visit CASA’s Advice for air travellers(Opens in a new tab/window).

Aircraft Operations Investigation

  • This position is open to international candidates.
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The Accident Investigation Commission (AIC) of PNG is seeking to recruit a suitable person for appointment to the position of Manager – Aircraft Operations Investigation.  

The AIC was established in 2010 and is responsible for meeting PNG’s international obligations for aviation accident investigation. This role is critical in leading the investigation into aviation incidents and accidents in PNG. The incumbent will lead a team of investigators to undertake investigations and will actively develop the accident investigation skills of the investigations team (including cadet investigators).

The position is jointly co-funded by the Accident Investigation Commission and the Papua New Guinea – Australia Transport Sector Support Program (TSSP), funded by the Australian Government.

The position description including qualifications, skills and experience required for the role is available from the TSSP website www.pngtssp.com(Opens in a new tab/window).

Applications should be submitted to ‘AIC Selection Panel, c/o PNG – Australia Transport Sector Support Program’ by email at: accidentinvestigation.AIC@gmail.com

Applications must be received by close of business on Friday 5 August 2016.

ATSB welcomes new Chief Commissioner

The ATSB Commission today welcomes Greg Hood who begins his five-year appointment as the second Chief Commissioner of the Australian Transport Safety Bureau.
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The ATSB Commission today welcomes Greg Hood who begins his five-year appointment as the second Chief Commissioner of the Australian Transport Safety Bureau.    

Greg has more than 35 years’ experience in the transport industry, beginning his career as an air traffic controller in the Royal Australian Air Force (RAAF). Greg has since had a wide range of operational, training and management roles across the civil aviation industry. Most recently, Greg served in senior roles in Airservices Australia and the Civil Aviation Safety Authority.

As well as being a glider and powered aircraft pilot, Greg is involved with a number of aviation bodies. He is a Fellow of the Royal Aeronautical Society, a Freeman in the Honourable Company of Air Pilots, and a Life Member of the Qantas Founders Museum. Before joining the ATSB, Greg was a Board Member of Safeskies Australia and Vice-Chair of the steering committee for the Civil Air Navigation Services Organisation’s (CANSO’s) Operations Standing Committee.

The Commission looks forward to the extensive experience and expertise Greg will bring to the ATSB, and transport safety investigations.

The Commission sincerely thanks previous Chief Commissioner Martin Dolan for his valuable leadership over the past seven years. Martin has overseen a number of major ATSB investigations that resulted in significant improvements to transport safety. These include the ATSB’s investigation into:

  • the uncontained engine failure of a Qantas A380 aircraft over Batam Island in 2010, which resulted in international safety improvements to Rolls-Royce engines and airframe certification standards for all aircraft
  • safety issues involving Queensland coastal pilotage, resulting in regulatory and operational improvements to pilotage operations
  • Sydney to Melbourne railway line that examined the safety of the rail track along with a systemic review of the track’s safety systems
  • the in-flight upset of a Qantas A330 in Western Australia that uncovered critical lessons for manufactures of complex safety systems.

Martin has strengthened the ATSB’s position as a national and international leader in transport safety. He played a critical role in reforming Australia’s rail safety investigations under a single national jurisdiction and oversaw the unprecedented search for missing Malaysia Airlines flight MH370.

The Commission wishes Martin the best in his retirement and looks forward to building on his success under Greg’s leadership.  

Pitch disconnect

As a result of the investigation into a Virgin Australia Regional Airlines flight sustaining a pitch disconnect while on descent into Sydney, the ATSB has identified a safety issue that needed to be highlighted before this investigation is completed.

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As a result of the investigation into a Virgin Australia Regional Airlines flight sustaining a pitch disconnect while on descent into Sydney, the ATSB has identified a safety issue that needed to be highlighted before this investigation is completed.

  • Inadvertent application of opposing pitch control inputs by flight crew can activate the pitch uncoupling mechanism which, in certain high-energy situations, can result in catastrophic damage to the aircraft structure before crews are able to react.

This interim report provides only the factual information and analysis associated with the identified safety issue and complements information already provided on an update on the ATSB website on 10 June 2014. New evidence may become available as the investigation progresses that will enhance the ATSB’s understanding of the occurrence.

Read the interim report: In-flight upset, inadvertent pitch disconnect, and continued operation with serious damage involving ATR 72 aircraft, VH-FVR, 47 km west-south-west of Sydney Airport, New South Wales, on 20 February 2014

Privacy Awareness Week 2016

The ATSB is a proud partner of Privacy Awareness Week (PAW) 2016. This year's PAW theme, Privacy in your hands, reinforces the message that organisations, agencies and individuals must be vigilant in maintaining a good understanding of their rights and responsibilities for the handling of personal information.
  • The ATSB is a proud partner of Privacy Awareness Week (PAW) 2016.

This year's PAW theme, Privacy in your hands, reinforces the message that organisations, agencies and individuals must be vigilant in maintaining a good understanding of their rights and responsibilities for the handling of personal information.

You can find out more about how we protect your privacy by reading our privacy policy, which is available on our website www.atsb.gov.au Our policy addresses the following issues:

  • the types of personal information collected and held by the ATSB (including sensitive information);
  • how and why we collect personal information;
  • how the ATSB stores personal information;
  • use and disclosure of personal information (including overseas disclosure);
  • how you can access and correct your personal information; and
  • how you can make a privacy complaint to us.

Of course, we are not the only agency that collects your personal information. Here are some tips from the Office of the Australian Information Commissioner(Opens in a new tab/window) to help you protect your own personal information:

  • Know your privacy rights
  • Read privacy policies and notices
  • Always ask why, how and who — this will help you to know how your personal information is going to be used
  • Check your credit report
  • Protect yourself online
  • Be aware of your mobile security
  • Use security software
  • Be careful what you share on social media
  • Don't leave your personal information lying around — make sure your records are properly destroyed
  • Beware of scams.

More information on your privacy rights is available at www.oaic.gov.au/paw(Opens in a new tab/window). You can also join the conversation by following #2016PAW on Twitter.  

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“Black Box” pioneer recognised

Inventor of the “black box” flight recorder, Dr David Warren AO, has been posthumously recognised with the prestigious Dr Edward Warner aviation award.

Named in honour of the first President of the International Civil Aviation Organization (ICAO), the award is presented by the ICAO every three years on behalf of all its member nations.

ATSB Chief Commissioner Greg Hood said the award recognises the outstanding contribution Dr Warren has made to transport safety.

“The ‘black box’, whether it is a flight data recorder (FDR) or cockpit voice recorder (CVR), contains critical information investigators need to determine the causal factors surrounding accidents and incidents,” Mr Hood said.

“Dr Warren’s pioneering efforts have significantly improved aviation safety and saved countless lives—the award is well deserved. Interestingly, the concept of flight recorders is now being utilised widely in other transport modalities such as rail and marine.

“The ATSB extends its acknowledgement of this achievement, and our appreciation on behalf of all of those who travel, to Dr Warren’s surviving children Jennifer, Peter and Graham. The ATSB also recognises the support provided to Dr Warren by his late wife Ruth, and daughter Meg, both of whom have passed away.”

The “black box” flight recorder was invented by Dr Warren in 1956. The flight recorders contain recordings of instrument data and cabin crew transmissions and conversations. In the event of an accident, the information on the recordings is invaluable to accident investigators trying to determine what happened and why.

Dr Warren passed away in 2010 at the age of 85. He was buried in a casket bearing the label "Flight Recorder Inventor; Do Not Open.”

Minister for Infrastructure and Transport Darren Chester today issued a statement welcoming the award.

New Chief Commissioner

The ATSB Commission has warmly welcomed the appointment of Greg Hood as the ATSB’s new Chief Commissioner from 1 July 2016.

The ATSB Commission has warmly welcomed the appointment of Greg Hood as the ATSB’s new Chief Commissioner from 1 July 2016.

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Greg brings to the ATSB more than 30 years’ expertise in transport safety, having most recently served in senior leadership roles with Airservices Australia and the Civil Aviation Safety Authority.

The Commission looks forward to working closely with Greg to continue the ATSB’s role in improving transport safety across the rail, maritime and aviation industries.

Greg will replace current Chief Commissioner Martin Dolan whose term expires on 30 June 2016.

Fumes events declining

The number of reported aircraft fumes and smoke occurrences involving high capacity aircraft in Australia is trending significantly lower, according to an ATSB report published today.

The number of reported aircraft fumes and smoke occurrences involving high capacity aircraft in Australia is trending significantly lower, according to an ATSB report.

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Fumes and smoke events, which generally occur in the cockpit or cabin of larger passenger aircraft, are required to be reported to the ATSB.

During the April to June 2015 quarter, there were only 42 fumes and smoke events reported to the ATSB, down from 90 in the same quarter a year before.

The decrease has been attributed to the positive safety action of one major Australian airline.

Between January and June 2015, the operator reported only three fumes and smoke events to the ATSB. This represents a significant decrease from the operator’s five-year average of 16.8 occurrences per quarter.

The operator’s decrease in fumes and smoke events were likely the result of:

  • the retirement of older generation aircraft
  • a reduction in the number of flights
  • modifications of some engines
  • changes made to maintenance activities.

While all other airlines were consistent with their 5-year average, none of the 88 fumes and smoke occurrences were classified as high risk.

Systems issues, primarily relating to failure or malfunction of electrical and auxiliary power unit systems are the most common source of aircraft fumes and smoke. Equipment and furnishings (such as air conditioning and galley equipment) are also a common source.

Read the report Emerging trends in Australian aviation safety January – June 2015

Read an analysis of fumes and smoke events in Australia from 2008 to 2012