Sharing your safety concerns

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We’ve all been there. The moment when you see something that just doesn’t seem quite right. There’s a problem in front of you, and while it may not have caused an accident yet, you can easily imagine how one day, maybe one day soon, it could end badly. But if you say anything, if you point out that something is being done incorrectly, this could mean trouble.

It’s a situation that’s all too common, where sometimes people won’t thank you for pointing out a problem. But there is a way for you to share your concerns and see something done about them, without fear of being identified.  The Australian Transport Safety Bureau’s (ATSB) confidential reporting scheme, REPCON, allows people with safety concerns about the rail, aviation or marine industries to disclose them to the ATSB. These reports often contain valuable information that can help the industry address unsafe procedures, practices or conditions.

Crucially, REPCON is not used to apportion blame or liability—the underpinning legislation specifically precludes information in a report being used for disciplinary purposes. As well, REPCON reports are inadmissible in evidence in a court, except where a person has committed an offence under the Criminal Code (False or misleading information) in making the report.

“REPCON is all about solving problems, and anyone can make a call to us,” explains Elaine Hargreaves, the ATSB’s team leader for confidential reporting. She oversees REPCON, and she is a woman who keeps secrets. At the core of the scheme is the assurance that no one outside the REPCON office will learn who has reported their concerns.  “I will never reveal a reporter’s identity to anyone – not even the Chief Commissioner of the ATSB.  There are people out there who will only report to us, and they do that because they know they won’t be punished for speaking their mind and sharing their concerns. We’ve received calls from all around the country, from members of the public and people working within the industry itself.”

“People will call us at any time of day,” continues Hargreaves. “They’ll lay out their basic concerns, and then we receive a written report from them.” She acknowledges that a scheme that guarantees anonymity also offers opportunities for abuse, but tremendous care is taken to ensure that a report meets the requirements of what a safety concern is. “We assess the reports thoroughly to make sure they’re not solely focussed on an industrial action, that it’s not criminal or a threat.”

If the matter is deemed to be a genuine safety concern, the report is carefully de-identified, removing all personal attributes, and information that might lead to the identification of the reporter. The ATSB also removes the names of any other individuals mentioned in the report, ensuring that people don’t abuse the program to satisfy grudges or out of spite.

From there, the REPCON office assesses the de-identified text to ensure that the report has not become so benign that there would be no chance of any safety outcomes. After all, when the report is provided to an operator, they will need enough details to find the problem.

“We forward the de-identified text back to the reporter to get their approval before we send it out,” says Hargreaves. “Nothing happens until they’re satisfied that the right message is getting passed along, and that their identity is sufficiently protected. The report can go back and forth between the REPCON office and the reporter a few times before everyone is satisfied.”

The ATSB then provides the final report to the operator, and they have five working days in which to respond. (An extension may be granted, depending on the circumstances.) The operator’s response, along with the de-identified text is forwarded to the regulator, to take whatever action is deemed necessary. The regulator is required to respond, in accordance with a signed MOU.

“Once we’ve had a response from the regulator, feedback is provided to the operator and the reporter, where they have the opportunity to provide feedback on the outcome,” says Hargreaves. “That feedback will be reviewed, and everyone is kept abreast of developments. The report is not considered closed until all avenues for addressing the safety concern have been exhausted.”

Once the REPCON case is closed, all personal information is destroyed, and the final report (with all the relevant input) is published on the ATSB website. This final report contains no information which will identify the reporter and all efforts are made to de-identify the operator involved. Only the details of the safety concerns, as well as the responses and safety actions taken by relevant organisations or government agencies are retained.  “So many important safety concerns are reported to us through REPCON,” said Hargreaves. “We publish this information so that all of industry can be aware of, and can learn from, the problems that others have encountered, and the solutions that they’ve implemented.”

You can read closed REPCON transport reports on the ATSB website, www.atsb.gov.au/REPCON.

If you have a concern about transport safety that you’re uncomfortable reporting to the operator, you can submit a REPCON report yourself, either via the REPCON webpage or the reporting line on 1800 020 505.

Rail worker safety under the spotlight

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The safety of Australia’s rail workers is under examination following the launch of a systemic safety investigation by Australia’s national transport safety investigator, the ATSB.

To take around 12 months to complete, the safety issues investigation has been prompted by continuing reports of accidents and incidents that occurred while maintenance work was being undertaken on or near railway tracks.

ATSB Chief Commissioner Martin Dolan said these ongoing incidents hint at broader safety issues that continue to raise risks for rail track workers.

“Through the ATSB’s SafetyWatch initiative, we have been urging industry to give heightened attention to rail worker safety over the past several years,” Mr Dolan said.

“While many operators are continuing to improve the safety of their workers, the ATSB remains concerned about the continuing number of reported incidents involving work on track.

“This investigation will provide a national examination of rail worker safety and aim to identify areas where safety can be improved.”

The scope of the investigation will be wide ranging and include:

  • examination of occurrence data to ascertain common safety risks associated with work on track accidents and incidents nation-wide
  • survey of stakeholders (rail safety workers/safety managers) involved with the implementation of worksite protection systems to identify areas of concern and possible improvements in safety when carrying out work on track
  • examination of the rules, procedures and forms used nation-wide to manage risk to rail safety workers arising from work on track
  • examination of work practices in the coordination and communication processes/protocols employed by rail operators when managing worksite protection
  • review of rail transport operators’ safety actions in response to findings arising from internal investigation and external (independent) investigations into worksite protection incidents
  • examination of the interaction between organisations’ worksite protection rules and procedures and ancillary tasks associated with work on track, including the planning, preparation and application of onsite hazard assessment.

The launch of the ATSB’s systemic investigation coincides with Rail Safety Week, which aims to raise awareness about rail safety. The ATSB is participating in Rail Safety Week to highlight the ongoing concerns facing workers on track.

More information about the ATSB’s safety issues investigation and its SafetyWatch priority can be found on the ATSB website.

Remembering Macarthur Job

Born: Taree, 10 April 1926 – died: Melbourne, 6 August 2014.

The ATSB would like to pay tribute to Macarthur ‘Mac’ Job who sadly passed away on Wednesday after battling cancer for a number of years. Mac was aged 88.

As a highly accomplished aviation writer and air safety consultant over many decades, Mac established a lasting legacy in promoting aviation safety in Australia. Mac’s contribution was recognised with his 2003 award of the Medal of the Order of Australia (OAM) ‘for services to the promotion of aviation safety’.

We extend our deepest sympathies to Mac’s wife, Esma, and his five children.

Read more about Mac's life:

‘Flight Safety Australia’ remembers Macarthur Job(Opens in a new tab/window)

Aviation Investigation Bulletin

The ATSB has just released a new aviation bulletin containing 10 investigation reports.

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The ATSB has just released a new aviation bulletin containing 10 investigation reports. The Aviation Short Investigation Bulletin Issue 33 covers short, office-based investigations.

The bulletin covers incidents, serious incidents and accidents involving jet, turboprop and piston aircraft, as well as helicopters.

Short investigations cover incidents and accidents where the associated factors are usually well-understood and do not require more detailed investigations. Nonetheless, each investigation has the potential to produce important Safety Messages for pilots, operators and others in the aviation industry. The investigations also help the ATSB identify statistics and trends in air safety.

Issue 33 of the Bulletin features 10 safety investigations:

Jet aircraft

Turboprop aircraft

Piston aircraft

Helicopters

Read the ATSB’s Aviation Short Investigation Bulletin – Issue 33

Rail Safety Week 2014

As part of Rail Safety Week 2014 the ATSB is highlighting rail investigations and their critical safety lessons.
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As part of Rail Safety Week 2014 the ATSB is highlighting rail investigations and their critical safety lessons. Helping to promote the Rail Safety Week 2014 message of ‘Near miss … Near hit’ the ATSB will be spreading the word about the importance of rail safety. 

The Australasian Railway Association (ARA) created the safety campaign nine years ago to help reduce the numbers of rail incidents that occur across the nation, many of them fatal. Rail Safety Week is this year specifically focussing on getting the message out about how a split second can mean the difference between life and death. Each one of the 1,000 near misses that occur each year could just as easily be a hit that could end someone’s life and leave a grieving family behind.

The ATSB has investigated several accidents that occurred when maintenance work was being carried out around railway tracks. Through our SafetyWatch initiative Safe work on rail, we are urging industry to give extra attention to the risks faced by rail workers while working on track.

More information can be found at Rail Safety Week 2014(Opens in a new tab/window).

The ATSB is also highlighting safe work on track through our YouTube channel (ATSBinfo)(Opens in a new tab/window).

MH370: Search area announced

Deputy Prime Minister Warren Truss today announced a new high priority underwater search area for missing Malaysia Airlines Flight MH370.

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Deputy Prime Minister Warren Truss today announced a new high priority underwater search area for missing Malaysia Airlines Flight MH370.

The new search area of up to 60,000 square kilometres is located in the Southern Indian Ocean and, like previous searches, is located along the seventh arc – a thin but long line that marks where the missing aircraft last communicated with a satellite.

The new phase of the search has two elements:

  • a bathymetric survey of the sea floor in that area
  • a comprehensive search of the sea floor once it has been mapped.

The bathymetric survey—or mapping of the ocean floor— has already commenced, with the Chinese survey ship Zhu Kezhen and the Australian-contracted vessel Fugro Equator conducting operations in the areas provided by the Australian Transport Safety Bureau.

A public request for tender has been issued, seeking a primary contractor to bring together and manage the expertise, equipment and vessels to carry out the comprehensive search.

More information

The Joint Agency Coordination Centre (JACC) has released a media release on the high priority search zone.

A new ATSB report, MH370 - Definition of Underwater Search Areas, explains how the new priority search area was determined.

Aviation Investigation Bulletin

The ATSB has just released a new aviation bulletin containing 10 investigation reports.

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The ATSB has just released a new aviation bulletin containing 10 investigation reports. The Aviation Short Investigation Bulletin Issue 32 covers short, office-based investigations.

The bulletin covers incidents, serious incidents and accidents involving helicopters, jet, piston aircraft, as well as helicopters and a balloon.

Short investigations cover incidents and accidents where the associated factors are usually well-understood and do not require more detailed investigations. Nonetheless, each investigation has the potential to produce important Safety Messages for pilots, operators and others in the aviation industry. The investigations also help the ATSB identify statistics and trends in air safety.

Issue 32 of the Bulletin features 10 safety investigations:

Jet aircraft

Piston aircraft

Helicopters

Balloons

Read the ATSB’s Aviation Short Investigation Bulletin – Issue 32

Aviation Investigation Bulletin

The ATSB has just released a new aviation bulletin containing 12 investigation reports.

Bulletin30_news.jpg

The ATSB has just released a new aviation bulletin containing 12 investigation reports. The Aviation Short Investigation Bulletin Issue 30 covers short, office-based investigations.

The bulletin covers incidents, serious incidents and accidents involving helicopters, jet, turboprop and piston aircraft, as well as unmanned aerial systems.

Short investigations cover incidents and accidents where the associated factors are usually well-understood and do not require more detailed investigations. Nonetheless, each investigation has the potential to produce important Safety Messages for pilots, operators and others in the aviation industry. The investigations also help the ATSB identify statistics and trends in air safety.

Issue 30 of the Bulletin features 12 safety investigations:

Jet aircraft

Turboprop aircraft

Piston aircraft

Helicopters

Unmanned aerial systems

Read the ATSB’s Aviation Short Investigation Bulletin – Issue 30

Aviation Investigation Bulletin

The ATSB has just released a new aviation bulletin containing 10 investigation reports.

Bulletin31_news.jpg

The ATSB has just released a new aviation bulletin containing 10 investigation reports. The Aviation Short Investigation Bulletin Issue 31 covers short, office-based investigations.

The bulletin covers incidents, serious incidents and accidents involving helicopters, jet, turboprop and piston aircraft, as well as helicopters.

Short investigations cover incidents and accidents where the associated factors are usually well-understood and do not require more detailed investigations. Nonetheless, each investigation has the potential to produce important Safety Messages for pilots, operators and others in the aviation industry. The investigations also help the ATSB identify statistics and trends in air safety.

Issue 31 of the Bulletin features 10 safety investigations:

Jet aircraft

Turboprop aircraft

Piston aircraft

Helicopters

Read the ATSB’s Aviation Short Investigation Bulletin – Issue 31

Aircraft engines safe, reliable

ATSB report finds that Australian turbofan engine aircraft are safe and reliable and only experience engine-related safety incidents every 20,000 flight hours on average.
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A new ATSB report, released today, finds that Australian turbofan engine aircraft are safe and reliable and only experience engine-related safety incidents every 20,000 flight hours on average.

As well, the vast majority of these occurrences (98%) had no risk, or a very low risk of any accident outcome and none resulted in injury to passengers or crew.

Larger modern passenger aircraft mostly have turbofan engines because of their range, speed, and fuel efficiency. Despite the complexity of these engines, their reliability is evidenced by the low rate of engine problems.

While the research found turbofan engine aircraft had very low rates of incidents as a whole, it did identify differences between individual aircraft models.

With a combined total of over five-and-a-half million flight hours for Australian registered turbofan engine aircraft between 2008 and 2012, there were only 280 safety occurrences reportable to the ATSB that related specifically to the engine systems (or approximately one occurrence every 20,000 flight hours).

While the research found turbofan engine aircraft had very low rates of incidents as a whole, it did identify differences between individual aircraft models.

In particular, the British Aerospace BAE 146/Avro RJ, the Fokker F28/F100 and the Boeing 747 classic had higher rates of engine incidents between 2008 and 2012 than any other aircraft in the study.

The report provides aircraft operators with information that will help them put their own incidents in context and further improve safety in the future.

Read the full research report AR-2013-002