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Safety issues and actions
Issue, description, who it affects Date, status, type
Issue, description, who it affects
Number: R19980024
Description: R19980024: The Bureau of Air Safety Investigation recommends that Airservices Australia: Review their airways and procedures design philosophies to: (a) ensure that STAR, SID and airways design is compatible with aircraft FMS programs; (b) allow a +/- 10 kt range with respect to descent speed below 10,000 ft to allow for the tolerances of FMS-equipped aircraft, with the ...
Who it affects:
Issue owner:
Operation affected:
Date, status, type
Date: 12 Jun 1998
Status:
Type: Recommendation
Issue, description, who it affects
Number: R19980026
Description: R19980026: The Bureau of Air Safety Investigation recommends that airline operators within the Asia-Pacific region: Consider a program of flight crew observation of ATC operations during both initial and recurrent training. Such a program should be incorporated into the syllabus of training and include subjective elements requiring observation and assessment.
Who it affects:
Issue owner:
Operation affected:
Date, status, type
Date: 12 Jun 1998
Status:
Type: Recommendation
Issue, description, who it affects
Number: R19980027
Description: R19980027: The Bureau of Air Safety Investigation recommends that airline operators: 1. Ensure that flight crew of advanced technology aircraft are educated in the concept , and safety implications, of Passive Command Syndrome. 2. Include a comprehensive statement of automation policy in their General operations manual and/or Airline policy documents.
Who it affects:
Issue owner:
Operation affected:
Date, status, type
Date: 12 Jun 1998
Status:
Type: Recommendation
Issue, description, who it affects
Number: R19980028
Description: R19980028: The Bureau of Air Safety Investigation recommends that airline operators: Employ appropriate methods and examples during initial and refresher CRM training to enhance the transmission of safety information between flight crew members during flight. Such training should stress the consequences of not communicating essential flight safety information.
Who it affects:
Issue owner:
Operation affected:
Date, status, type
Date: 12 Jun 1998
Status:
Type: Recommendation
Issue, description, who it affects
Number: R19980029
Description: R19980029: The Bureau of Air Safety Investigation recommends that the Civil Aviation Safety Authority: Ensure that all recurrent and rating renewal simulator exercises are appropriate considering the level of automation fitted to the aircraft type. Such exercises should reflect the level of serviceability which the pilot may be expected to encounter during line operations.
Who it affects:
Issue owner:
Operation affected:
Date, status, type
Date: 12 Jun 1998
Status:
Type: Recommendation
Issue, description, who it affects
Number: R19980031
Description: R19980031: The Bureau of Air Safety Investigation recommends that airline operators: 1. Include in the ground training phases of pilot endorsement courses; (a) sufficient technical knowledge of aircraft systems; and (b) knowledge of the design philosophies employed by aircraft system manufacturers to give pilots sufficient systems understanding to permit analysis of system abnormalities and to ...
Who it affects:
Issue owner:
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Date, status, type
Date: 12 Jun 1998
Status:
Type: Recommendation
Issue, description, who it affects
Number: R19980032
Description: R19980032: The Bureau of Air Safety Investigation recommends that aircraft design authorities and airline operators: Consider effective systems and procedures to ensure flight crew of automated aircraft do not inadvertently fall asleep during flight.
Who it affects:
Issue owner:
Operation affected:
Date, status, type
Date: 12 Jun 1998
Status:
Type: Recommendation
Issue, description, who it affects
Number: R19980033
Description: R19980033: The Bureau of Air Safety Investigation recommends that aircraft design authorities: Consider a requirement to ensure that all FMGS mode changes are visually and aurally annunciated.
Who it affects:
Issue owner:
Operation affected:
Date, status, type
Date: 12 Jun 1998
Status:
Type: Recommendation
Issue, description, who it affects
Number: R19980034
Description: R19980034: The Bureau of Air Safety Investigation recommends that airline operators within the Asia-Pacific region: Review their procedures with regard to mode selection and consider: (a) if flight crews should state intended mode selection during all flight crew briefings; (b) if flight crews should announce and acknowledge all mode changes during flight; (c) refresher training regarding mode mechanics and ...
Who it affects:
Issue owner:
Operation affected:
Date, status, type
Date: 12 Jun 1998
Status:
Type: Recommendation
Issue, description, who it affects
Number: R19980036
Description: R19980036: The Bureau of Air Safety Investigation recommends that airline operators within the Asia-Pacific region: Review their pilot training to consider: (a) specific training to pilots regarding situational awareness.; (b) differences that may exist between printed and electronic flight information; (c) responsibilities of ATC regarding the provision of terrain clearance; and (d) clear policy regarding ...
Who it affects:
Issue owner:
Operation affected:
Date, status, type
Date: 12 Jun 1998
Status:
Type: Recommendation
Issue, description, who it affects
Number: R19980037
Description: R19980037: The Bureau of Air Safety Investigation recommends that airline operators: Review their standard operating procedures (SOP) and airline policy to require only one crew member to make control inputs at any one time unless stated to the contrary in an emergency/abnormal procedure, and to emphasise the consequences of multiple simultaneous flight control inputs.
Who it affects:
Issue owner:
Operation affected:
Date, status, type
Date: 12 Jun 1998
Status:
Type: Recommendation
Issue, description, who it affects
Number: R19980038
Description: R19980038: The Bureau of Air Safety Investigation recommends that aircraft design authorities consider requirements for: (a) a means of alerting the pilot when incorrect data has been entered into the FMC/FMGS; (b) all data entries being able to be corrected easily by flight crew; (c) common industry terminology for automation hardware and software; (d) FMS ...
Who it affects:
Issue owner:
Operation affected:
Date, status, type
Date: 12 Jun 1998
Status:
Type: Recommendation
Issue, description, who it affects
Number: R19980040
Description: R19980040: The Bureau of Air Safety Investigation recommends that airline operators within the Asia-Pacific region: Review the qualifications of all ground, simulator and flight instructors, and where necessary provide training in instructional/teaching techniques with the aim accrediting instructional/teaching staff.
Who it affects:
Issue owner:
Operation affected:
Date, status, type
Date: 12 Jun 1998
Status:
Type: Recommendation
Issue, description, who it affects
Number: R19980057
Description: R19980057: The Bureau of Air Safety Investigation recommends that the Civil Aviation Safety Authority review the adequacy of movement area guidance signs and markings, particularly at runway-to-runway intersections. The review should focus initially on Moorabbin Aerodrome and other aerodromes with multiple runways and complex taxiway systems.
Who it affects:
Issue owner:
Operation affected:
Date, status, type
Date: 26 May 1998
Status:
Type: Recommendation
Issue, description, who it affects
Number: IR19980059
Description: IR19980059: The Bureau of Air Safety Investigation recommends that Airservices Australia review air traffic service procedures relating to the combining of a number of operator positions and/or frequencies with a view to reducing the impact of frequency congestion.
Who it affects:
Issue owner:
Operation affected:
Date, status, type
Date: 23 Apr 1998
Status:
Type: Interim Recommendation
Issue, description, who it affects
Number: SAN19980042
Description: SAN19980042 : Airservices Australia should note the safety deficiency identified in this report and take appropriate action.
Who it affects: Airservices Australia
Issue owner:
Operation affected:
Date, status, type
Date: 08 Apr 1998
Status:
Type: Safety Advisory Notice
Issue, description, who it affects
Number: IR19980005
Description: IR19980005: Safety Interim Recommendation The Bureau of Air Safety Investigation recommends that Airservices Australia review the guidance in the MATS for the passing of traffic information by ATS personnel to ensure pilots have adequate time to assess the potential for conflict with other aircraft.
Who it affects:
Issue owner:
Operation affected:
Date, status, type
Date: 24 Mar 1998
Status:
Type: Interim Recommendation
Issue, description, who it affects
Number: IR19980020
Description: IR19980020: The Bureau of Air Safety Investigation recommends that Airservices Australia review the MATS in relation to flight progress strip annotations, to assist ATS personnel to provide more timely traffic information to flight crew.
Who it affects:
Issue owner:
Operation affected:
Date, status, type
Date: 24 Mar 1998
Status:
Type: Interim Recommendation
Issue, description, who it affects
Number: IR19980021
Description: IR19980021: The Bureau of Air Safety Investigation recommends that Airservices Australia review ATS proficiency and continuation training requirements with a view to personnel undertaking specific traffic information simulator training on a regular basis.
Who it affects:
Issue owner:
Operation affected:
Date, status, type
Date: 24 Mar 1998
Status:
Type: Interim Recommendation
Issue, description, who it affects
Number: SAN19980018
Description: SAN19980018: The Civil Aviation Safety Authority should note the safety deficiency identified and take appropriate action.
Who it affects: Civil Aviation Safety Authority
Issue owner:
Operation affected:
Date, status, type
Date: 26 Feb 1998
Status:
Type: Safety Advisory Notice
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