Carriage of survival emergency locator transmitter
Helicopter underwater escape training for regular passengers
Accepted practice of exceeding last light
Risk assessment not implemented
Self-reported passenger weights
Weight and balance system
ARTC ability to detect and manage recurring defects
ARTC monitoring and oversight of maintenance activities
Training gap
Sydney Trains did not have a response process for overspeed incidents
Ineffective controls for overspeed
Ineffective operational risk assessment