Safety issue

Safety issue description

While maintaining the appropriate general quality accreditation (ISO 9001) of its engineering facilities, the operator did not maintain independent accreditation of the specific procedures and facilities used for the inspection, maintenance and re-certification of oxygen cylinders.

Issue number AO-2008-053-SI-06
Issue owner Qantas Airways
Transport function Aircraft Maintenance
Date issue released 22/11/2010
Issue status justification

Operator has implemented requirements for independent facility accreditation.

Safety action

Action type Proactive action
Action number AO-2008-053-NSA-104
Organisation Qantas Airways
Action date 22/11/2010
Action description

The operator has advised the ATSB that their engineering component workshop has embarked upon a program of equipment replacement and staff training re-validation, with an estimated completion date of 15 November 2010.

The program includes:

  • inspection and certification of new hydrostatic test equipment by a US DOT-certified inspector
  • re-validation of the training of seven existing cylinder test workshop staff by a DOT-certified authority
  • training of three new cylinder test workshop staff by a DOT-certified authority.
ATSB response

Accepted

Action status Closed

Safety action

Action type Safety advisory notice
Action number AO-2008-053-SAN-006
Organisation Aviation oxygen cylinders maintenance and inspection organisations
Action description

The Australian Transport Safety Bureau encourages all organisations performing inspection, testing, maintenance and repair activities on aviation oxygen cylinders, to note the circumstances detailed in this preliminary report, with a view to ensuring that all relevant procedures, equipment, techniques and personnel qualifications satisfy the applicable regulatory requirements and established engineering best practices.

Action status Closed

Safety action

Action type Safety advisory notice
Action number AO-2008-053-SAN-106
Organisation Organisations conducting inspection, repair and / or recertification of aviation oxygen cylinders
Action date 22/11/2010
Action description

The Australian Transport Safety Bureau encourages all organisations performing inspection, testing, maintenance and repair activities on aviation oxygen cylinders, to note the circumstances detailed in this report, with a view to ensuring that all facilities establish and maintain independent external accreditation of their procedures, processes and equipment.

ATSB response

N/A

Action status Closed

Safety action

Action type Safety advisory notice
Action number AO-2008-053-SAN-007
Organisation Operators of aircraft fitted with pressurised oxygen systems
Action description

The Australian Transport Safety Bureau encourages other operators of transport category aircraft fitted with pressurised gaseous oxygen systems, to note the circumstances detailed in this preliminary report, with a view to ensuring that all oxygen cylinders, and cylinder installations, are maintained in full accordance with the relevant manufacturer's requirements, statutory regulations, and established engineering best practices.

Action status Closed