Safety issue

Safety issue description

The operator's joint testing procedures were not comprehensive with respect to hazard identification and the use of standard phraseology.

Issue number AO-2008-078-SI-02
Issue owner Aeropower Pty. Ltd.
Transport function Aviation: General aviation
Date issue released 09/12/2010
Issue status justification

The operator has instigated a number of changes to its procedures and training including a checklist for use prior to testing.

Safety action

Action type Proactive action
Action number AO-2008-078-NSA-078
Organisation Helicopter operator
Action description

In response to this accident, the operator has:

[Introduced] a STOP procedure for platform work. (Stop before moving towards the conductor. S = stop T= talk, O= observe, P= proceed).

Updated and upgraded company Work Instructions to a new format which is more detailed and better highlights caution and warning points and includes detailed risk assessments. Initial upgraded focused on Platform procedures WI 611/01, 02 05, 06, and 22

Ordered electronic cockpit voice prompt machines. And review a black box voice recorder.

ATSB response

The ATSB is satisfied that the action taken by the helicopter operator adequately addresses the safety issue.

Action status Closed