Organisational pressure
Date issue released
Issue number
Issue Status
Closed – Partially addressed
Transport Function
Aviation: Air transport
Issue Owner
Broome Aviation Pty Ltd
Mode of Transport
Aviation
Safety Issue Description

Broome Aviation pilots experienced pressure not to report aircraft defects on maintenance releases, and many pilots also experienced or observed pressure from individuals within the company management to conduct flights in aircraft with defects that they considered made the aircraft unsafe for flight.

Issue Status Justification

Positive steps have been taken by Broome Aviation, but their effectiveness in addressing the safety issue will depend on how they are embraced and executed over time.

As such, the ATSB will close the safety issue as partially addressed and rely on the continued efforts of the operator, and surveillance activities by the Civil Aviation Safety Authority, to adequately address the safety issue.

 

Proactive action
Action number
AO-2023-029-PSA-315
Organisation
Broome Aviation Pty Ltd
Action date
Action Status
Closed
Action description

Broome Aviation has implemented a safety management system (SMS) in line with the current Civil Aviation Safety Regulations and has been holding monthly safety meetings. It has submitted to the ATSB the last 3 meeting minutes. The operator also submitted an occurrence event, which had been entered into its SMS, as an example of the system in use.

Additionally, the HOFO advised that since joining Broome Aviation their focus has been on:

  • building mutual trust and encouraging open communication
  • maintaining high safety standards

pilot development via training and supervised flight operations to build confidence and decision-making skills.

ATSB Response

The combination of:

  • SMS implementation
  • the HOFO’s demonstrated efforts to improve organisational culture
  • the safety action detailed above in the ‘Aircraft defect recording’ safety issue

are all positive steps towards addressing this safety issue.

While these actions provide a pathway for improvement, their effectiveness in achieving a genuine cultural shift in attitudes and behaviours will depend on how they are embraced and executed over time.

As such, the ATSB will close the safety issue as partially addressed and rely on the continued efforts of the operator, and surveillance activities (guided in part by the findings of this investigation) by the Civil Aviation Safety Authority, to adequately address the safety issue. 

The Civil Aviation Safety Authority advised that it intended to include this safety issue into the scope of the next surveillance event on the operator. At the time of writing, this was scheduled to occur in the coming months.