| Safety issue description |
Transport for NSW (NSW Maritime), as the statutory agency responsible for ensuring that New South Wales was prepared to respond to an incident in accordance with the state’s plan that it maintained, had not effectively met this obligation. This resulted in the long delay in New South Wales assuming control of the incident and contributed to the inadequate coordination of the emergency response required for a single, integrated and comprehensive response and significantly prolonged the emergency. |
|---|---|
| Issue number | MO-2022-006-SI-05 |
| Issue owner | Transport for NSW (NSW Maritime) |
| Transport function | Shore operations |
| Issue status | Open – Safety action pending |
| Date issue released | 15/05/2025 |
| Issue status justification |
To be advised |
| Action type | Proactive action |
|---|---|
| Action number | MO-2022-006-PSA-03 |
| Organisation | Transport for NSW (NSW Maritime) |
| Action description |
Transport for NSW (NSW Maritime) advised the ATSB that it did not agree with the conclusions and contributing factors detailed in the investigation report with respect to its role and response to the Portland Bay incident. However, NSW Maritime advised that since the incident it had taken the following action:
|
| ATSB response |
The ATSB notes with concern that NSW Maritime does not agree with the investigation’s findings with respect to its role and response to the incident. Of particular concern is the preparedness of the state to respond to an incident in accordance with the NSW Coastal Waters Marine Pollution Plan. This is heightened by the response of the Port Authority of New South Wales to the incident and the investigation’s findings, the lack of any safety action by the Port Authority and its interpretation that its role as the combat agency was not ‘enlivened’ during the incident. The ATSB acknowledges the safety action taken by NSW Maritime, but further action is necessary to adequately address this safety issue to ensure that New South Wales is prepared to respond to an incident in the future, including effective response coordination with national and state agencies. Therefore, the ATSB has issued the following safety recommendation to NSW Maritime. |
| Action status | Monitor |
| Action type | Safety recommendation |
|---|---|
| Action number | MO-2022-006-SR-04 |
| Organisation | Transport for NSW (NSW Maritime) |
| Action description |
The Australian Transport Safety Bureau recommends that Transport for NSW (NSW Maritime) takes safety action to adequately address this safety issue and ensure that New South Wales is prepared to effectively respond to an incident in accordance with the state’s plan. |
| Action status | Monitor |
| Date received | 30/06/2025 |
|---|---|
| Organisation | Transport for NSW (NSW Maritime) |
| Response text |
On 30 June 2025, Transport for NSW (NSW Maritime) advised that it agreed with the ATSB’s recommendation to take safety action to adequately address the safety issue. It advised that the scope of the safety action will include the following key accountabilities.
In addition to ensuring continuous improvement of the state’s marine pollution and maritime incident response arrangements and capability, Transport for NSW reaffirmed its commitment to closing out the recommendation. |
| ATSB response |
The ATSB welcomes the scope of the safety action proposed by Transport for NSW (NSW Maritime) which has the potential to adequately address the safety issue. On 14 August 2025, the ATSB requested NSW Maritime to provide an update on the progress of safety action taken. |
| ATSB response date | 14/08/2025 |
| Date received | 20/01/2026 |
|---|---|
| Organisation | Transport for NSW (NSW Maritime) |
| Response text |
Transport for NSW (NSW Maritime) provided two brief updates on 22 August and 2 December 2025, respectively, and a substantive update on 20 January 2026. On 6 August 2025, NSW Maritime and the Port Authority of New South Wales (Port Authority) met to discuss items within the scope of the former’s proposed safety action and decided to reconvene in September. At a meeting on 17 September, they decided to hold a workshop on 22 October, which was later postponed to 17 December. The 20 January update included the following ‘key discussion points and outcomes of the workshop’, which are quoted. 1. Arrangements: The Port Authority is still of the view that they are only responsible for pollution response in the ‘Out of Port Area’ and that this does not include Place of Refuge or Salvage Management. This view is drawn from several documents, including the PSOL [Port Safety Operating Licence] Appendix 2 response area diagram having a title of ‘Oil and Chemical Spill Responses’. 2. Place of Refuge: Port Authority does not believe it is responsible for a Place if Refuge scenario. 3. MPC appointment: Noting that the current MPC appointments include the Harbour Master Sydney as an alternate MPC, it was agreed that this function should sit with Transport for NSW Maritime. NSW Maritime to draft a briefing note proposing removal of Port Authority as alternate MPC. 4. Handover: NSW Maritime to draft guidance material clarifying handover arrangements, leadership roles, and responsibilities, for discussion with Port Authority and AMSA [Australian Maritime Safety Authority]. 5. ETV activation: Activation of the ETV [emergency towage vessel] by a State or NT was discussed and how this could be streamlined. Whilst the NMERA IGA [National Maritime Emergency Response Arrangements Inter Governmental Agreement] says that the State / NT [Northern Territory] may activate the ETV this is not practical due to commercial contract arrangements. Additionally, NSW Maritime and the Port Authority identified concerns for State-based activation of ETVs due to user-pays considerations and existing contractual arrangements by the Commonwealth that may include straining already limited ETV resources. Port Authority of NSW’ preference is for ETV activation to remain with AMSA. Additionally, activation needs to consider existing Port Towage Agreements and associated liabilities. NSW Maritime to discuss ETV activation arrangements with AMSA, for improved and timely activation process. 6. Overarching outcome: As a conclusion of the workshop, it was agreed that NSW Maritime would formally write to the Port Authority expressing the position of NSW Maritime, including intent of the arrangements and PSOL. With respect to point 6 above, NSW Maritime stated that it ‘includes formal next steps to progress further discussion and resolution of views leading to necessary amendments to documents as required’. |
| ATSB response |
The update indicates that NSW Maritime and the Port Authority have differing and divergent views on key matters related to effective coordination of the state’s emergency response under the NSW Plan and National Plan. While the agencies have engaged on these matters, the safety issue has not been addressed. The ATSB will request NSW Maritime to provide another update in July 2026. |
| ATSB response date | 16/04/2026 |