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Avoiding action must be early and effective
The ATSB is highlighting the importance of vessels taking early and effective avoiding action and keeping a proper lookout. The ATSB’s investigation into the collision of a…
On track to greater insights
Through collaboration with the Office of the National Rail Safety Regulator (ONRSR), the ATSB is gaining access to a detailed data feed of rail safety occurrences, as well as many years’…
Pitot probe covers the focus of safety advisory notice for operators at Brisbane Airport
The ATSB has issued a safety advisory notice to all operators flying to Brisbane Airport to consider the use of pitot probe covers there and to have rigorous processes in place to confirm the…
Harbour pilots and crew need shared understanding of passage plan for safe voyage
The ATSB is highlighting the need for a shared understanding or ‘shared mental model’ of a ship’s passage plan by bridge crew and harbour pilots to ensure a safe voyage. The ATSB’s…
A discontinuity at a rail joint and a decline in rail lubricator maintenance led to this derailment on a small-radius curve.
The ATSB’s investigation into the derailment of a Metro Trains Melbourne (MTM) passenger train near Rushall Station in Melbourne on 6 February 2016 has been released. The investigation was conducted…
Extra diligence required when designing, installing and operating newly designed equipment without redundancies in plan in place
The ATSB is reminding ship operators and ship manufacturers of the increased operational risk of using newly designed equipment without any redundancy plan in place. The reminder…
Constant vigilance and appropriate risk controls can reduce the danger of ship fires from on board hot work
The ATSB reminds ship operators of the constant danger of ship fires from on board hot work for the removal of sea fastenings. The ATSB’s final investigation report…
Know how your aircraft’s avionics and autopilot will react
The investigation into the fatal accident of a Cessna 172S has resulted in the Bureau issuing safety recommendations to the aircraft and autopilot manufacturers about providing limitations, cautions…
ATSB initiates a new safety product
Every year, the ATSB receives up to 17,000 notifications of safety incidents and accidents in the aviation, marine, and rail sectors. They range in significance, from a major accident with loss of…
Have an early decision point for an early and proper go-around
The ATSB’s investigation into the collision with terrain of a Cessna 206, registration VH-WZX, at Apollo Bay Airfield in Victoria, underlines the importance of pilots executing an early and correctly…