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Incorrect mental models, non-standard manoeuvring contributed to TCAS alerts in circuit at Wellcamp airport
An incorrect position broadcast and not effectively monitoring radio calls contributed to the pilots of a King Air and Saab 340 misunderstanding the positions of the other aircraft, which led…
Tram to tram collision at East Melbourne, Victoria, on 20 September 2023
Tram 6058, Substantial, Collision, Yarra Trams
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Tram 6062, Substantial, Collision, Yarra Trams
RO-2023-008
ATSB issues safety advisory after series of rotor wash injuries at hospital helicopter landing sites
The Australian Transport Safety Bureau has issued a safety advisory after a number of occurrences in which pedestrians were injured by rotor wash around hospital helicopter landing sites.…
Downwash incidents at hospital helicopter landing sites
AD-2022-001
Executive summary Why the ATSB undertook this research Following several helicopter rotor wash incidents at hospital helicopter landing sites (HLSs) that resulted in injuries to nearby pedestrians, the ATSB compiled a list of similar incidents in the preceding 5 years. Analysis of the specific occurrences was conducted to identify the common factors, existing regulatory guidelines, and ways to mitigate the effect of rotor wash. What the ATSB found Of the 18 helicopter downwash incidents …
Safety at hospital helicopter landing sites
AD-2022-001
Safety Advisory Notice To helicopter medical transport operators and hospital helicopter landing site operators Medical transport operators should engage with the owners and operators of hospital helicopter landing sites to ensure local procedures are sufficient to mitigate the risk of rotorwash associated with larger aircraft. What happened The ATSB found that following the…
Loss of control and collision with water involving Bell Helicopter Co 204B, VH-EQW, Tarome, Queensland, on 20 September 2023
Amberley, Queensland, Tarome, Queensland, 204B, 2038, Helicopter, VH-EQW, Part 138 Aerial work operations, Destroyed, Bell Helicopter Co, Forest Air Helicopters (Aust) Pty Limited
AO-2023-044
Cockpit Visibility Study supporting AO-2023-001 – Midair collision involving Eurocopter EC130 B4, VH XH9, and Eurocopter EC130 B4, VH-XKQ, Main Beach, Gold Coast, Queensland, on 2 January 2023
AS-2023-001
Descent below segment minimum safe altitude involving Fokker 100, VH-FGB, near Adelaide Airport, South Australia, on 30 August 2023
Brisbane Airport, Adelaide Airport, Fokker 100, 11446, Jet, VH-FGB, Part 121 Air transport operations - larger aeroplanes, Nil, Fokker B.V., Alliance Airlines Pty Limited
AO-2023-041
Enduring safety lessons from fatal pilot ladder crew transfer accident
Managers of the two vessels involved in a fatal crew transfer accident off Brisbane had not ensured personnel had a common and complete understanding of how the transfer would be conducted,…
Runway excursions on take-off involving Airbus A330-323, 9M-MTL, and Boeing 787-9, VN-A819, Melbourne Airport, Victoria, on 7 and 18 September 2023
Melbourne Airport, Victoria, Kuala Lumpur International Airport, Malaysia, A330-323, 1395, Jet, 9M-MTL, Part 129 Foreign air transport operators, Nil, Airbus, Malaysia Airlines
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Melbourne Airport, Victoria, Hanoi Noi Bai International Airport, Vietnam, 787-900, 62736, Jet, VN-A819, Part 129 Foreign air transport operators, Nil, The Boeing Company, Bamboo Airways
AO-2023-043