An examination of the Australian Transport Safety Bureau's aviation occurrence database indicates that distraction has contributed to a number of aviation safety accidents and incidents. The purpose of this study was to: (i) examine the characteristics of pilot distraction(ii) explore the range of distraction sources that have contributed to aviation safety occurrences, and(iii) develop a taxonomy of pilot distraction. In total, 325 occurrences were identified using the database. The results showed that the majority of occurrences were incidents rather than accidents or serious incidents.…

Boeing 747-438, VH-OJU EXECUTIVE SUMMARY An Australian registered Boeing 747-438 aircraft operating a regular passenger transport flight sustained the failure of an engine shortly after take-off from Los Angeles, USA. The engine was subsequently shutdown and the aircraft returned for an uneventful landing. The failed engine was a Rolls Royce RB211-524G2-T model. Preliminary inspection by the operator's maintenance personnel found evidence of extensive internal mechanical damage within the high-pressure compressor section of the engine and as a result, returned the engine to Australia for…

In 2004, there were two wirestrike accidents in New South Wales involving helicopters undertaking locust control operations. The first accident occurred in October 2004 near Forbes and resulted in minor injuries to one occupant and extensive damage to the helicopter. The second accident occurred in November 2004 near Dunedoo and resulted in the death of two occupants. A third occupant was seriously injured and there was extensive damage to the helicopter. A third accident, near Mudgee in November 2004, involved a helicopter that was being used for locust control, although the helicopter was…

There has been a long standing interest among various transport safety organisations, researchers, other stakeholders and the public concerning the relative safety of various transport modes. Questions are often posed along the lines: on average, is travel in a light aircraft safer than a typical journey in a private car? or - what is the safety difference between motorcycle riding and driving a car? Consideration of relative transport safety risks also has potentially important policy implications, particularly where contingent resource allocation or risk management decisions are involved.…

The ATSB Annual Review documents ATSB's achievements and safety activities from 1 July 2004 to 30 June 2005 and outlines its business planning for 2005-2006. Executive Directors message In 2004-05 the ATSB benefited considerably from the funding boost for aviation investigations and aviation database replacement that was provided in the May 2004 Federal Budget. During the year, the Bureau recruited and commenced training 12 extra aviation safety investigators, instigated 109 aviation occurrence investigations and released 98 aviation investigation reports, up from around 60 in recent years.…

Recorded voice data, such as from cockpit voice recorders (CVRs) or air traffic control tapes, can be an important source of evidence for accident investigation, as well as for human factors research. However, most of the analysis has been based on subjective interpretation rather than the use of systematic methods, particularly when dealing with the analysis of crew interactions. Conversation analysis uses highly detailed and revealing transcriptions of recorded voice (or video) data that can allow deeper analyses of how people interact. When analysing recorded voice data, and especially for…

Boeing Commercial Aircraft Group, 747-436, G-BNLK 1. FACTUAL INFORMATION 1.1. Examination brief The disassembled components of an electric air-cooling fan (figure 1) were received by the ATSB Technical Analysis unit for examination and analysis of the damaged fan impeller. The fan unit had been fitted to a Boeing 747 aircraft (registration G-BNLK) to provide forced air circulation for a forward galley chiller unit. During the early stages of a flight on 10 August 2002, a small fire developed in the forward cargo compartment adjacent to this unit (figure 2). Physical and recorded evidence…

Boeing Commercial Aircraft Group, 747-436, G-BNLD 1. FACTUAL INFORMATION 1.1. History of the flight On the evening of March 1, 2002, Boeing 747-436 aircraft G-BNLD sustained the failure of the number-3 (right inboard) engine during a scheduled regular passenger transport flight from Sydney to Bangkok. The flight crew experienced vibrations and received an ENG 3 REVERSER engine indicating and crew alerting system (EICAS) message. The crew shut down the number-3 engine and completed checklist items before returning the aircraft to Sydney. An initial engineering examination found that a fan…

During a routine departure from Melbourne aerodrome, the inner left main landing gear wheel separated from a B727 aircraft (registration VH-TXH) and was later recovered near the aerodrome perimeter fence. Preliminary examination showed that the outer axle bearing had failed, allowing the wheel hub to move axially outward over the retaining nut and off the stub axle (figure 1).

This report describes the results of a national survey of transport companies in Australia. The aim was to survey companies about knowledge and awareness of fatigue, about work-rest scheduling practices and about the factors which underlie the way schedules are organised. The survey was designed to provide complimentary information to that obtained in a national survey of drivers undertaken at the same time and reported elsewhere. Telephone interviews with 200 companies carrying freight over distances greater than 300km were undertaken, covering all regulated mainland states of Australia, and…