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Risk and change management limitations contributed to near collision between passenger trains south of Brisbane
Key points: A New Generation Rollingstock (NGR) train left a station when the departure signal was displaying a stop indication, resulting in a near collision with another…
Wirestrike highlights the importance of conducting a risk assessment before unplanned mustering tasks
Key points: Pilot was asked to carry out previously-unplanned mustering of cattle to a yard; Hazards at the yard likely not identified as pilot did not conduct a new risk…
Landing gear not retracted after take-off demonstrates how diverted attention or focus may result in errors of omission
Key points: Q400’s landing gear not retracted until aircraft reached 15,900 ft; Aircraft was below the maximum landing gear operating speed but exceeded the maximum altitude at…
Low-level aerobatics preceded high speed water impact off South Stradbroke Island
Key points:  Aircraft was conducting low-level aerobatics prior to colliding with water; ATSB encourages witnesses, particularly those in the aviation industry, to report…
Expectation bias from pilot’s greater familiarity with IFR procedures likely led to runway incursion during rare VFR flight
The runway incursion of a Beech Baron aircraft onto an occupied runway at Bankstown Airport highlights the potential effect of expectation bias and the importance of pilots focusing on…
ATSB releases Redcliffe scenic flight accident preliminary report
The ATSB has released a preliminary report from its on-going investigation into a fatal accident involving a Rockwell International 114 light aircraft near Redcliffe aerodrome, north of…
Powerline survey aircraft stalled at a height too low for recovery
A Cessna 172 aircraft conducting powerline inspections near Canberra stalled and entered a spin at a height too low for recovery before it collided with the ground, an Australian Transport…
Flight below minimum altitude a reminder of high workload during approach, landing
A pilot’s high workload, including data entry difficulties, while conducting an approach to land at Adelaide Airport in instrument meteorological conditions likely affected their…
Correctly fitted, secured and maintained flight helmets can save lives
The Australian Transport Safety Bureau (ATSB) has issued a Safety Advisory Notice that strongly encourages all pilots conducting low-level operations to wear a properly fitted and maintained…
Improperly-secured insulation blanket lodged in freighter aircraft’s pressurisation outflow valve
An improperly-secured insulation blanket became lodged in a 737 freighter’s main pressurisation outflow valve resulting in the aircraft cabin depressurising during descent, an Australian Transport…