The threat and error management (TEM) model provides a non-technical tool to help pilots identify and manage threats (hazards) and errors during flight. In preparation for regulatory changes that come into effect in July 2009, the Guild of Air Pilots and Air Navigators (GAPAN) developed a TEM 'train-the-trainer' course for general aviation and low capacity air transport operations. Between August and October 2007, GAPAN conducted TEM training in 10 locations throughout Australia. Two surveys were administered to TEM course participants by the Australian Transport Safety Bureau: one…

Non-factory amateur-built and experimental (ABE) aircraft are a popular alternative to general aviation aircraft. In Australia, there is little comprehensive data on these aircraft and what people do when building or buying them second-hand. Key players in this part of aviation were consulted in developing a survey to better understand these aircraft builders and owners. The survey was distributed electronically and in hard copy to owners of VH-registered ABE aircraft, and about 50 per cent of active ABE aircraft owners answered the survey. It focussed on choice of aircraft, construction and…

The aim of this study was to provide information to the flying community concerning those common errors they perceived to be most detrimental to flight safety. The ATSB sent the 'Aviation Industry Safety Survey' to 5000 commercial pilots throughout Australia in November 2003. The survey asked pilots about their safety experiences during the previous year and to report the most serious error they made or saw during that time. They were also asked to describe briefly what they thought were the main factors contributing to the error and how the situation was recovered. Demographic information…

We understand that any accident that results in a serious injury or loss of life can have profound effects. A fatality begins a complex process of grieving for those close to the individual(s) involved. Families and friends naturally want to know why the accident happened, and how to prevent someone else having to experience such loss. This page and accompanying brochure attempt to answer some of your questions about a transport safety investigation conducted by the Australian Transport Safety Bureau (ATSB) where there has been a fatality. The ATSB is governed by a Commission and is entirely…

(a report produced and published by the Australian Transport Safety Bureau, Canberra, Feb 2004) The purpose of this publication is to examine trends in the numbers of railway accident deaths in Australia in the 1980s and 1990s in the light of comparable data from other countries that are members of the Organisation for Economic Cooperation and Development (OECD). Overall, the data indicate that in the period from 1980 to 1999 Australia's rail safety improvement compared favourably with that of other OECD countries and performance reached OECD median levels in the 1990s. Data for this…

To facilitate comparisons between rail safety in each of the jurisdictions in Australia, comparisons between rail safety in Australia and in other countries, and comparisons between the safety of the different modes of transport (air, water, road and rail), the ATSB has referred wherever possible to national and international standards. The Australian standard AS 4292, Railway safety management, includes an appendix titled 'Incident definition and recording requirements'. State rail safety regulators have also devised a national standard called 'Occurrence categories and definitions'. Both of…

Although most runway incursions do not result in accidents, the potentially catastrophic consequences of runway incursions place them high on the agendas of aviation safety agencies internationally. The majority of runway incursions in Australia have a low potential to result in an accident. Australia has never experienced a large scale accident due to a runway incursion but vigilance is required to maintain this safety record. Data described and analysed in this report were sourced from the ATSB's OASIS database. The data have been reviewed and analysed to better understand runway incursions…

Following three midair collisions at major general aviation airports in Australia between February and July 2002, the Australian Transport Safety Bureau (ATSB) conducted a review of midair collisions in Australia between 1961 and 2003. The objectives of the review were to identify common characteristics and contributing factors, assess whether there had been a change in the midair collision rate in recent years, and to compare the characteristics and rate of midair collisions with those of other countries.

The aim of this study was to investigate the safety climate1 of Australian aviation as perceived by commercial pilots. To do this, the ATSB sent a survey to 5000 commercial pilots throughout Australia. The survey had two parts: one was a safety climate scale and the other asked about safety experiences during the last year. Demographic information was also sought. This report is limited to the demographic data and the first part of the survey, the safety climate scale. Safety climate perceptions are also reviewed. The safety climate instrument was developed as a generic measure of safety…

At about 0110 on 21 June 2000 a fisherman from Iluka, New South Wales, was killed when his 14 m trawler was run down and sunk by a 181 m long, 42 717 tonne deadweight bulk carrier.