The ATSB's final investigation report has found that a Boeing 737 passenger aircraft that overran the runway in Darwin in June 2002 did so because of a high approach speed, an inaccurate and unstabilised approach, and poor crew resource management.
A final ATSB investigation report into a serious incident involving a Saab passenger flight in June 2002 has found that pilots lost control because of low airspeed, airframe icing and the operation of the aircraft autopilot system, and that they did not receive a prior stall warning.
Speech delivered to Asia-Pacific Coroners' Conference, Hobart,
Tasmania on ATSB fatality investigations in Australia and the Asia
Pacific by Mr Kym Bills, Executive Director, Australian Transport
Safety Bureau.
Presentation given to Waypoint 2007 on Investigation and data
issues.
The ATSB supports safety recommendations the SA Coroner has made today that reinforce those by the ATSB, but disagrees with some of the Coroner's key conclusions.
The Australian Transport Safety Bureau has been advised of a fatal aviation accident involving a Piper Seneca aircraft, VH-CTT which occurred at Bankstown Airport at about 12.52 (AEDST) today.
At this point in time details available to the Bureau are sketchy.
The ATSB's report into the Epping rail accident reinforces the limitations of reliance on automatic train stops and 'deadman's handle' devices in the event of driver incapacitation and highlights the importance of improving these defences as well as medical standards and processes for train crew.
The supplementary ATSB investigation report into the Whyalla Airlines fatal accident tabled in the Senate today confirms the likelihood of the ATSB's accident scenario in its December 2001 report in contrast to the findings of the SA State Coroner in July 2003.
The Australian Transport Safety Bureau (ATSB) has received international recognition for outstanding work in its Investigation into Ansett Australia maintenance safety deficiencies and the control of continuing airworthiness of Class A aircraft report.
