International

Accredited Representative to the Indonesian NTSC – Hard landing involving Airbus Helicopters EC135 P3H, PK-WSI, Weda Bay Airport, Indonesia, on 22 June 2026

Summary

On 22 June 2026, an Airbus Helicopters EC135 P3H, registered PK-WSI, sustained a hard landing. During a recurrent flight training exercise at Weda Bay Airport involving simulated One Engine Inoperative (OEI) procedures, the helicopter experienced a loss of main rotor speed (NR) during a Vertical Take-Off and Landing (VTOL) approach.

Despite recovery attempts by the flight instructor, the helicopter descended at a high rate and made a hard landing. Both pilots were uninjured. The helicopter sustained substantial damage.

The Indonesian National Transportation Safety Committee (NTSC) is investigating this occurrence.

The NTSC has requested assistance from the ATSB. To facilitate this support and to provide the appropriate protections for the information, the ATSB appointed an accredited representative in accordance with paragraph 5.23 of the International Civil Aviation Organization Annex 13 and commenced an investigation under the Australian Transport Safety Investigation Act 2003.

Any enquiries relating to the investigation should be directed to the NTSC.

Occurrence summary

Investigation number AA-2026-007
Occurrence date 22/06/2026
Location Weda Bay Airport, Indonesia
State International
Investigation type Accredited Representative
Investigation status Active
Mode of transport Aviation
Aviation occurrence category Hard landing
Highest injury level None

Aircraft details

Manufacturer Airbus Helicopters
Model EC135 P3H
Registration PK-WSI
Sector Helicopter
Injuries None
Damage Substantial

Accredited Representative to the Japan Transport Safety Board following a runway excursion involving a Gulfstream G550, VH-PFL, at New Chitose Airport, Japan, on 12 December 2025

Summary

The Japan Transport Safety Board (JTSB) is investigating a runway excursion involving a Gulfstream G550, registered VH-PFL, at New Chitose Airport, Japan, on 12 December 2025.

After the aircraft landed, it overran the runway and came to a stop in a grassy area.

The JTSB has requested assistance and the appointment of an accredited representative from the ATSB.

To facilitate this support and to provide the appropriate protections for the information, the ATSB appointed an accredited representative in accordance with paragraph 5.23 of Annex 13 to the Convention on International Civil Aviation and commenced an investigation under the Australian Transport Safety Investigation Act 2003.

Occurrence summary

Investigation number AA-2026-006
Occurrence date 12/12/2025
Occurrence time and timezone 09:55 UTC
Location New Chitose Airport
State International
Report status Pending
Investigation type Accredited Representative
Investigation status Active
Mode of transport Aviation
Aviation occurrence category Runway excursion
Occurrence class Serious Incident
Highest injury level None

Aircraft details

Manufacturer Gulfstream Aerospace Corp
Model GV-SP
Registration VH-PFL
Serial number 5287
Aircraft operator Pacific Flight Services Pty Ltd
Sector Jet
Operation type Part 135 Air transport operations - smaller aeroplanes
Activity Commercial air transport-Non-scheduled-Passenger transport charters
Departure point Juanda International Airport, Indonesia
Destination New Chitose Airport, Japan
Injuries None
Damage Nil

Accredited Representative to the New Zealand Transport Accident Investigation Commission investigation of a GPWS alert landing gear not down incident involving ATR 72, ZK-MVC, at Napier, New Zealand, on 6 June 2026

Summary

The New Zealand Transport Accident Investigation Commission (TAIC) is investigating a GPWS alert landing gear not down incident involving ATR 72-600, registered ZK-MVC and operated by Air New Zealand, at Napier, New Zealand, on 6 June 2026.

The reported circumstances were that at 1707 on 6 June 2026, on approach to Napier Aerodrome, the flight crew received a Ground Proximity Warning System alert with a Landing Gear Not Down message, and conducted a go-around. The aircraft then landed safely at Napier Aerodrome. TAIC has requested assistance from the ATSB.

To facilitate this support and to provide the appropriate protections for the information, the ATSB appointed an accredited representative in accordance with paragraph 5.23 of the International Civil Aviation Organization Annex 13 and commenced an investigation under the Australian Transport Safety Investigation Act 2003.

Any enquiries relating to the investigation should be directed to TAIC.

Public information about the TAIC investigation is available here.

Occurrence summary

Investigation number AA-2026-005
Occurrence date 06/06/2026
Location Napier, New Zealand
State International
Investigation type Accredited Representative
Investigation status Active
Mode of transport Aviation
Aviation occurrence category E/GPWS warning

Accredited Representative to the PNG AIC following the hard landing involving Cessna T188, VH-NAB, at Daru Airport, Papua New Guinea, on 19 December 2025

Summary

The Accident Investigation Commission (AIC) of Papua New Guinea commenced an investigation into a hard landing involving a Cessna T188C aircraft, registered VH-NAB, at Daru Airport, Papua New Guinea, on 19 December 2025. The AIC requested assistance from the ATSB to distribute the final report for comment. 

To facilitate this support and to provide the appropriate protections for the information, the ATSB appointed an accredited representative in accordance with paragraph 5.18 of the International Civil Aviation Organization Annex 13 and commenced an investigation under the Australian Transport Safety Investigation Act 2003.

On 29 June 2026, the AIC released the final investigation report into this accident. Accordingly, the ATSB has concluded its involvement in the investigation. A copy of the report can be requested from the Accident Investigation Commission (AIC) of Papua New Guinea.

 

Occurrence summary

Investigation number AA-2026-004
Occurrence date 19/12/2025
Occurrence time and timezone 22:36 UTC
Location Daru Airport
State International
Investigation type Accredited Representative
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Landing gear/indication
Highest injury level None

Aircraft details

Manufacturer Cessna Aircraft Company
Model T188C
Registration VH-NAB
Serial number T18803891T
Sector Piston
Operation type Part 91 General operating and flight rules
Activity General aviation / Recreational-Other general aviation flying-Ferry flights
Departure point Horn Island Airport, Queensland
Destination Daru Airport, Papua New Guinea
Injuries None
Damage Minor

Loss of control involving a Gippsland Aeronautics GA8, near Atauro Island airstrip, Timor-Leste, on 5 March 2026

Report release date: 11/05/2026

Occurrence Briefs are concise reports that detail the facts surrounding a transport safety occurrence, as received in the initial notification and any follow-up enquiries. They provide an opportunity to share safety messages in the absence of an investigation. Because occurrence briefs are not investigations under the Transport Safety Investigation Act 2003, the information in them is de-identified. 

What happened

On the afternoon of 5 March 2026, a Gippsland Aeronautics GA8 Airvan, with a pilot and 4 passengers on board, prepared to depart Atauro Island airstrip, Timor-Leste, for a medical transport flight to Dili, Timor-Leste. At 1214 local time, the aircraft departed runway 01 into a 5 kt headwind. Soon after taking off, the aircraft encountered turbulence and the pilot turned right, away from the nearby terrain that was likely creating the turbulence. 

As the aircraft climbed to about 600 ft above mean sea level (AMSL) with climb power selected, the aircraft encountered severe turbulence with an associated downdraft. Control of the aircraft was briefly lost and a dash mat lifted off the glareshield, striking the pilot in the face, with dust from the dash mat temporarily impairing the pilot’s vision.

The aircraft descended toward the ocean surface and the pilot increased engine power to full, in an attempt to arrest the rate of descent. Despite this, the aircraft continued descending toward the water and the terrain awareness and warning system generated a ‘pull up’ alert.

The descent continued until the aircraft was about 150 ft AMSL, when the pilot was able to arrest the descent and reestablish a climb. As the aircraft climbed above 1,000 ft AMSL, the pilot observed that the flight instrumentation indicated a north westerly wind of 45 kt. The flight then continued to Dili and landed without further incident. There were no reported injuries and the aircraft was not damaged.

Turbulence

Mountainous terrain lies to the north and west of the Atauro Island airstrip (Figure 1).

Figure 1: Atauro Island

Atauro Island

Source: Google Earth, annotated by the ATSB

The Australian Civil Aviation Safety Authority Avsafety card, Turbulencedescribes turbulence types associated with mountainous terrain (Figure 2):

  • Mechanical turbulence occurs when air flow is forced to diverge around or converge through gaps in natural barriers like hills, or obstructions like buildings.
  • Orographic turbulence is caused by the large-scale displacement of airflow by natural structures such as mountains and islands. Mountain waves are likely to form when the following atmospheric conditions are present:
    • the wind flow at around ridge height is nearly perpendicular to the ridge line and at least 25kts
    • the wind speed increases with height
    • there is a stable layer at around ridge height.

As the air is forced over the mountain it will descend in the lee and then oscillate in a series of waves, sometimes for long distances. Mountain wave severe forecasts indicate a downdraft of 600fpm or more.

Figure 2: Mechanical turbulence and mountain waves

Diagram from CASA Avsafety Turbulence card, describing mechanical turbulence and mountain waves

Source: Bureau of Meteorology

Safety action

Following the incident, the operator conducted a review of operational wind limitations for operations at Atauro Island airstrip. The airstrip notes were also updated to include seasonal hazards associated with the surrounding terrain, including turbulence and potential windshear.

The operator also inspected all aircraft to ensure that no unapproved dash mats were fitted and that approved dash mats were secure and free of debris. In addition, a review was being conducted of the maintenance schedule to determine if a specific dash mat inspection was required. Lastly, the paint scheme specification was being updated to add a specific dashboard paint and location for the dash mat velcro loops.

Safety message

To avoid unexpected encounters with severe turbulence, the Flight Safety Australia article Mountain flying: unconsidered factors encourages pilots to visualise the flow of air around and above terrain, especially when the winds are strong and when the air is stable.

About this report

Decisions regarding whether to conduct an investigation, and the scope of an investigation, are based on many factors, including the level of safety benefit likely to be obtained from an investigation. For this occurrence, no investigation has been conducted and the ATSB did not verify the accuracy of the information. A brief description has been written using information supplied in the notification and any follow-up information in order to produce a short summary report, and allow for greater industry awareness of potential safety issues and possible safety actions.

Occurrence summary

Mode of transport Aviation
Occurrence ID AB-2026-017
Occurrence date 05/03/2026
Location Near Atauro Island airstrip, Timor-Leste
State International
Occurrence class Serious Incident
Aviation occurrence category E/GPWS warning, Loss of control, Unrestrained occupants/objects
Highest injury level None
Brief release date 11/05/2026

Aircraft details

Manufacturer Gippsland Aeronautics Pty Ltd
Model GA8-TC 320
Sector Piston
Operation type Part 135 Air transport operations - smaller aeroplanes
Departure point Atauro Island airstrip, Timor-Leste
Destination Dili Airport, Timor-Leste
Injuries None
Damage Nil

Accredited Representative to the PNG AIC following the accident involving DHC-6-300, P2-BBM, at Jacksons International Airport, Port Moresby, Papua New Guinea, on 22 January 2026

On 22 January 2026, a de Havilland Canada DHC-6-300 Twin Otter, sustained a failure of its nose landing gear as the aircraft departed from Tapini Airstrip in Central Province, Papua New Guinea.

Parts of the landing gear that had fallen to the ground were recovered by local residents at Tapini. The flight continued to Port Moresby and on arrival at Jacksons International Airport, the flight crew completed an emergency landing with the nose gear inoperative.

Ground emergency services had been advised of the emergency and were standing by. The aircraft remained on the runway during the landing, however it sustained substantial damage from contact with the runway surface. There were 21 persons on board: 2 crew members and 19 passengers. No injuries were reported.

The Papua New Guinea Accident Investigation (AIC) has commenced an investigation into the accident in accordance with Annex 13 to the Convention on International Civil Aviation (ICAO). The AIC requested assistance from the ATSB to examine components from the nose landing gear. To facilitate this support and to provide the appropriate protections for the information, the ATSB appointed an accredited representative in accordance with paragraph 5.23 of the ICAO Annex 13 and commenced an investigation under the Australian Transport Safety Investigation Act 2003.

Any enquires relating to the investigation should be directed to the Papua New Guinea Accident Investigation Commission at www.aic.gov.pg(Opens in a new tab/window).

Occurrence summary

Investigation number AA-2026-003
Occurrence date 22/01/2026
Location Jacksons International Airport, Port Moresby, Papua New Guinea
State International
Investigation type Accredited Representative
Investigation status Active
Mode of transport Aviation
Aviation occurrence category Landing gear/indication
Highest injury level None

Aircraft details

Manufacturer De Havilland Canada/De Havilland Aircraft of Canada
Model DHC-6-300 Twin Otter
Registration P2-BBM
Aircraft operator Tropicair
Sector Turboprop
Departure point Tapini Airstrip, Papua New Guinea
Destination Jacksons International Airport, Papua New Guinea
Injuries None
Damage Substantial

Accredited Representative to the PNG AIC – Collision with terrain involving Cessna T188C, VH-SOY, 171 km east of Mount Hagen Airport, Papua New Guinea, on 23 April 2025

Summary

The Papua New Guinea Accident Investigation Commission (AIC) is conducting an investigation into a collision with terrain involving a Cessna T188C, registered VH-SOY, 171 km east of Mount Hagen Airport, Papua New Guinea, on 23 April 2025. The sole pilot was fatally injured.

The AIC has requested assistance and the appointment of an accredited representative from the ATSB. To facilitate this support and to provide the appropriate protections for the information, the ATSB appointed an accredited representative in accordance with paragraph 5.23 of Annex 13 to the Convention on International Civil Aviation and commenced an investigation under the Australian Transport Safety Investigation Act 2003.

Any enquires relating to the investigation should be directed to the Papua New Guinea Accident Investigation Commission at www.aic.gov.pg.

Occurrence summary

Investigation number AA-2026-001
Occurrence date 23/04/2025
Location 171 km east of Mount Hagen Airport, Papua New Guinea
State International
Investigation type Accredited Representative
Investigation status Active
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident
Highest injury level Fatal

Aircraft details

Manufacturer Cessna Aircraft Company
Model T188C
Registration VH-SOY
Serial number T18803847
Aircraft operator Liddle's Aerial Spraying Pty Ltd
Sector Piston
Operation type Part 138 Aerial work operations
Damage Destroyed

Accredited Representative to the US National Transportation Safety Board investigation into an accident involving MX Aircraft MXS, N530RH, near Hampton, Virginia, United States, on 24 April 2025

On 24 April 2025, an MX Aircraft MXS single-engine light aircraft, registered N530RH, collided with terrain near the runway while on approach for landing at Langley Air Force Base near Hampton, Virginia, United States. The pilot sustained fatal injuries, and the aircraft was substantially damaged.

The United States National Transportation Safety Board (NTSB) commenced an investigation into the accident and requested assistance and the appointment of an accredited representative from the ATSB.

To facilitate this support and to provide the appropriate protections for the information, the ATSB appointed an accredited representative in accordance with paragraph 5.23 of Annex 13 to the Convention on International Civil Aviation and commenced an investigation under the Australian Transport Safety Investigation Act 2003.

On 2 July 2026, the NTSB released the final investigation report into this accident. Accordingly, the ATSB has concluded its involvement in the investigation. Any enquiries relating to the investigation should be directed to the NTSB.

Last updated:

Occurrence summary

Investigation number AA-2026-002
Occurrence date 24/04/2025
Location Langley Air Force Base, Virginia, United States
State International
Investigation type Accredited Representative
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Highest injury level Fatal

Grounding of Coral Adventurer, Nussing Island (100 km east of Lae), Papua New Guinea, on 27 December 2025

Summary

On the morning of 27 December 2025, while transiting towards Dregerhafen in Papua New Guinea, the 93.4 m passenger ship Coral Adventurer ran aground on a coral reef north of Nussing Island.

After an unsuccessful attempt to manoeuvre the ship off the reef using its propulsion at high tide on 27 December, the ship's operator engaged a towage provider to assist with refloating it.

The ATSB has commenced a safety investigation into this incident and is gathering evidence from relevant parties for analysis.

The ATSB released a preliminary report, which details factual information established in the investigation’s early evidence collection phase, on 12 March 2026. See below.

Should a critical safety issue be identified at any time during the investigation, the ATSB will immediately notify the operators of the ship, and other relevant parties so that appropriate and timely safety action can be taken.

A final report will be published at the conclusion of the investigation.

Preliminary report

Report release date: 12/03/2026

This preliminary report details factual information established in the investigation’s early evidence collection phase, and has been prepared to provide timely information to the industry and public. Preliminary reports contain no analysis or findings, which will be detailed in the investigation’s final report. The information contained in this preliminary report is released in accordance with section 25 of the Transport Safety Investigation Act 2003. 

Summary video

The occurrence

Departure

On 18 December 2025, the 93 m Coral Adventurer departed Cairns, Queensland, for a 12-night cruise visiting Papua New Guinea (PNG) with 80 passengers and 44 crew on board. The ship’s itinerary comprised 11 ports and anchorages on the north-east coast of PNG, concluding on 30 December in the port of Madang (Figure 1). The voyage included night sailings between locations, arriving at the next scheduled destination at about sunrise for daytime passenger expedition. 

Figure 1: Coral Adventurer’s itinerary

Coral Adventurer’s itinerary

Source: Google Earth, Coral Expeditions, annotated by the ATSB

On 26 December, the ship was at anchor off Lababia, approximately 60 km south‑south‑east of Lae. During the evening, the chief mate completed the departure checklist and, at 1918, the ship commenced its 63 mile[1] passage to Dregerhafen (Figure 2).

Figure 2: Lababia to Dregerhafen

Lababia to Dregerhafen

Source: Australian Hydrographic Office, annotated by the ATSB

Grounding

At 0400 on 27 December, the chief mate took over the bridge watch from the second mate. During the watch handover, the second mate reported that the ship was encountering currents and was being set to starboard, steering a heading[2] of 358°, and making good a course[3] of 012° at 5.4 knots.[4] The ship had one generator providing electrical power and both Azipull propulsion thrusters running at 120 RPM. The ship’s estimated time of arrival (ETA) at Dregerhafen of 0530 was also discussed. 

The second mate stayed on the bridge to complete administrative tasks, seated away from the bridge console on a couch aft of the chart table. At the same time, the lookout handed over the watch, with a trainee deck rating taking over.

At 0407, the chief mate reviewed the route into Dregerhafen on the electronic chart display and information system (ECDIS). They then modified the route, moving the second waypoint and inserting an extra waypoint. This segmented the 100° turn around Nussing Island into 2 legs, while still closely following the original planned track (see the section titled Passage planning).

At about 0500, the chief mate instructed the lookout to remove the anchor lashings in preparation for the ship’s approach into Dregerhafen. The chief mate also contacted the duty engineer and requested a second generator, which was started and brought online shortly after. By 0510, both anchors had been cleared for use, and the lookout had returned to the bridge.

At 0512, the ship was in autopilot mode steering a heading of 357°. The ship was making good a course of 009° at a speed over ground of 5.6 knots while approaching the final waypoint of the route (Figure 3).

The chief mate then attempted switching the ECDIS monitored route to Route 2 – the track into Dregerhafen. However, as Route 2 had been modified, it failed to load as the active route. This caused a delay as the chief mate completed the required ECDIS ‘route check’ for Route 2, to allow it to be monitored as the active route.

Figure 3: Route 2 – entrance to Dregerhafen

Route 2 – entrance to Dregerhafen

Planned track (blue) and actual track (red) overlaid on vector chart in use on board Coral Adventurer at the time of the grounding. Source: Australian Hydrographic Office, modified and annotated by the ATSB

While the chief mate was conducting the ‘route check’, the ship passed the wheel over point[5] for the turn to the next course (293°). At 0512:26, with the ship heading towards unsurveyed waters to the north, the chief mate switched to manual steering in common mode[6] to facilitate a quicker turn and return to the planned track. 

During the turn the ship slowed, and the chief mate perceived this was caused by a strong current. In response, at 0513:49, they increased the setting of both Azipull thrusters to 180 RPM to regain speed. Speed continued to reduce as the ship turned towards the planned track, reaching 3.8 knots at 1514:46 before starting to increase in response to the increased RPM setting (Table 1).

Table 1: Event timeline

TimeEventSOG[7] knots
0512:00Approached end of Route 1 – south of Nussing Island5.6
0512:26Manual steering in common mode, port turn input5.6
0513:49Azipull thrusters increased to 180 RPM5.2
0514:46Continued turn to port, minimum recorded speed over ground3.8
0518:43Autopilot mode engaged7.7
0519:10Passed wheel over point8.1
0521:00Manual steering in common mode, starboard turn input8.5
0523:30Steady7.4
0524:00Master on the bridge8.0
0525:00Master noted shallow water ahead8.3
0525:11Port turn input8.5
0525:17Grounding noises8.4
0525:30Vessel stopped0
0550PA announcement to passengers0

At about 0518, the ship returned to the planned track and on achieving a heading of 293°, the chief mate switched the steering back to autopilot mode.

At 0519:10, the ship arrived at the wheel over point for the next course of 339° at a speed of 8.1 knots. This route leg ran a distance of 0.18 mile between the modified waypoints. The chief mate planned to use the autopilot to execute a continuous turn to starboard onto the following charted course of 033°, which led to the entrance channel into Dregerhafen (see the section titled Passage planning). However, the ship did not respond as the chief mate expected and overshot the planned turn. At 0521, the chief mate switched to manual steering and increased the rate of turn to return to the planned track. By then the ship’s speed had increased to about 8.5 knots, which continued to take the ship further off course to the west. 

The chief mate later reported that due to darkness[8] and the absence of navigational aids and lights ashore, they were unable to accurately identify the surrounding topography at the time. They were concentrating on the ECDIS, with efforts to return to the planned track of 033°.

They then continued the turn to starboard at a high rate of turn until 0523:30, when the ship was brought to a north-easterly heading. At 0524:00, the master arrived on the bridge and greeted the chief mate, who responded that they were experiencing ‘a strong current’.

The chief mate later also reported that they then shifted their focus from the ECDIS screen to outside where they could see silhouettes of the islands. They reported being ‘unable to correctly visually identify the entrance into Dregerhafen’ and ‘losing situational awareness’. Meanwhile, the ship continued across the planned track, heading towards the then visible opening between Nussing and Kumbam Islands (see the section titled Dregerhafen).

At 0525, the master (standing at the forward console) advised the chief mate that it appeared they were heading into shallow water and at 0525:11, the chief mate attempted a hard turn to port. At 0525:17, a loud noise could be heard as the ship grounded at a speed of 8.5 knots on the bank connecting Nussing and Kumbam Islands. The ship experienced a series of ‘shudders’, before coming to an abrupt halt at 0525:30.

In response, the master reduced the Azipull thrusters’ setting to zero and telephoned the chief engineer. The master informed the chief engineer that the ship had grounded and directed them to commence damage control actions. Other members of the ship’s crew were notified, and the master also reported the incident to the ship’s shore-based operator, Coral Expeditions. The ship’s crew then proceeded to check the integrity of the ship, sounding tanks and void spaces and taking soundings of the seabed around the hull. 

At 0550, the master made the first announcement on the public address system (PA), informing passengers that the ship had grounded, but was safe. At 0620, the ship’s expedition leader made another PA announcement updating the passengers on the situation. The passengers were not mustered, and a (limited) part of the excursion program continued for their entertainment.

Expedition staff later completed dive inspections, which confirmed that the ship was resting on the seabed along its starboard side (Figure 4). The propulsion and steering were unaffected.

Figure 4: Underwater images taken during the dive inspection

Underwater images taken during the dive inspection

Source: Coral Expeditions, annotated by the ATSB

Refloating

After an unsuccessful attempt by the ship’s crew to manoeuvre the ship off the reef at high water on 27 December, Coral Expeditions, engaged towing company Pacific Towage to assist with the refloating. On 28 December, Pacific Towing tasked the tug Macedon from Lae (100 km to the west), which arrived near the ship shortly after midday. After the initial toolbox meeting, the refloating attempt with Macedon commenced at about 1420. However, after half an hour, Macedon’s crew reported that the tug’s engines had overheated and the refloating was suspended. During refloating attempts, the passengers and hotel staff were landed ashore using the ship’s tenders to ensure their safety.

On 29 December, Pacific Towage engaged the more powerful tug Langila for another refloating attempt. However, due to administrative issues, no refloating was attempted on the day.

On 30 December, all passengers were disembarked from Coral Adventurer and were repatriated to Cairns via a charter flight from Lae. Coral Expeditions entered a salvage contract with Pacific Towing and the refloating attempt with Langila commenced at 1422.

By 1534, Coral Adventurer was successfully refloated. The ship was then navigated to a nearby safe anchorage, where it was anchored for further damage assessment and inspections by the ship’s classification society, DNV. 

Context

Coral Adventurer

Coral Adventurer (Figure 5) was built in 2019 by Vard Vung-Tau, Vietnam. It was registered in Australia and classed with DNV. It was owned by CPC Marine and managed by Coral Princess Cruises (NQ) in Cairns, which operated commercially as Coral Expeditions.

Figure 5: Coral Adventurer

Coral Adventurer

Source: Coral Expeditions

Coral Adventurer had a length overall of 93.4 m, a moulded breadth of 17.2 m and a design draught of 4.4 m. It was certified and equipped to carry a total of 126 passengers in 63 cabins as well as a maximum crew complement of 42, for a total of 168 persons on board. The ship’s relatively small size and limited draught were a design choice to allow it to access remote locations away from port infrastructure for ‘expedition’ style cruises. To provide access ashore, it was equipped with 2 large tenders that could be lifted using a hydraulic platform at the stern. Additionally, the ship carried several inflatable boats that could be used for shore access as well as diving and snorkelling.

To comply with the SOLAS[9] requirement for the carriage of navigational information, Coral Adventurer was fitted with dual Transas 4000 electronic chart display and information systems (ECDIS). For operation in Australian and Papua New Guinean waters, the crew utilised official electronic navigational charts, published by the Australian Hydrographic Office. The ship was also fitted with a Danelec DM100 voyage data recorder.

Propulsion

Coral Adventurer was equipped with diesel-electric propulsion, with electrical power provided by two 1,432 kW Caterpillar 3512C and one 994 kW Caterpillar C32 generator sets. Propulsion and steering were provided by 2 electrically‑driven Rolls-Royce Azipull thrusters of 1,200 kW each. Additionally, an 800 kW tunnel thruster was fitted at the bow to provide transverse thrust while manoeuvring at low speed.

The Azipull units consisted of an electric drive motor fitted inside the hull with a gearbox driving a vertical shaft connected to the underwater thruster unit. The thruster units were fitted with fixed pitch pulling propellers and could be rotated trough 360°. This allowed the thrust vector of the main propulsion to be rotated through 360°, improving slow speed manoeuvring capabilities. The Azipull thrusters were controlled by a Helicon X3 remote control system. Normal control was through sets of ball-shaped controllers (Figure 6). One set was mounted in the centre of the bridge console and one set on each bridge wing control station. 

Figure 6: Azipull thruster controls

Azipull thruster controls

Source: ATSB

Additionally, a push-button controlled non-follow up system was available in the centre console and another locally in the thruster room. In normal operation, several control modes were available and could be selected on the Helicon X3 touchscreen (Table 2).

Table 2: Steering modes

Steering modeExplanationNote
Transit modeAzimuth angle limited to ±35°Automatically selected over 10 knots
Manoeuvre modeAzimuth angle free to rotate through 360°Below 10 knots
Common modeSingle controller controls power/speed and direction for both thrusters 
Separate leverIndividual thruster control by each controller  
AutopilotControl of thruster by autopilot systemSelected on one or both Azipull thrusters

While approaching Nussing Island, the chief mate was steering the ship on autopilot before switching to manual steering in common mode, controlling both Azipull thrusters with a single controller. This offered better steering control capability than autopilot mode but limited slow speed steering capability when compared to using separate controllers for individual thruster operation. 

Crew

Coral Adventurer had a multi-national crew of 44. The marine crew consisted of 16 persons, split between deck and engine departments under the chief mate and chief engineer. This exceeded the requirements of its minimum safe manning document.

The cruise staff consisted of 6 expedition crew, led by the ‘expedition leader’ and 22 hotel and catering crew managed by the purser. While the expedition and hotel staff reported to their own department heads, the master was responsible for overall safety.

Master

The master had held an Australian unlimited master’s certificate of competency since 2019. They had seagoing experience as a watchkeeping officer in a variety of roles from 2011 on tankers and domestic commercial vessels (DCVs),[10] until accepting a shore‑based position in mid‑2023. 

In May 2024, they completed a relief contract for Coral Expeditions as second mate on Coral Geographer before joining its sister ship, Coral Adventurer, as chief mate in September 2024. This was followed by a promotion to master in May 2025, after which they had sailed on a regular 3-week rotation.

Chief mate

The chief mate held an Australian certificate of competency as chief mate. They had worked on international cargo ships as a navigation officer since 2010 in a variety of roles, including as master, before joining Coral Expeditions as second mate in 2022. In August 2025, they had been promoted to chief mate on board another Coral Expeditions’ vessel, Coral Discoverer, before joining Coral Adventurer for the first time in Cairns on 18 December.

As head of the deck department, the chief mate was responsible for deck maintenance and keeping the 0400‍–‍0800 and 1600‍–‍2000 watches on the bridge.

Second mate

The second mate held an Australian certificate of competency as chief mate. They had worked at sea since 2009, including 7 years as second officer on international cargo ships before joining Coral Adventurer in September 2025. After completing one contract as third mate, they joined in Cairns on 18 December for their first voyage as second mate on board this ship.

The second mate was responsible for passage planning and the maintenance of nautical equipment and publications. They kept the 0000‍–‍0400 and 1200‍–‍1600 bridge watches.

Third mate

The third mate held an Australian certificate of competency as a chief mate. They had been working at sea since 2016 and, from 2021, as third mate on container ships. The third mate joined Coral Adventurer for the first time in Cairns on 18 December.

They kept the 0800‍–‍1200 and 2000‍–‍2400 bridge watches and were responsible for maintaining the ship’s safety and firefighting equipment.

Lookout

The lookout was rated as ‘trainee’ and held an Australian certificate of proficiency as navigational watch rating (NWR) since 2 December 2025. They had worked on DCVs before joining Coral Adventurer in November 2025. Though qualified to steer ships equipped with a conventional rudder as part of their NWR, the lookout was not trained to operate Coral Adventurer’s Azipull thrusters and thus could not act as helmsperson.

Coral Expeditions

Coral Expeditions was founded in 1983. The company initially operated small DCVs on voyages exploring Australia’s Kimberley region and other remote coastal areas.

At the time of the occurrence, the company operated 3 Australian-flagged passenger ships, Coral Adventurer, Coral Geographer and Coral Discoverer.

Safety management system

As required by the International Safety Management (ISM) Code, Coral Expeditions had implemented a safety management system (SMS) on board its vessels. A valid document of compliance (DOC) for operating passenger ships was issued to the company and a safety management certificate covering Coral Adventurer was in place, both issued by DNV.

Passage planning

Preparation for cruises started with the selection of the itinerary by Coral Expeditions based on previous experience, availability of shore excursions and capabilities of the ship. On board, the second mate completed the passage planning process, as per the procedure in the company’s SMS, using the passage planning checklist.

To streamline the passage planning process, the ship maintained a library of routes in the ECDIS, which had been approved by the ship’s master and used previously. These routes were marked ‘CA’ in the system and were required to be used wherever possible. 

The routes were split into sectors, separating the confined water transits, such as harbour approaches or pilotage sections, from longer open water transits. This allowed routes between ports to be used in various combinations, including the incorporation of any new transit routes.

For the passage from Lababia to Dregerhafen, the passage plan included 2 ‘CA’ approved routes:

  • Route 1 – from the ship’s anchored position at Lababia to a position south of Nussing Island
  • Route 2 – from the position south of Nussing Island to the intended anchor position within Dregerhafen.

These routes had been programmed into the ECDIS, with Route 1 being actively monitored at the start of the passage and Route 2 in the monitoring queue. The passage plan (which included a reference to these routes) had been printed and was signed for approval by the master and countersigned by all watchkeepers. Based on the planned departure time of 1900 on 26 December, the ship’s estimated time of arrival (ETA) at Dregerhafen was 0600 on 27 December.

Before an ECDIS route could be actively monitored, a route safety check had to be conducted. The route safety check was a function of the ECDIS route editor, which checked the route for relevant dangers to navigation based on set parameters, such as the ship’s draught and speed. The operator then had to address any identified dangers before the ECDIS would allow the route to be loaded for monitoring. Any subsequent changes made to the route would invalidate the check and require a new route check to be completed.

On the incident voyage, both routes had been checked prior to departure. However, while transiting Route 1, the chief mate made changes to Route 2, adding an additional waypoint to the starboard turn around Nussing Island (Figure 7). This change invalidated the route check and meant that Route 2 could not be activated for monitoring without entering the route editor and conducting a new route check.

Figure 7: ECDIS courses showing the original and modified plan

ECDIS courses showing the original and modified plan

Source: Coral Adventurer, annotated by the ATSB

Dregerhafen

Dregerhafen (or Dreger Harbour) is a sheltered bay located 100 km east of Lae on the Huon peninsula in Papua New Guinea’s Morobe province. It is the southernmost of 2 sheltered bays, which are protected from the sea by the Gingala Islands to the east. The Gingala Islands are connected to each other by shallow reefs. No bathymetry is available for the area to the east of the islands, which is marked as unsurveyed on the chart.

The only entry into Dregerhafen is deep but narrow, with a maximum navigable width of 120 m (Figure 8). It requires passing west of Nussing Island and entering the passage between Simboa Island and Kumbam Island, before passing between Matura Island and a drying reef off the town of Gingala. The reef was marked with a lighted beacon, though this was not visible from the location of the ship during the turn.

Pilotage was not available nor was it required by local regulations.

Figure 8: Entry channel views

Entry channel views

Aerial view of the entry to Dregerhafen. Insert below shows the view from the approximate ship’s position 3 minutes before grounding, taken from the height of the bridge in daylight. Source: Sebastian Bang, annotated by the ATSB. Insert view, the ATSB.

Further investigation

To date, ATSB investigators have attended Coral Adventurer while at anchor near Nussing Island to collect relevant recorded data, documentary and electronic evidence. The master and officers as well as relevant marine and hotel crew were interviewed.

Collection of other relevant evidence is being progressed.

The investigation is continuing and will include the following subject areas:

  • verification, interpretation and analysis of voyage data recorder data
  • review and analysis of collected closed circuit television footage
  • analysis of relevant human factors
  • review of the ship and company’s passage planning and navigation procedures, including resource management
  • review of the ship’s emergency response procedures
  • review of overall safety oversight. 

A final report will be released at the conclusion of the investigation. Should a critical safety issue be identified during the course of the investigation, the ATSB will immediately notify relevant parties so appropriate and timely safety action can be taken. 

Acknowledgements

The ATSB would like to acknowledge the Papua New Guinea Accident Investigation Commission and National Maritime Safety Authority for their assistance in the deployment of its investigators.

Purpose of safety investigations

The objective of a safety investigation is to enhance transport safety. This is done through: 

  • identifying safety issues and facilitating safety action to address those issues
  • providing information about occurrences and their associated safety factors to facilitate learning within the transport industry.

It is not a function of the ATSB to apportion blame or provide a means for determining liability. At the same time, an investigation report must include factual material of sufficient weight to support the analysis and findings. At all times the ATSB endeavours to balance the use of material that could imply adverse comment with the need to properly explain what happened, and why, in a fair and unbiased manner. The ATSB does not investigate for the purpose of taking administrative, regulatory or criminal action.

About ATSB reports

ATSB investigation reports are organised with regard to international standards or instruments, as applicable, and with ATSB procedures and guidelines.

Reports must include factual material of sufficient weight to support the analysis and findings. At all times the ATSB endeavours to balance the use of material that could imply adverse comment with the need to properly explain what happened, and why, in a fair and unbiased manner.

An explanation of terminology used in ATSB investigation reports is available here. This includes terms such as occurrence, contributing factor, other factor that increased risk, and safety issue.

Publishing information

Released in accordance with section 25 of the Transport Safety Investigation Act 2003

Published by: Australian Transport Safety Bureau

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[1]     A nautical mile of 1,852 m.

[2]     All ship’s headings in the report are in degrees by gyro compass with negligible error. 

[3]     All courses in this report are expressed in degrees true unless otherwise stated.

[4]     One knot, or one nautical mile per hour, equals 1.852 kilometres per hour.

[5]     The wheel over point indicates on the chart where rudder should be applied to start a turn, taking into account the speed of the rudder movement and inertia of the ship.

[6]     See section titled Propulsion.

[7]     SOG: speed over ground, based on recorded data from the ship’s number one GNSS receiver.

[8]     The approach was conducted in moonless conditions during nautical twilight, which is the period of time the geometric centre of the sun is between 6° and 12° below the horizon. In general, during nautical twilight, the horizon is visible and outlines of terrestrial objects may still be discernible but detailed outdoor activities are likely curtailed without artificial illumination.

[9]     The International Convention for the Safety of Life at Sea, 1974, as amended.

[10]    Domestic commercial vessels are regulated under the Marine Safety (Domestic Commercial Vessel) National Law Act 2012.

Occurrence summary

Investigation number MO-2025-013
Occurrence date 27/12/2025
Occurrence time and timezone 19:25 UTC
Location Nussing Island (100 km east of Lae), Papua New Guinea
State International
Report release date 12/03/2026
Report status Preliminary
Anticipated completion Q4 2026
Investigation level Short
Investigation type Occurrence Investigation
Investigation phase Examination and analysis
Investigation status Active
Mode of transport Marine
Marine occurrence category Grounding
Occurrence class Serious Incident
Highest injury level None

Ship details

Name Coral Adventurer
IMO number 9838644
Ship type Passenger/Cruise
Flag Australia
Classification society Det Norske Veritas Germanischer Lloyd
Owner CPC Marine Pty Ltd
Manager Coral Princess Cruises
Destination Port of Madang, Papua New Guinea
Injuries None
Damage Minor

Accredited Representative to TAIC New Zealand - Runway incursion involving Cessna 172R, ZK-TAP, and Airbus A320, VH-A5E, at Hamilton, New Zealand, on 8 November 2025

Summary

The Transport Accident Investigation Commission (TAIC) of New Zealand is investigating a runway incursion involving a Cessna 172R, registered ZK-TAP and operated by Ardmore Flying School, and an Airbus A320, registration VH-A5E and operated by Jetstar Airways, at Hamilton, New Zealand, on 8 November 2025. 

The reported circumstances were that the A320, operating as flight JQ166, was backtracking along the airport’s main runway, 18L, ahead of departing for Sydney. The Cessna was airborne, approaching to land, on the same runway.

TAIC has requested assistance from the ATSB.

To facilitate this support and to provide the appropriate protections for the information, the ATSB appointed an accredited representative in accordance with paragraph 5.23 of the International Civil Aviation Organization Annex 13 and commenced an investigation under the Australian Transport Safety Investigation Act 2003.

Any enquiries relating to the investigation should be directed to TAIC.

Public information about the TAIC investigation is available here.

Occurrence summary

Investigation number AA-2025-004
Occurrence date 08/11/2025
Location Hamilton, New Zeland
State International
Investigation type Accredited Representative
Investigation status Active
Mode of transport Aviation