The Australian Government Review of National Road Safety Governance is examining how to bring down the number of road deaths and serious injuries. Page 1 of 1 Total records: 20 Safety publications; Pub. The expertise provided by these Commissioners across the aviation, rail and marine transport modes is essential for ensuring we are meeting the interests of our stakeholders with our investigations.The ATSB’s greatest resource continues to be its people. During the year, we also entered into a strategic partnership with the Royal Melbourne Institute of Technology (RMIT) University, continued with our program of work to further improve our operational efficiency and effectiveness, and implemented an initiative to increase the number of Memoranda of Understandings (MOU) with transport industry associations.There was much attention on the agency in September 2018 with the publication of the final report from our investigation into a King Air aircraft’s collision with a building in a retail precinct at Melbourne’s Essendon Airport in 2017 (The investigation found the aircraft’s rudder trim was set incorrectly for take-off, resulting in a loss of directional control.
Workforce challenges are also expected, with shortages of key personnel in some sectors and increased movement of operational staff between employers. I am confident that we can make good progress, particularly following our recent investigator recruitment exercise.
The Productivity Commission’s inquiry into National Transport Regulatory Reform is looking at the impacts of the rail, marine and road heavy vehicle changes that came out of intergovernmental agreements from 2011 to move the industries towards single national jurisdictions. Under the terms of the MOU, in the coming year the ATSB will look forward to receiving a greater range of occurrences information to assist with data analysis and research.The ATSB completed four complex marine safety investigations and three short investigations.
This annual report has been prepared in accordance with section 63A of the Transport Safety Investigation Act 2003(TSI Act). We are creating an environment where our employees are empowered. The published reports included an investigation into a fall from height and serious injuries to crew members on board the We released our report from the grounding of the Australian Border Force cutter The report for the investigation into contact with a wharf by the vessel Appointed as the Chair of the International Transportation Safety Association (ITSA) in 2019, I will host an ITSA forum in Sydney in 2020. The ATSB also facilitated additional human factors training courses, adding to the more than 40 courses we have conducted since 2000 to educate those in a position to influence safety.The ATSB is focused on ensuring its own people have the highest investigative capabilities and in educating others to achieve the same. The investigation highlighted the challenges of landing in darkness and poor weather conditions when landing on wide runways that lack centreline lighting.
While there is no agreement for an ATSB-funded role, the ATSB committed to a policy to make itself available for major accidents where resources are made available. The investigation drew upon the ATSB’s world-leading human factors capabilities, which resulted in safety messaging around the use of checklists as an essential tool for overcoming limitations with pilot memory and ensuring action items are completed in sequence without omission.
The ATSB will be seeking to continue to benchmark its performance against its peers to ensure that we are delivering optimal outcomes for transport safety in Australia.Before ITSA, I will be releasing the ATSB’s ‘Vision 2025’ statement. This provided a valuable opportunity to exchange information and knowledge with my international counterparts. The video has been viewed more than 2,600 times on YouTube, and more than 15,000 times on Facebook. Annual reports.
Mr Nagy, along with myself and Chief Operating Officer Colin McNamara, constitute the ATSB’s Executive.
We recently introduced amended key performance indicators to reflect the time it takes to complete complex investigations that look at in-depth systemic factors.The Australian National Audit Office (ANAO) also audited our operational efficiency during the year.
This messaging highlights the ATSB’s approach to safety investigation, which is to ensure that all the lessons can be learnt to help stop accidents in the future.On an international level, the ATSB’s contribution to safety was exemplified by the release of our final report from the investigation into a serious incident involving an ATR 72 turboprop airliner, which experienced an inadvertent pitch disconnect following an in-flight upset.