Citing lapses in information gathering and flaws in accident analysis, the Transportation Safety Board of Canada (TSB) has completed its review of the Australian Transport Safety Bureau’s (ATSB’s) accident investigation methods by issuing 14 safety recommendations but also pledging to incorporate some of ATSB’s best practices into its own operations.
The review, requested by the ATSB in 2013, examined the ATSB’s investigations of three accidents but focused on the Nov. 18, 2009, ditching of an Israel Aircraft Industries Westwind 1124A near Norfolk Island during an emergency medical services flight. The TSB identified several problems, including poor data collection that hindered the ATSB’s analysis of several safety issues, among them crew fatigue, fuel management, and company and regulatory oversight.
Overall, the TSB said, public reaction to the Norfolk Island report “clearly demonstrated that it did not address key issues in the way the Australian aviation industry…
