Sarcs...
Proposed Scope of Work point 5:
Investigation Report Process
The TSB will review the ATSB investigation report process and how it was applied in the case of the Norfolk Island investigation and at least one other ATSB investigation to assess its effectiveness at achieving the desired outcome. The review team will ask questions such as: Was the process followed? Was the report review conducted in a thorough manner and was it effective? Is the analysis contained in the report complete and thorough? Are the findings and recommendations well supported by facts and robust analysis? Were the comments received from directly involved parties adequately considered and was the disposition of these comments full communicated? Would we have done things differently? This review will identify any best practices and any issues or gaps in the investigation report review process.
ATSB Transport Safety Report, Aviation Occurrence Investigation AO-2009-072 Final Report:
SAFETY ACTION
The safety issues identified during this investigation are listed in the Findings and Safety Actions sections of this report. The Australian Transport Safety Bureau (ATSB) expects that all safety issues identified by the investigation should be addressed by the relevant organisations. In addressing those issues, the ATSB prefers to encourage relevant organisations to proactively initiate safety action, rather than to issue formal safety recommendations or safety advisory notices.
As far as I can see there were no safety recommendations, so the TSB Scoping doesn't really seem appropriate if it was intending to look at recommendations, does it?
