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Victorian maritime threat and error management project - Final report


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Brooks, BP 2012 , Victorian maritime threat and error management project - Final report.

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This project is considered the first attempt in maritime transport to partially implement Line Operation Safety Audit (LOSA) (ICAO, 2002) developed by the aviation domain. In LOSA, airline operators came together to produce a tool that collected data to identify external threats and internal errors made by crews. The data collected did not identify the individual crew or organisation. The project aimed at learning how to manage and avoid ‘undesired aircraft states’. LOSA has been successful in the aviation sector and information from LOSA has been used to better inform Crew Resource Management training, develop risk management tools and has also helped the aviation industry participate effectively in defining the regulatory agenda for aviation safety. Similar outcomes might be expected from applying the process developed in LOSA to the maritime environment.
It is important to note that this report must be considered in conjunction with the earlier deliverable in this project. The purpose of this report is to present the data from the project, discuss that data and present conclusions. It is NOT intended to be a summary of the methodology applied, the context in which the project was initiated, or the merits of the LOSA approach.

Item Type: Report (Project Report)
Authors/Creators:Brooks, BP
Publisher: University of Tasmania
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