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Administrative Appeals Tribunal of Australia |
Last Updated: 6 July 2010
Administrative Appeals Tribunal
DECISION AND REASONS FOR DECISION [2010] AATA 499
ADMINISTRATIVE APPEALS TRIBUNAL )
) No 2008/0261, 2385
Applicants
|
|
And
|
CIVIL AVIATION SAFETY AUTHORITY
|
Respondent
DECISION
|
Decision
|
In the Vasta application (2008/0261): I set
aside the decision under review. I substitute a decision that the documents
listed in
the accompanying “Schedule: Exempt Documents Claim – Vasta
Request” are not exempt documents.
In the McKinnon application (2008/2385): I vary the decision under review
as follows:
(a) the documents listed in the accompanying “Schedule: Exempt Documents Claim – McKinnon Request” are not exempt documents where the words “NOT EXEMPT” appear in the Decision column in the Schedule (subject to deletion of the identifying information referred to in paragraph 127); I adjourn the proceedings for the purpose of considering any
further submissions CASA wishes to make on the question of any recommendation
about costs. If CASA does not wish to address any further submission I will, in
accordance with FOI Act s 66, recommend to the Attorney
General that each
Applicant’s costs of the proceedings be paid by the Commonwealth.
|
..................[sgd]............................
Mr P W Taylor
SC
Senior Member
FREEDOM OF INFORMATION – exemptions – documents relating to aircraft maintenance and safety claimed to be exempt under sections 40, 43 and 45 of the FOI Act – whether disclosure could prejudice future supply of information to agency – whether disclosure of documents could reasonably be expected to unreasonably affect an organisation’s lawful business, commercial or financial affairs – distinction between mandatory and voluntary disclosure of information to agency – whether certain reports can be characterised as interim reports – scope of requests and adequacy of identification of documents responsive to request – costs – in respect to the first application the decision under review is set aside and in respect to the second application the decision under review is varied and remitted
Freedom of Information Act 1982 (Cth) ss 3, 38, 40, 43, 45, 61, 66
Administrator, Federal Aviation Administration v Robertson (1975) 422 US 255
Civil Aviation Authority v Malcolm Kirkaldie [2010] UK ITEA 2009-0033
Cooke v Pacific Hawker Pty Ltd [2000] NSWSC 1238
Harris v Australian Broadcasting Corporation [1983] FCA 242; (1983) 5 ALD 545
Jorgensen v Australian Securities and Investments Commission (2004) 208 ALR 73; [2004] FCA 143
Ken Rubin v The Minister of Transport 154 DLR (4th) 414; 1997 CanLII 6385
Re Organon (Australia) Pty Ltd and Department of Community Services and Health and Public Interest Advocacy Centre (1987) 13 ALD 588
Re Public Interest Advocacy Centre and Department of Community Services and Health [1991] AATA 188; (1991) 23 ALD 714
Searle Australia Pty Ltd v Public Interest Advocacy Centre [1992] FCA 240; (1992) 36 FCR 111
Washington Post Company v Department Of Health And Human Services 690 F 27d 252
REASONS FOR DECISION
THE VASTA DECISION – 18 OCTOBER 2007
THE MCKINNON DECISION – 31 OCTOBER 2007
BACKGROUND TO THE INFORMATION REQUESTS
THE PRINCIPAL “EXEMPTION” DISPUTE – AUDIT REPORTS AND SDRS
AUDIT REPORT – PRACTICE AND PROCEDURES
SERVICE DIFFICULTY REPORTS
THE EXEMPTION GROUNDS CLAIMED FOR THE ARS AND SDRS
If it be in the public interest that certain information be disclosed, that would be a factor to be taken into account in deciding whether a person would be unreasonably affected by the disclosure; the effect, though great, may be reasonable under the circumstances. To give two examples: if the relevant information showed that a business practice or product posed a threat to public safety or involved serious criminality, a judgment might be made that it was not unreasonable to inflict that result though the effect on the person concerned would be serious. Of course, the extent and nature of the effect will always be relevant, often decisive. Whether the effect of the disclosure is unreasonable cannot be assessed without taking into account all relevant factors: see Colakovski v Australian Telecommunications Corp [1991] FCA 152; (1991) 29 FCR 429 at 438, 441.
CASA’S BASIC AR AND SDR EXEMPTION CONTENTION – “INFORMATION PREJUDICE”
CASA’S EVIDENCE FOR THE SDR AND AR EXEMPTION CLAIM
CASA’S “FORMAL” POWERS - CONTRAST BETWEEN MANDATORY AND VOLUNTARY COMPLIANCE
MANDATORY AND VOLUNTARY DISCLOSURE TO CASA
... confidentiality is critical in order that the maintenance organization being audited would be fully transparent to the regulatory agency without fear of self-incrimination. Without this strict compliance to the confidential relationship between a regulatory agency and a maintenance organization, there can also be no full transparency of the maintenance organization through no fault of the latter. Without full transparency, a regulatory agency would have insufficient basis not only to determine whether or not a maintenance organization observes mandatory safety standards, but also to make proper recommendations based on its findings.
SIAEC permits CASA unrestricted access to its facilities and relevant documents in excess of what it is required by legislation. SIAEC has no hesitation with voluntary disclosure to CASA relating to any quality and safety issues during CASA audits. It freely discusses these issues with CASA with a clear understanding that information exchanged ... will be kept confidential and used solely by CASA and SIAEC for improvement of quality and safety.
If SIAEC’s current understanding on confidentiality of information with CASA is no longer valid, then SIAEC would have to reluctantly review its open and voluntary disclosure policy in future dealings with CASA to ensure that SIAEC’s confidential information is not placed at risk of being disclosed and becoming open to public scrutiny. This may include a policy that SIAEC only provides CASA with access and information as is required by a strict interpretation of the legislation.
QANTAS’ POSITION IN RELATION TO THE SDRS
DISCLOSURE ISSUES IN OTHER JURISDICTIONS
UNITED STATES OF AMERICA
40123 Protection of voluntarily submitted information
(a) In General. - Notwithstanding any other provision of law, neither the Administrator of the Federal Aviation Administration, nor any agency receiving information from the Administrator, shall disclose voluntarily-provided safety or security related information if the Administrator finds that:
(1) the disclosure of the information would inhibit the voluntary provision of that type of information and that the receipt of that type of information aids in fulfilling the Administrator’s safety and security responsibilities; and
(2) withholding such information from disclosure would be consistent with the Administrator’s safety and security responsibilities.
These supplementary programs share a common goal of establishing a proactive approach to accident prevention by individual air operators. In sum, operators accept responsibility for identifying adverse safety trends and making appropriate interventions before they lead to accidents, and further, can do so by utilizing tools provided by the FAA. The incentives provided by the FAA for sharing information in the context of these programs with the FAA are (1) protection from release of information to the public, and (2) protection from legal enforcement action by the FAA.
CANADA
... I am not unaware of the important role safety review reports play in the overall framework of ensuring safety for the public in the aeronautics industry. However, if, and as [the Minister] suggests, there is a negative impact on the willingness of individuals to participate in these reviews due to public disclosure, then there is nothing to preclude Parliament from changing the Aeronautics Act to provide for wide-scale confidentiality protection, or, from adding these reviews to the section 24 category of broad exemptions in the Access to Information Act. It is also open to the Minister to protect certain aspects of the report under other exemptions ...
Having stated the important role that post-accident safety reviews play in the overall safety of the aeronautics industry, I think it is also important not to underestimate the public’s interest in disclosure and the positive impact disclosure may have on the regulation of the aeronautics industry...
The main ground advanced by those asserting that a privilege should be attached to all statements obtained by the investigators in the course of their investigations is that witnesses would refuse to provide information to accident investigators if these statements could become admissible in legal proceedings. Those who advanced this position opined that this would happen. These opinions were equally matched with the opinions of others that no such result would follow. It has not been the experience of the National Transportation Safety Board in the United States, where witnesses’ statements enjoy no privilege that their sources of information have dried up. Conversely, there is a danger that witnesses who are assured that their information will not be challenged, nor come under public scrutiny may take liberties with the facts. This may impair public confidence in the reliability of accident reports.
UNITED KINGDOM
SIGNIFICANCE OF THE “OTHER JURISDICTIONS” APPROACHES
REASONABLE EXPECTATION OF PREJUDICE
In our opinion, in the present context, the words “could reasonably be expected to prejudice the future supply of information” were intended to receive their ordinary meaning ... they require a judgment to be made by the decision-maker as to whether it is reasonable, as distinct from something that is irrational, absurd or ridiculous, to expect that those who would otherwise supply information of the prescribed kind to the Commonwealth or any agency would decline to do so if the document in question were disclosed under the Act. It is undesirable to attempt any paraphrase of these words. In particular, it is undesirable to consider the operation of the provision in terms of probabilities or possibilities or the like. To construe s 43(1)(c)(ii) as depending in its application upon the occurrence of certain events in terms of any specific degree of likelihood or probability is, in our view, to place an unwarranted gloss upon the relatively plain words of the Act. It is preferable to confine the inquiry to whether the expectation claimed was reasonably based: see Kioa v West (1985) 62 ALJR 113 per Gibbs CJ and Mason J.
... It is ... unnecessary to consider whether an “even chance” or something of that kind is needed. It is preferable to confine oneself to the language of the provision itself and to attempt to form an opinion, on the evidence, as to what can reasonably be expected to happen if disclosure occurs.
I do not myself feel able to derive from the presence of the word “reasonably” in the relevant expression a great deal of assistance. The difficulty is to give full weight to the meaning of the word “expected”. It is only then that one can turn one’s mind to the question of the significance of the qualification of it by the word “reasonably”. The words are expressed in the passive voice — “could reasonably be expected”. What is required is that the decision-maker act reasonably. For the document to be exempt his conduct must be taken to be that of the reasonable man. But then comes the difficulty. So acting, the decision-maker must expect that disclosure of the document could prejudice the future supply of information. In my opinion he will not be justified in claiming exemption unless, at the time the decision is made, he has real and substantial grounds for thinking that the production of the document could prejudice that supply. But, stringent though that test may be, it does not go so far as to require the decision-maker to be satisfied upon a balance of probabilities that the production of the document will in fact prejudice the future supply of information.
THE CONTENTIOUS AUDIT REPORTS
THE DISPUTED SDR DOCUMENTS
DISTINCTION BETWEEN “MAJOR DEFECT REPORTS” AND “THE QANTAS SDR DOCUMENTS”
DISCLOSURE OF “MAJOR DEFECT REPORTS”
DISCLOSURE OF “THE QANTAS SDR DOCUMENTS”
DISPUTED EXCLUSION OF IDENTIFIED DOCUMENTS - MCKINNON REQUEST
THE UNIDENTIFIED DOCUMENTS ISSUE
RESPONSIVE DOCUMENTS PRODUCED TO THE AAT
MCKINNON REQUEST – REMAINING DOCUMENTS
THE BREACH OF CONFIDENCE ISSUE
COSTS
DECISION
I certify that the 154 preceding paragraphs are a true copy of the reasons for the decision herein of Mr P W Taylor SC, Senior Member
Signed: ...............[sgd].................................................................
Associate
Dates of Hearing 19-22 April 2010
Counsel for the Applicants Mr T Brennan
Solicitor for the Applicants Ms R Eagles, Sparke Helmore
Solicitor for the Respondent Mr A Anastasi, CASA
Schedule
Identified Documents
|
Qantas’ description of document in its letter of 24 September
2007 at T5-8 to 18
|
Ms Ng’s Witness Statement paragraph 5
|
Applicants’ Contention
|
Decision
|
|
|---|---|---|---|---|
|
A 9
|
22-Mar-07 Email from Murray to Laws and Neal capable of being presented in
a manner reflecting adversely upon Qantas and as a reason
for passengers to
travel with other airlines
|
Discusses Qantas question time brief not maintenance concerns or
defects.
|
Qantas’ description difficult to reconcile with Ms Ng’s
description.
Latter description is insufficient to take the document outside the scope
of Mr McKinnon’s request.
|
Unacceptably narrow characterisation.
DOCUMENT WITHIN REQUEST
|
|
A45 – 49
|
Emails between Perez and Parker 17 and 18–Apr-07 relating to a
“maintenance Lufthansa Technik Philippines” issue
|
Emails between CASA and maintenance organisation asking for information
– does not detail maintenance concerns or deficiencies
|
The documents concern the requirement for Lufthansa Technik Philippines to
have reported the defect of lock wiring the oxygen bottle
shut and possibly
concern issues as to how that question fell between the cracks of Qantas,
Jetstar and Lufthansa Technik Philippines.
See McKinnon T Documents page
27.
The document details potential flaws with maintenance standards for Qantas
aircraft.
|
Unlikely to be confined to a mere request for information.
DOCUMENT WITHIN REQUEST
|
|
A50 – 53
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Emails between CASA and Lufthansa Technik Philippines officers dated
17-Apr-07
|
Airbus maintenance manual pages
|
Qantas’ description directly conflicts with Ms Ng’s
description and the former should be preferred.
|
Description accepted
DOCUMENT NOT WITHIN REQUEST
|
|
C10
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Email from David Klein to Barry Laws dated 16-Apr-07 being one of:
|
Internal CASA email – does not detail maintenance concerns or
deficiencies.
|
The internal email was a draft used in the preparation of the audit report.
Therefore it is responsive to Mr McKinnon’s
request.
|
Apparently related to Qantas surveillance audit following reports of
defects in four aircraft.
DOCUMENT WITHIN REQUEST
|
|
C12, C13
|
Request for corrective action dated 26-Apr-07
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Blank page and blank form.
|
Ms Ng’s description is inconsistent with Qantas’ description
and the former should be preferred.
|
Description accepted.
DOCUMENT NOT WITHIN REQUEST
|
|
D3 and 4
|
Email from Jim Marcolin to Alan Murray dated 21-Mar-07 and email from Alan
Murray to Jim Marcolin of the same date.
|
Emails relate to SIA Engineering Company Limited.
|
SIAEC was authorised to conduct maintenance on Qantas aircraft CASA cannot
discharge its onus.
|
Apparently related to Qantas surveillance audit following reports of
defects in four aircraft.
DOCUMENT WITHIN REQUEST
|
|
D5 and D6
|
Email from Alan Murray to Jim Marcolin and others dated 21-Mar-07 and from
Julie Fox to Alan Murray dated 21-Mar-07 relating to SIA
Engineering Company
Limited.
|
CASA emails – discussing Qantas question time brief – do not
detail or discuss maintenance concerns or defects.
|
SIAEC was authorized to conduct maintenance on Qantas aircraft – see
pages 343 to 380 of exhibit SR1 to the affidavit of Stephen
Re dated 17
September 2009.
CASA cannot discharge its onus.
Ms Ng’s evidence is insufficient to establish the documents fall
outside the scope of Mr McKinnon’s request. The emails
very likely
concern a question time brief about maintenance standards of SIAEC. Maintenance
standards of SIAEC of concern to CASA
could only be those applying to Qantas
aircraft. They are the only Australian registered aircraft for which SIAEC was
authorized
to provide maintenance.
|
Apparently related to Qantas surveillance audit following reports of
defects in four aircraft.
DOCUMENT WITHIN REQUEST
|
|
D7, D8
|
Email from Patrick Murray to Jim Marcolin dated 21-Mar-07 relating to
SIAEC.
|
Herald Sun news article.
|
The discrepancy between Qantas’ description and Ms Ng’s
description is such that CASA cannot discharge its onus on that
state of
evidence and the former should be preferred.
|
Apparently related to Qantas surveillance audit following reports of
defects in four aircraft.
DOCUMENT WITHIN REQUEST
|
|
D9, D10
|
Email from David Skeoch to Kerrie Westen dated 12-Apr-07 relating to
SIAEC.
|
CASA emails – do not relate to Qantas.
|
See comments with respect to documents D3 to D6
|
Apparently related to Qantas surveillance audit following reports of
defects in four aircraft.
DOCUMENT WITHIN REQUEST
|
|
D11 to D54
|
Requests for corrective action, operational surveillance records,
surveillance reports and sundry correspondence relating to SIAEC.
|
Requests for corrective action, surveillance results reports and
emails/letter to SIAEC – not refer to or relate to Qantas.
|
See comments with respect to documents D3 to D6.
|
Apparently related to Qantas surveillance audit following reports of
defects in four aircraft.
DOCUMENT WITHIN REQUEST
|
Schedule
Allegedly responsive s 37 documents
Entry Control Assessments
& Standard Form Recommendations
|
Description
|
Decision
|
|
|---|---|---|
|
438 - 441
|
Standard form recommendation for reissue of CASA CAR30 Certificate of
Approval.
|
NOT WITHIN REQUEST
|
|
449 – 451
|
Standard form recommendation for renewal to Certificate of Approval.
|
NOT WITHIN REQUEST
|
|
456 – 459
|
Standard form recommendation – Certificate of Approval reissue with
variations for SR Techniks Switzerland.
|
NOT WITHIN REQUEST
|
|
463 – 466
|
Standard form recommendation for renewal of CAR 30 Certificate of
Approval.
|
NOT WITHIN REQUEST
|
|
467 – 470
|
Standard form recommendation for renewal of CAR 30 Certificate of
Approval.
|
NOT WITHIN REQUEST
|
|
474 – 482
|
Certificate of Approval inspection.
|
NOT WITHIN REQUEST
|
|
486 – 488
|
Standard form recommendation for reissue of Certificate of Approval.
|
NOT WITHIN REQUEST
|
|
489 – 490
|
Standard form recommendation for renewal of CAR 30 Certificate of
Approval.
|
NOT WITHIN REQUEST
|
|
494 – 513
|
Initial issue of Certificate of Approval assessment control document.
|
NOT WITHIN REQUEST
|
|
514 – 518
|
Standard form recommendation for Certificate of Approval.
|
NOT WITHIN REQUEST
|
|
522 – 524
|
Standard form recommendation for renewal and variation to Certificate of
Approval.
|
NOT WITHIN REQUEST
|
|
528 – 530
|
Standard form recommendation for variation of Certificate of
Approval.
|
NOT WITHIN REQUEST
|
|
534 – 536
|
Standard form recommendation for renewal of Certificate of Approval.
|
NOT WITHIN REQUEST
|
|
547 – 554
|
Manufacture and maintenance of aircraft COA500.
|
NOT WITHIN REQUEST
|
|
563 – 566
|
Standard form recommendation to reissue with additional locations.
|
NOT WITHIN REQUEST
|
|
567 – 570
|
Letter to Malaysian Airline System.
|
NOT WITHIN REQUEST
|
|
571 – 575
|
Assessments of quality systems.
|
NOT WITHIN REQUEST
|
|
576 – 577
|
Recommendation to issue CAR30 approval to Malaysian Airline Systems.
|
NOT WITHIN REQUEST
|
|
578 – 585
|
Assessment of Malaysian Airline Systems quality systems.
|
NOT WITHIN REQUEST
|
|
586 – 589
|
Standard form recommendation initial issue of CAR30 to Malaysian Airline
Systems.
|
NOT WITHIN REQUEST
|
|
593 – 596
|
Standard form recommendation for CAR30 renewal.
|
NOT WITHIN REQUEST
|
|
597 – 617
|
Assessments of quality systems.
|
NOT WITHIN REQUEST
|
|
622 – 629
|
Assessment of manufacture and maintenance of aircraft.
|
NOT WITHIN REQUEST
|
|
630 – 636
|
Standard form recommendation for CAR30 renewal with amendment.
|
NOT WITHIN REQUEST
|
|
637 – 651
|
Initial issue of a change to particulars of a Certificate of Approval
assessment control document.
|
NOT WITHIN REQUEST
|
|
652 – 655
|
Standard form recommendation for Certificate of Approval variation.
|
NOT WITHIN REQUEST
|
|
659 – 672
|
Change to particulars of Certificate of Approval assessment control
document.
|
NOT WITHIN REQUEST
|
|
673 – 675
|
Standard form recommendation for renewal of Certificate of Approval.
|
NOT WITHIN REQUEST
|
|
679 – 680
|
Standard form recommendation for renewal of existing Certificate of
Approval.
|
NOT WITHIN REQUEST
|
SCHEDULE: EXEMPT DOCUMENTS CLAIM - VASTA REQUEST
|
|
Document
|
CASA Description of document
|
Decision
|
|
|---|---|---|---|---|
|
1.
|
June 2007
|
CASA audit report of Hawker Pacific
- audit observations - requests for corrective action |
16-17 May 2007 audit. Minor deficiencies detected relating to maintenance
data, accessing intranet, discrepancy in company approval
held by an engineer,
checking of revision status of data, stores issues.
|
NOT EXEMPT
This report was an Organisation Surveillance Inspection Summary. It indicated some minor deficiencies but was overwhelmingly supportive of the quality and confidence of the organisation and its staff. Nothing in the audit report suggests it was materially influenced by information voluntarily provided in the course of the audit. The contents of the report convey the impression they were exclusively the result of the inspectors’ independent inquiries and examination. |
|
2.
|
June 2007
|
CASA audit report - Jet Aviation (Asia Pacific)
- requests for corrective action |
21-22 May 2007 audit. Minor deficiencies detected - possible contamination
of equipment, issue concerning tool calibration policy,
whether process in place
to check currency of maintenance data. Audit noted operator conducted little
maintenance in previous 12
months. No systemic issues identified.
|
NOT EXEMPT
This was a formal audit report, as distinct from an Organisation Surveillance Inspection Summary. The report identified a small number of deficiencies, but its overall conclusion was that the facilities were well-organised and adequate, and that the organisation’s procedures were effective in ensuring compliance with legislative requirements. The specific audit conclusion was that the organisation demonstrated a commitment to safety and compliance. The contents of the report convey the overwhelming impression they are the product of the inspectors independent inquiries. Nothing indicates the conduct of the audit was materially influenced by any voluntarily provided information. The audit report makes a particular comment in relation to a possible inadequacy of one employee’s understanding of their task. But this deficiency could not (having regard to its subject matter) reasonably be expected to have any significant adverse impact. |
|
3.
|
December
2006 |
CASA audit report of Fieldair Engineering
- audit observations - requests for corrective action |
6-17 November 2006 audit. Minor deficiencies were detected - relating to
marking of tooling, number of systems used to track tool
calibration (CASA
recommend 1 instead of 2).
|
NOT EXEMPT
The audit report concluded that the organisation was acceptable and only three small anomalies had been detected. These resulted in Requests for Corrective Action related to the control of lifting equipment, and amendments to the Quality Assurance Manual. The report suggested some improvements in the control of calibrated tooling and the installation of a flameproof, self-closing “flammables” cupboard. The report appears to reflect findings made by the inspector as a result of examinations and inquiries conducted on their own initiative although, as recorded in the report, on some occasions with assistance from Fieldair staff. The audit report includes a record of the fact of discussions with staff. But nothing in the report indicates it was materially influenced by information voluntarily provided during the course of the audit. |
|
4.
|
August 2007
|
CASA audit report of Lufthansa Technik Philippines Inc
- requests for corrective action |
6-24 August 2007 audit. Minor deficiencies detected - whether variance
between practice and procedure, joint procedures manual requiring
approval of
CASA, clarification required as to use of stamps on task cards and use of Qantas
task cards.
|
NOT EXEMPT
This is another formal audit report. The report positively commended the organisation for the professional attitude of its staff. The facilities inspected were described as adequate. There was a full complement of tooling equipment and a random sampling of the tooling indicated they were all correctly labeled. The report indicated a number of deficiencies, principally relating to a lack of correlation between procedures actually carried out and the contents of the organisation’s Quality Control Manual. Three requests for corrective action were raised as a result of the audit. The report indicates a number of inquiries were made during the course of the audit for additional information. However, all these related to either the production of additional documents or explanation of the documents that had been produced. Nothing in the report indicates it was materially influenced by voluntarily provided information. Nothing in the report could reasonably be expected to attract exemption. |
|
5.
|
March 2007
|
CASA operational surveillance records and surveillance results report of
SIA Engineering Co.
|
21-22 May 2007 audit. Deficiencies were detected - comment on quarantine
store facilities, comment on lack of hand/over procedures
(although being done
in practice), availability of CASA information to staff, issues concerning
tagging of a small number of calibrated
tools.
|
NOT EXEMPT
The documents relate to Operational Surveillance carried out by CASA between 14 & 20 March 2007 (the CASA Description does not match the actual documents). The documents record that this was carried out following public allegations of inadequate supervision. CASA recorded an overall satisfaction with SIAEC’s level of supervision and expertise. CASA concluded that SIAEC was carrying out its maintenance activities in accordance with its current procedures and CASA Regulations. Although some Requests for Corrective Action were made, they are immaterial in comparison to the overall audit conclusion. Nothing in the report indicates it was dependent on, or influenced by, voluntary disclosures. Disclosure of the contents of the documents could not reasonably be expected to have an effect that would justify exemption. |
|
6.
|
October 2006
|
CASA audit report of Air New Zealand & covering letter
- requests for corrective action |
26 September - 11 October 2006 audit. Deficiencies were detected - comment
on nature of one certification in a maintenance log, issues
concerning
traceability of two components, whether had documented procedure for rejecting
components, comment on whether procedures
when work done in temporary location
outside NZ, whether some procedures meet intention of Australian legislation,
issues concerning
maintenance on routing of left hand elevator cable
(RCA06/6112-7), whether duplicate installation of cable grommet performed,
whether
scheduled inspection of cockpit voice recorder performed, whether
certifications made for some defect rectification, whether battery
should be
reported to CASA, whether engineers trained on EGPWS system, whether stores
record recorded wheel rotation carried out.
|
NOT EXEMPT
This audit report noted that occurrence defect reporting, maintenance error and investigation, were carried out to an acceptable standard. It also reported that the quality audit system was functional. The report did refer to systemic deficiencies relating to certification in the monitoring of subcontracted personnel. It was also critical of the quality of the quality assurance oversight and audit schedule. The report resulted in 12 formal Requests for Corrective Action. Seven of these appear to relate to deficiencies in documented procedures. Three related to specific maintenance deficiencies, either of inspection or, in one case, a misunderstanding that resulted in an aircraft failing to comply with a particular Airworthiness Directive. Nothing in the report indicates it was to any significant extent influenced by voluntarily provided information. Although the report contains the criticisms noted above, they could not reasonably be expected to unreasonably affect the organization. Their disclosure could not reasonably be expected to give rise to “information prejudice”. |
SCHEDULE: EXEMPT DOCUMENTS CLAIM – MCKINNON REQUEST
|
|
Document
|
CASA’s Description
|
Decision
|
|
|---|---|---|---|---|
|
1.
|
30-Jul-07
|
Email - Qantas to CASA
|
Discusses issues concerning escape path lighting systems, rudder functional
checks, control cable inspections.
|
NOT EXEMPT DOCUMENT
- related to Item 4 and the matters referred to in paragraphs 8 and 10 above |
|
2.
|
26-Apr-07
|
Letter - (CASA) to (Qantas),
attaching:
■ Surveillance Results Report - 27 April 2007 ■ Requests for Corrective Action No 05/7322-39, 40,41 - 27 April 2007 ■ Observation Report March 2007 ■ Request for Corrective
Action - 26 April 2007
|
These documents relate to an audit conducted between 23-26 March 2007 on
Qantas’ Avalon maintenance facility. The audit report
makes it clear that
no significant findings were discovered by CASA during the audit.
|
NOT EXEMPT DOCUMENT
- related to Item 3 and in the nature of an audit report |
|
3.
|
1-Aug-07
|
Maintenance Error Investigation - Interim Progress Report dated 1
August 2007. Author: Qantas – directed to CASA
|
The report summarises ten deficiencies detected by CASA at an audit and
records the action agreed to be taken by Qantas, and in fact
taken by Qantas to
correct the deficiencies.
|
NOT EXEMPT DOCUMENT
- related to Item 2 and in the nature of a considered response to an audit report |
|
4.
|
21-Mar-07
|
Email from Barry Laws to Jim Marcolin (both CASA officers).
|
The email describes maintenance performed on four Boeing 747 aircraft by
Singapore International Airlines Engineering. It summarises
some deficiencies
(but not any detail or specific descriptions of them) that were identified by
Qantas but rectified prior to aircraft
going to service. The documents discuss
voluntary disclosures to CASA from Qantas about the maintenance.
|
NOT EXEMPT DOCUMENT
- related to Item 1 and the matters referred to in paragraphs 8 and 10 above |
|
5.
|
1,3-Jun-07
|
Email (a) from Adrian Verkerk (Qantas) to Barry Laws (CASA), and (b)
reply from Barry Laws, both dated, discussing airworthiness
directives.
|
The email reports to CASA there may have been potential non
compliances with two Airworthiness Directives (ADs).
|
NOT EXEMPT DOCUMENT
- related to Item 6 and in the nature of a request for information from Qantas in response to a disclosed irregularity |
|
6.
|
27-Jun-07
|
Qantas Powerpoint Presentation entitled “AD Compliance Issues
& Qantas Engineering Systems Replacement Program Update” directed
to CASA
|
This document describes non compliance with ADs (it is unrelated to the
previous document discussion) in that an inspection of an
aircraft component was
not performed at the required time. The document describes no deficiencies in
the aircraft were detected when
the inspections were performed. The document
also describes how recurrence of this event will not occur.
|
NOT EXEMPT DOCUMENT
- related to Item 5 and in the nature of a considered response to a formal requirement for additional information |
|
|
Service Difficulty Reports – lodged by Qantas with CASA
|
|||
|
7.
|
30-Aug-06
14-Feb-07 13-Jul-07 |
O8457-06
|
Boeing 767 had an APU shutdown in transit. The MEL for the aircraft was
applied. (Each aircraft has a Minimum Equipment List (MEL) which permits
an aircraft to be operated with a defect, usually for a set period of time. The
correct amount of adhesive had not
been applied to a part on assembly of the
APU. The Qantas SDR, assessed any risk associated with the defect as low.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
8.
|
5, 18-Jan-07
|
O13434-06
|
Boeing 767 had an incorrect bolt installed in the PCA Actuator Rod to the
elevator attachment fitting. The report states “from a purely
functional point of view the substitution will not have any detrimental effect
on the system.” The reason why the incorrect bolt was used could not
be identified, but was assumed to be maintenance error. In the SDR, Qantas
assessed
any risk associated with the defect as low.
|
Same as item 46 below.
|
|
9.
|
5-Jan-07
4-Apr-07 |
SDR 510003840
|
Boeing 747 Engine 2 thrust reverse blocker door #12 was detached and corona
fairing damaged. The report identified maintenance error
in the installation of
the blocker door. In the SDR, Qantas assessed any risk associated with the
defect as low.
|
Same as item 47 below
|
|
10.
|
8-Feb-07
12-Apr-07 |
SDR 510004082
|
Boeing 747 was found to have metal contamination in the number 2 engine
master and main gearbox mag plugs during a routine inspection.
The High Speed
gearbox was changed but the Step Aside Gearbox was not. An issue arose as to
whether this was done in accordance with
the Aircraft Maintenance Manual (AMM)
for the aircraft. In the SDR, Qantas assessed any risk associated with the
defect as medium.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
11.
|
6 February
22 May 2007 |
SDR 510004024
|
Boeing 767 on take off the right engine fan indicated 5 units of vibration.
The vibration was caused by incorrect fan blades being
fitted to the engine. In
the SDR, Qantas assessed any risk associated with the defect as medium.
|
Same as item 49 below.
|
|
12.
|
9 February 2007
22 March 2007 |
SDR 510004277
|
Boeing 747 experienced leakage of hot air from a pneumatic duct seal which
caused APU fire bottles to discharge due to overpressure
- duct inspection in
accordance with the Fault Isolation Manual may not have been performed. In the
SDR, Qantas assessed any risk
associated with the defect as medium.
|
Same as item 51 below.
|
|
13.
|
14-Feb-07
11-Apr-07 18-Jun-07 |
SDR 510004086
|
Boeing 747 trailing edge inboard flap alternate extension continued to run
past 26.5 units. Alternate extend motor limit switch was
not installed/ adjusted
correctly. In the SDR, Qantas assessed any risk associated with the defect as
medium.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
14.
|
20-Feb-07
21-Nov-07 |
SDR 510004124
|
Boeing 747 had a fuel leak. 1 missing bolt, 2 loose bolts and 17 under
torque bolts caused a panel to be unrestrained causing fuel
to flow into the dry
bay until it exited the dry bay vent and drain holes. This was described as a
one off maintenance error at the
Sydney maintenance base. In the SDR, Qantas
assessed any risk associated with the defect as low.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
15.
|
9-Mar-07
24-Apr-07 |
SDR 510004233
|
Boeing 747 had fuel leaking from the number 3 engine strut drain tube
caused by wiggins couplings being over-torqued. In the SDR,
Qantas assessed any
risk associated with the defect as low.
|
Same as item 55 below.
|
|
16.
|
19-Mar-07
14-Jun-07 |
SDR 510004260
|
Boeing 747 had panel 193U missing (between body landing gear doors).
Forward flange attach screws may not have been installed. In
the SDR, Qantas
assessed any risk associated with the defect as low.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
17.
|
23-Mar-07
8 & 26-Apr-07 |
SDR 510004288
|
Boeing 747 had high vibration in the number 4 engine after take off. Right
lower wing surface leading edge blow out panels both inboard
and outboard of
number 3 engine had detached from aircraft. Leading edge pneumatic supply duct
had ruptured- caused by unauthorised
repair - could not determine when carried
out. In the SDR, Qantas assessed any risk associated with the defect as
medium.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
18.
|
30-Jul-07
|
SDR 510004899
|
Boeing 747 had feeder cable stapled (aft of upper deck to feed the
emergency path lighting to stairway) - no cover on feeder, other
areas had
incorrect cover. In the SDR, Qantas assessed any risk associated with the defect
as low.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
|
|
19.
|
1-Aug-07
|
SDR 510004901
|
Boeing 747 had T pieces missing at cross over feeders and incorrect covers
fitted to feeders. In the SDR, Qantas assessed any risk
associated with the
defect as low.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
|
|
20.
|
10-Jul-07
|
SDR 510004790
|
Boeing 747 entry door number 5 RH medium lower bustle fitted incorrectly.
Also, the lanyard attaching sea survival kit to emergency
escape slide was not
attached. In the SDR, Qantas assessed any risk associated with the defect as
medium.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
|
|
21.
|
3-Aug-07
|
SDR 510004918
|
Boeing 747 had damaged wiring below the aft/centre blow out panel- possibly
caused by maintenance personnel stepping through the panel.
By the SDR, Qantas
assessed any risk associated with the defect as medium.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
|
|
22.
|
17-Aug-06
|
SDR 510003273
|
Aircraft unable to retract landing gear – nose gear ground lock pin
not removed.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
|
|
23.
|
24-Aug-06
|
SDR 510003286
|
Masking tape found around RH static port but not obstructing port.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
24.
|
5-Sep-06
|
SDR 510003351
|
Fuel found leaking from No 4 engine strut on engine pen nib fairing –
ring seal in front spar wiggins coupling damaged.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
25.
|
8-Sep-06
|
SDR 510003356
|
APU auto shutdown. Incorrect connection of PU oil quantity transmitter
connector.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
26.
|
18-Sep-06
|
SDR 510003390
|
Tool bag dropped from main landing gear on take off at Sydney.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
27.
|
21-Sep-06
|
SDR 510003408
|
Trailing edge fairing inboard and outboard forward pivot bolts loose and
not secured by lockwire.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
28.
|
11-Oct-06
|
SDR 510003477
|
Rag left on top of PU combustion chamber – rag caught fire.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
29.
|
7-Nov-06
|
SDR 510003615
|
Engine driven hydraulic pump and electric hydraulic pump case filters
contaminated – caused by suspected incorrect installation
of engine driven
hydraulic pump impeller screw to the drive shaft.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
30.
|
16-Nov-06
|
SDR 510003708
|
Main wheel tie bolts loose. Suspect bolts not torque correctly at wheel
assembly.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
|
|
31.
|
16-Dec-06
|
SDR 510003834
|
Rudder Power Control Unit misrigged – unit may have been supplied
this way by the manufacturer (not
Qantas). |
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
32.
|
26-Jun-07
|
SDR 510004809
|
Emergency escape path lighting inoperative – feeder cables had been
cut and incorrectly repaired using staples.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
|
|
SDR 510004790
|
See item 20 above (but includes additional documents)
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
33.
|
2-Aug-07
|
SDR 510004931
|
Door 2L centre sill plate incorrectly installed preventing correct seal
contact causing loud whine/noise during flight.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
|
|
Further revised schedule 22/4/10
|
||||
|
34.
|
7-Aug-06
|
SDR 510003288
|
RH wing gear aft four bolts attaching bearing retaining plate to support
housing loose.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
|
|
35.
|
10-Oct-06
|
SDR 510003470
|
RH nose wheel tyre burst during taxi – FOD hole missed during retread
process.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
36.
|
1-Nov-06
|
SDR 510003563
|
Landing gear not retract – manual extension limit switch out of
adjustment.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
|
|
37.
|
1-Nov-06
|
SDR 510003573
|
Seat row 18DEF forward fitting pulled from seat due to stripped
threads.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
38.
|
7-Nov-06
|
SDR 510003584
|
No 1 engine driven hydraulic pump leaking.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
39.
|
8-Dec-06
|
SDR 510003747
|
No 2 main landing gear wheel assembly tie bolts loose.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
40.
|
29-Nov-06
|
SDR 510003692
|
LH main landing gear outboard brake assembly damaged.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
|
|
41.
|
30-Nov-06
|
SDR 510003699
|
Life rafts at door 2 left and 5 right not have survival raft kit lanyards
attached.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
42.
|
1-Nov-2006
|
SDR 510003782
|
Yellow hydraulic system ground service manifold lower bleeding fitting O
ring damaged.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
43.
|
14-Dec-06
|
SDR 510003805
|
LH engine oil chip detector suspect contaminated.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
44.
|
18-Dec-06
|
SDR 510003811
|
Flight deck DME torches not flashing.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
|
|
45.
|
28-Dec-06
|
SDR 510003841
|
Slow response to VGIC due to undersize bearings.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
46.
|
28-Dec-06
|
SDR 510003844
|
Incorrect bolt fitted to PCA actuator rod to elevator attachment
fitting.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
47.
|
28-Dec-06
|
SDR 510003840
|
No 2 engine thrust reverser No 12 blocker door missing.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
48.
|
12-Jan-07
|
SDR 510003932
|
No 3 engine fuel tube cracked at tube end fitting welded joint.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
49.
|
2-Feb-07
|
SDR 510004024
|
Moment weight of fan blade out of limits with original blade.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
50.
|
5-Feb-07
|
SDR 510004087
|
Lockwire pigtail in MEC throttle control box jam engine throttle.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
|
|
51.
|
6-Feb-07
|
SDR 510004277
|
Pneumatic dust seal adjacent to APU fire bottles leaking.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
52.
|
26-Feb-07
|
SDR 510004184
|
4 metal pieces found in aft sump of engine.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
53.
|
3-Mar-07
|
SDR 510004296
|
Dimmer transformer to overhead light dimmer broken.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
54.
|
5-Mar-07
|
SDR 510004215
|
Engine thrust reverser ball screw actuators damaged.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
55.
|
9-Mar-07
|
SDR 510004233
|
Damage located in wiggins coupling.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
56.
|
14-Mar-07
|
SDR 510004252
|
Nose wheel steering out of adjustment.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
57.
|
9-Apr-07
|
SDR 510004372
|
Excessive wheel bearing grease suspected of causing no.13 brake assembly
fire.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
58.
|
30-Apr-07
|
SDR 510004466
|
RH nose landing gears door out of adjustment.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
59.
|
1-May-07
|
SDR 510004489
|
Oil leaking from blanked internal gearbox chip detector plate.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
60.
|
4-Jun-07
|
SDR 510004668
|
Captains seat loose – seat track attachment bolt loose.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
61.
|
16-Jun-07
|
SDR 510004710
|
Slide assembly had 2 packing straps.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
62.
|
10-Jul-07
|
SDR 510004841
|
Slide assembly had 2 packing straps.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
63.
|
11-Jul-07
|
SDR 510004829
|
RH engine filter bypass switch – four screw mounts damaged threads,
mounting screws missing.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
64.
|
22-Jul-07
|
SDR 510004909
|
Galley trash compactor not secured.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
|
65.
|
23-Jul-07
|
SDR 510004877
|
Steering metering valve input rod attachment bolt loose and installed
incorrectly.
|
MAJOR DEFECT REPORT (as defined in reasons) NOT EXEMPT
QANTAS SDR DOCUMENTS EXEMPT |
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