Safety implications of illnesses ...................................................................................... 83
BAe 146 cabin air quality and air safety ........................................................................ 85 
The Frank Kolver incident – BASI Occurrence Brief No 199702276....................... 85 
BASI Occurrence Brief.......................................................................................... 86 
Criticism of BASI Occurrence Brief...................................................................... 88 
Incidents of pilot incapacitation in Australia and overseas........................................ 90 
1 29 October 1997 - Hamilton Island incident...................................................... 91 
2 1997 - Brisbane incident .................................................................................... 92 
3 31 March 2000 - Sydney/Melbourne incident ................................................... 92 
4 13 April 2000 - Perth/Port Hedland incident ..................................................... 94 
Incident in Sweden - November 1999........................................................................ 94
CHAPTER SIX................................................................................................. 97
CONCLUSIONS AND RECOMMENDATIONS.......................................................... 97
Introduction ....................................................................................................................97
BAe 146 – cabin air quality............................................................................................ 98
Current Australian approach to the effects on air safety of 
BAe 146 cabin air quality............................................................................................... 98 
Performance of modifications .................................................................................. 100 
Current Australian approach to assessment of aircraft air quality................................ 100 
Exposure to aircraft cabin air ................................................................................... 100 
Air safety.................................................................................................................. 101 
Committee Conclusions................................................................................................ 102 
The role of the Minister for Transport in safety considerations............................... 103 
Monitoring, assessment and measures to address the problem................................ 104 
Matters the Committee considers must be addressed by CASA.............................. 104 
Recommendation 1....................................................................................................... 104 
Specific matters required for Airworthiness Certificates for 
 
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