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Marine Safety Recommendations

This page displays a list of safety recommendations that relate to the marine mode.  You can use the filter tool to refine the results and to search for keywords within the text of each recommendation.

Urgent recommendations

Urgent recommendations released publicly in advance of a final report are available here until release of a final report at which time they are incorporated into the database.

Urgent recommendations - Marine inquiry MO-2016-202 Cruise ship Azamara Quest, contact with Wheki Rock, Tory Channel, 27 January 2016, published 29 August 2016RecommendationsMedia Release.


Recommendations database (completed inquiries)


Keywords: Recipient: Mode: Status:

Safety Recommendation 021/07
Issued To Real Journeys on 10 Jul 07
Consider the fitting of more efficient rudders, to increase the wind speed within which the vessels can safely manoeuvre or to provide additional manoeuvrability in extreme conditions.
Implementation Status: Open
Reply: Recommendation declined on the following grounds;

1. Real Journeys ships are highly manoeuvrable, and can turn within their own length.

2. Discussions with Naval Architects and other professional maritime personnel indicate that high lift rudders will not improve efficiency and are inappropriate for the operating area and conditions.

3. The operating guidelines will negate the ships operating within extreme conditions

4. The cost of fitting high lift rudders exceeds Transport Accident Investigation Commission core statement of ?safety at reasonable cost?

Safety Recommendation 024/07
Issued To Environment Southland on 10 Jul 07
Ensure that the harbour risk assessment fully addresses the operation of tourist vessels in the Fiordland area. Take note of the identified risks when developing, in compliance with the New Zealand Port and Harbour Marine Safety Code, the harbour safety management system and standard operating procedures for Milford Sound.
Implementation Status: Open
Reply: The harbour risk assessment review has been completed and the original risk assessment will now go back to the various interested parties for further consultation. Although the intention of the review was to re-evaluate the risks associated with cruise ships in Fiordland waters, I propose to widen the scope to include the operation of tourist vessels. This will in turn lead to a Port and Harbour Safety Management System that will take into account any additional hazards identified in the operations in Fiordland

Safety Recommendation 025/07
Issued To Environment Southland on 10 Jul 07
For operations in Milford Sound, either implement maximum meteorological parameters, or require operators to include maximum meteorological parameters in their safety management documentation.
Implementation Status: Open
Reply: It is not my intention, at the moment, to implement any maximum meteorological parameters or to require operators to include such parameters in their operating procedures without more consultation. It is possible, however, that some form of maximum parameters may arise from the revised risk assessment process.

Safety Recommendation 009/07
Issued To Maritime NZ on 02 Apr 07
undertake a full review of the Safe Ship Management system and make changes to ensure the system promotes and effectively regulates a safe and sustainable maritime industry consistently throughout New Zealand.
Implementation Status: Open
Reply: MNZ constantly monitors the SSM system, which has been formally reviewed three times since its introduction in 1998. Each review, by independent bodies external to MNZ, found that the philosophy behind the system was sound, and since the system was introduced safety statistics in all commercial maritime sectors have improved. While feedback from the industry indicates solid support for the intent of the system MNZ considers that there is still room for improvement in how the system is implemented and delivered by MNZ and SSM companies.

In line with our continuous improvement policy, a review of the SSM system has been identified as the key strategic priority for MNZ in its 2007-2010 Statement of Intent. MNZ has commenced a programme of work to enhance the sustainability and effectiveness of the SSM system by:

Ensuring that the regulatory framework supporting SSM is robust and appropriate by reviewing the maritime rules that govern its operation. A draft discussion document summarising proposed changes to Maritime Rules Part 21 (Safety Management Systems) and Part 46 (Surveys, Certification and Maintenance) is due for public release in late 2007;
Complementing existing guidance material (Health and Safety: A Guide; FishSAFE Health and Safety Guidelines; various leaflets) with additional material including a comprehensive resource to support owners in the development of their SSM systems, specific fatigue management material, and health and safety guidelines for passenger and non-passenger operations. This additional material is being progressively released through until December 2007 in association with targeted training material;
Increasing the amount and quality of formal and informal training and education that is available to all those working in the system, including MNZ and SSM Company staff, surveyors, owners and operators. This training will be supported by the development of a mentor network utilising experienced industry participants to provide support and advice to their peers;
Reviewing the current capacity and quality of service delivery by both MNZ and SSM Companies in the area of SSM and comparing this with requirements in order to identify and address necessary areas for improvement;
Allocating additional resources to the SSM team within MNZ to allow for more responsive contact with industry and other stakeholders, along with the provision of personalised assistance where required to owners and operators; and
Structured auditing by MNZ of SSM service providers.

This work is being actively progressed and monitored within MNZ. It is also intended to establish an external consultative group to ensure that all industry and other stakeholders remain fully involved with, and aware of, the programme as it is developed and implemented.

Safety Recommendation 041/06
Issued To Adventure Fishing Co Ltd on 28 Nov 06
obtain a copy of and implement on board all vessels operated by his company the "Safety Guidelines for Small Commercial Fishing Vessels" as issued by FishSAFE organisation with particular reference to the more pertinent sections on fatigue management and the fitting of a watchkeeping alarm.
Implementation Status: Open
Reply: Maritime NZ considers that this recommendation has already been implemented
throughout the course of launching the FishSAFE programme. As an example,
please see the July 2006 edition of ?Safe Seas Clean Seas? (attached) which is
sent out to all vessel owners. Further publicity material is being issued on an
ongoing basis by FishSAFE itself.

Safety Recommendation 008/06
Issued To Pacifica Shipping on 23 Mar 06
Instigate a programme of training and practice to reinforce bridge resource management techniques amongst members of bridge navigational teams on board the company?s vessels.
Implementation Status: Open
Reply: In relation to (008/06) the Master involved in your report 05-211 is currently undertaking training and practice with our senior Master to reinforce BRM techniques. He will also attend the BRM refresher course at the Manukau Technical Institute in the latter part of this year.

At the completion of this training I will send evidence that these recommendations have been implemented.

Safety Recommendation 009/06
Issued To Pacifica Shipping on 23 Mar 06
instigate a programme of training and practice amongst members of bridge navigational teams, especially Masters, in ship handling and manoeuvring for their specific ships in simulated abnormal situations in safety critical areas for their standard voyages. Such situations should include but not be limited to, bad weather, engine failure, steering failure.
Implementation Status: Open
Reply: Please be advised that Pacifica Shipping (1985) Limited has after the conclusion of its own investigations already instigated a programme of training similar to your final safety recommendations. Specifically commenting on your recommendation (009/06) this training will take place on the simulator operated by the Navy and is envisaged to be completed by the end of May.

Safety Recommendation 005/06
Issued To Strait Shipping on 26 Jan 06
Put in place procedures to reinforce the need for effective bridge resources management on board the company's ships. This should include the requirement that the full bridge team are on the bridge before departure, and that administrative work is separated from the navigation function of the ship's officers.
Implementation Status: Open
Reply: BRM: the company has instituted a regime of BRM courses during which all watch keeping officers will be refreshed in BRM techniques the first of these was held in November the next scheduled for April 2006, hopefully courses permitting all watch keeping officers will have their BRM training refreshed by the end of 2006.

The requirement that a full bridge team be in position before departure and that administrative work be separated from the navigational function of the ships officers was put in place via memo immediately after the incident.

Safety Recommendation 092/05
Issued To Teleflex Morse on 25 Oct 05
Include with new cables general instructions on their care and the precautions necessary to optimise their life. Such information may also indicate how and when the cable should be inspected, and when should be replaced
Implementation Status: Open
Reply: We acknowledge the recommendation but need to consider it further before we can determine as to whether it is feasible or not to implement it

Safety Recommendation 067/05
Issued To Doctor Hook Fishing Adventures on 25 Jul 05
Carry out a crewing assessment in accordance with Maritime Rules 31B.6 and 31B.8 to ensure that any vessel that he owns or operates has on board the number of crew necessary to operate the vessel safely in any circumstances.
Implementation Status: Open
Reply: Our client has arranged for a new vessel to be built. At this stage, the final completion date of the new vessel is uncertain. (It is estimated to be some months away). We are instructed that our client will implement the safety recommendation as soon as possible once the new vessel is built and before it is launched.

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