Inquiries & Recommendations

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Include in the tugs’ planned maintenance system, a regular check to ensure that the speed controls remain synchronised. A service history of any adjustments or modifications to the engines and control systems should be recorded.

Amend the engine starting sequence to include a check that the clutch light is "off" after selecting the master switch on.

Reviews the adequacy of compliance monitoring of wagon loading.

Introduce procedures to ensure that when the application of the rear handbrake is required by the Rules, the application is confirmed to the engine driver before an attempt is made to uncouple the engine from the train.

Require controllers to comply strictly with provisions of the Manual of Air Traffic Services.

A number of the passengers and crew on the Easy Rider had a large physique. There were only 3 adult and one child lifejackets on board to share among 9 passengers and crew. The 3 adult lifejackets were not large enough to be securely fitted to those passengers and crew whom had a large physique. The Maritime Rules make provision for the carriage of children’s lifejackets but are silent on the need for larger lifejackets to cater for people whom have a large physique. This is a safety issue.

Publish guidelines for operators and maintenance facilities for the appropriate re-use and inspection of parts from accident damaged aircraft.

Provide accurate sea condition information to masters and pilots of ships transiting the Manukau bar. In the first instance he should endeavour to gain access to the data from the Taharoa wave rider buoy, either in real time or within one hour of its measurement.

Prepare and distribute a letter or bulletin to advise operators how to locate the part and serial number of B767 main undercarriage axles.

include an area familiarisation trip with an experienced train controller or similarly qualified person as part of the training and certification for any train control desk together with an unaccompanied field trip scheduled within an acceptable timeframe following certification as a follow up

Section 27C(1) of the Civil Aviation Act requires medical practitioners to inform the Director if they believe a person is a licence holder and is aware, or has reasonable grounds to suspect, that the licence holder has a medical condition that may interfere with the safe exercise of the privileges to which the licence holder's medical certificate relates.

Review the requirements for positioning of "crash" axes in light aircraft to improve the likelihood of them being accessible tot he pilot in the event of the cockpit area being distorted in a survivable accident.