urgently undertake a comprehensive risk anaysis of all aspects of the operation of the 'Southern Winds'. This assessment should include the method and chain of command of the shore management team.
Issue date:Introduce procedures into the leave programmes for track staff, including length gangers and track maintainers, to ensure adequate qualified staff remain on duty or on call to meet operating contingencies during holiday periods and that the names of such staff are advised to train control.
Issue date:surveys the fixed container lashing points and makes repairs as necessary.
Issue date:Review the action taken in respect of the Office of Air Accidents Investigation's recommendation that unserviceable flight instruments be removed or covered over so that inadvertent reference cannot be made to them in flight.
Issue date:Develop educational material to raise awareness of the rules prohibiting cellphone use on IFR flights.
Issue date:Further explore whether Rescue Coordination Centre should be responsible for tasking and coordinating all SAR aviation assets, as is done overseas.
Issue date:Ensure each pilot in his company confirm in writing that the/she had read and understood the contents of the company's Operations Manual(s).
Issue date:The Commission has determined that the current format of the CAA's audit and surveillance programme might not be effective for determining the true level of industry compliance with Civil Aviation Rules. The Commission recommends that the Director of Civil Aviation addresses this safety issue.
Issue date:Institute a schedule of routine inspections for the equipment once it has been approved.
Issue date:Either immediately prohibit the public use of the level crossing in accordance with Clause 1(d) of the Deed of Grant or, if public use is to continue, give written consent to the lessee under conditions which ensure safe public access.
Issue date:There were discrepancies between the Rail Operating Rules and Procedures, the Rail Operating Code, the Conveyance of Dangerous Goods Code Supplement and the National Rail System Standard in how to respond to a derailment involving empty LPG wagons and staff were not appropriately trained and familiar with the correct procedures to follow.
Issue date:On 24 August 2017, the Commission recommended that the Chief Executive of KiwiRail review its post-incident drug and alcohol policy to ensure that all personnel directly involved in an accident and/or operating incident are asked to submit to testing.
Issue date: