Review the likely safety benefits of the installation of suitable carbon monoxide detection devices in the cabins of aircraft which have potential for an ingress of carbon monoxide, with a view to making the installation of such devices mandatory in appropriate circumstances.
Issue date:Liaise with the Christchurch City Council to review the integrated use of Barters Road and Kirk Road level crossings and take such steps as are necessary to encourage long vehicles to use Barters Road level crossing and to prohibit any uncontrolled crossing of Kirk Road level crossing by vehicles exceeding 11 m in length.
Issue date:Control the conditions for cab riders to avoid familiarity resulting in a delegated control function.
Issue date:introduce the formalised crew resource management procedures recommended in safety recommendation number 001/99, and ensure that such procedures include remote-control operators operating main line shunts.
Issue date:By the most appropriate means ensures that all skippers and crew members within the safe ship management system are advised and instructed on the importance to safety of good "housekeeping" within the engine room spaces and that all repairs and modifications should be carried out using appropriate materials to the satisfaction of a safe ship management surveyor.
Issue date:The train driver in this instance had several weeks earlier received a radio call about a divergent path to bypass a disabled passenger train at Otahuhu. However, on this occasion he did not receive a similar radio call warning him that his train was not going to follow the usual path. The circumstances of this latest accident provide further evidence that additional advice to train drivers about conditions that are likely to affect their trains can help to prevent accidents.
Issue date:The development of Project Kupe system has the potential to reduce the risk of collision on the network but, due to resource and funding restraints without a cost/safety benefit analysis being undertaken, the project has extended out by 2½ years and has still not been approved. The Commission recommends the New Zealand Transport Agency takes action to address the safety issue (004/09).
Issue date:Implements procedures to assure compliance with the rules for securing detached wagons left on the main line.
Issue date:install a protection device on the Onehunga industrial line near Owen’s Siding to prevent uncontrolled wagon movements in a westerly direction beyond that point.
Issue date:Ensure authorised line speed and signal sighting distances provide a safe stopping distance in the event of an Intermediate signal being misread at locations such as Plimmerton where level crossings and conflicting passenger movements create a potential hazard.
Issue date:develop, in conjunction with Christchurch Tramway Limited, formalised procedures to be followed before any work is undertaken which conflicts with the requirements of the Christchurch Tramway Limited safety system.
Issue date:Implement a credible system of Mu-meter monitoring on a regular basis, of runway surfaces at all aerodromes used for air transport operations and with a runway length of 1200 metres or more as per ICAO recommendation in Annex 14 to the Convention on International Civil Aviation paragraph 2.6.1 or otherwise.
Issue date: