Require Robinson Helicopter Company to amend its flight manuals to include the use of "Warning" for those operating conditions and practices that involve a risk of personal injury or loss of life.
Issue date:undertake random audits of vessels which have a safety management certificate issued by your company in order to check that the requirements of the International Safety Management code, with respect to on-board communication, are being complied with in practice.
Issue date:The most likely reason for the side frame failures is that they had reached the end of their fatigue lives. A lack of identifying marks and records of side frame age and maintenance history means that it will be difficult to predict the onset of fatigue cracking in bogie side frames. The presence of fatigue cracking initiating in the region of the radius, just beyond the wear plate of the side frames, is difficult to detect by normal visual inspections, and at the current rate of MPIs the entire inventory of bogie side frames will not be completed until 2020.
Issue date:The Commission recommends that the chief executive of KiwiRail closely monitor the replacement of brake blocks on individual wagons to provide another predictive tool for preventing premature wheel-bearing failures.
Issue date:Amend the requirements for vertical separation when specified rates of climb or descent are used, especially for low performance aircraft, to ensure that there is either an increase in the level of monitoring, or a greater buffer is applied for the procedure.
Issue date:Require all military formation leaders/aircraft captains participating in an air show to attend the pre-display briefing conducted by the organisers.
Issue date:In conjunction with the Safe Ship Management Company implement the requirements of Maritime Rule Part 31C [Crewing and Watchkeeping - Fishing Vessels] for all vessels operated by his company and update the safe ship management manuals as necessary.
Issue date:Implement procedures to ensure that the requirements for persons in charge of obstructed sections to not obstruct the line until satisfied that any controlled signals governing the entry of trains into the work area are fixed at stop are complied with.
Issue date:Review the hazardous cargo procedures for freight offered by courier companies.
Issue date:ensure that Driving Creek Railway, and any other licensed railways of less than 550 mm track gauge where warranted, include in their safety case a requirement for an annual inspection of track, structures and mechanical equipment by independent, qualified persons to confirm that the acceptable safety standards are being maintained
Issue date:Review their controller training and checking standards to ensure that adequate emphasis continues to be given to the use of basic flight progress strip information.
Issue date:Review Section 7 paragraph 2.1 of the Instrument Flight Guide and amend it so as to clarify which phase of flight is being referred to in the various parts.
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