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Inquiries & Recommendations
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Aviation

On 27 July 2016 the Commission recommended to the Secretary for Transport that he promote, through the appropriate ICAO forum, the need for cockpit video recorders and/or other forms of data capture in the cockpits of certain classes of helicopter to address this safety issue.

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Rail

Review the training, knowledge, and experience of Track and Structure Managers, Gangers, and those required to act in such positions, in respect of their ability to identify and understand the factors leading to track buckles and make timely and safe decisions about the application of speed restrictions in hot weather.

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Aviation

Enhance the policy and procedures for aircrew licensing written examinations, their purpose and construction, and the criteria that is applied to examination re-sits, so the "practice effect" does not undermine the examination process.

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Rail

introduce procedures for certified staff operating HRVs to also be certified as to their local knowledge of the work area involved before they are permitted to work unaccompanied.

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Aviation

The need to review the operations at other aerodromes around New Zealand that have opposing circuits, to assess and minimise the potential for a mid-air collision.

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Maritime

In conjunction with Fullers Group Limited, amend the safe ship management manuals throughout the fleet to contain in the training of crews the necessity in an emergency situation of making passengers aware of the crew’s presence and the need for them, as trained personnel, to provide guidance, help and support to passengers.

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Maritime

Bring this report to the attention of the reviewers of adventure tourism in New Zealand the lessons learned from this accident, and in particular, ask them to consider how to deal with informing potential commercial jet boat passengers of the risks inherent with the activity.

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Aviation

Promulgate a requirement for independent, qualified inspection: for renewal of permit-to-fly, and on sale of an aircraft.

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Rail

The scope and depth of the New Zealand Transport Agency Programme for rail participants might now be appropriate for the license hodlers being assessed, audited or otherwise and auditors do not make full use of the information available that signals potential area of system weaknesses; information from accident and incident reports and recommendations being examples of some of the information available.

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Rail

Introduce procedures governing the issue of track warrants to limit the length over which a track warrant is issued.

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Aviation

Define ageing aircraft, and in conjunction with industry and manufacturers develop guidance and regulatory documentation to help ensure the safe operation of these aircraft.

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Maritime

Require all new commercial jet boats intended to be operated in braided rivers, or existing boats being purchased for operation on braided rivers, to be constructed with roll protection that allows sufficient occupiable space under the boat for its full complement, should it roll

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