Reaffirm to all company pilots that, when faced with delays, safety should not be compromised in an attempt to minimise any time loss.
Issue date:Install a sounding pipe for the void space on the sister vessels to the San Manukau and some means for pumping this space out when it becomes flooded.
Issue date:Accelerates the current five year programme to fit supplementary flashing ditch lights to locomotives with the aim of completing the programme by December 2000, and ensures procedures for their use enhance the conspicuity of locomotives approaching any passively controlled level crossing.
Issue date:The Commission recommended that Waka Kotahi NZ Transport Agency review clause 9.5(c) of the Land Transport (Road User) Rule 2004 in consultation with the rail industry to assess its adequacy regarding the risks posed by level crossings in close proximity to road intersections.
Issue date:Some commercial jet-boats on the Kawarau River have been travelling at unsafe speeds in contravention of Maritime Rules. A similar situation probably exists on the Kaituna River, and possibly on rivers in other areas as well. It is recommended that the Director of Maritime New Zealand and the Chief Executive of Local Government New Zealand work with local authorities to address this safety issue.
Issue date:Undertake a full review of the Safe Ship Management system and make changes to ensure the system promotes and effectively regulates a safe and sustainable maritime industry consistently throughout New Zealand.
Issue date:Require a mandatory inspection of the flexible star plate coupling immediately behind the clutch, to determine whether damage has already occurred.
Issue date:improve the maintenance and repair regime for navigation marks within Manukau Harbour to ensure a high reliability factor is achieved that is consistent with the number and configuration of light beacons. This system should at least result in any ship transiting the harbour knowing what navigation marks are serviceable.
Issue date:introduce check procedures for staff involved with the signalling of trains before authorising a train to continue after it has overrun a signal which reverted to Danger as it approached
Issue date:The owner and the master on board the Anatoki were not effectively managing the standards of navigation and the drug and alcohol policy at the time of the grounding. The Commission recommends the Director of Maritime New Zealand audits Coastal Bulk Shipping 2007 Limited’s safe ship management system both ashore and on board the Anatoki to ensure that it meets the standards required by the New Zealand safety management system. (017/12)
Issue date:[the LTSA, MSA and OSH] Liaise as necessary to immediately bring to the attention of the relevant sectors of the New Zealand land and sea transport industry the need to be alert to sub-standard connection of stacks of bases and replace such connections with a system which complies with appropriate standard.
Issue date:The Commission recommends that the Director of Civil Aviation as a matter of urgency reviews the approvals granted for the FU24-954 aircraft with a view to amending the Flight Manual to allow more accurate determinations of aircraft centre of gravity. This review should also extend to other conversions of Fletcher and Cresco aircraft.
Issue date: