Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

The pilot was to fly the helicopter between two homesteads on a large property. Some two hours after his departure signals from an emergency location transmitter were received and the wreckage of the aircraft was located two hours later. The pilot lost his life in the accident. No cause was established for the accident.

[Investigation incorporated in report 04-123. Please refer to that report.]

[A preliminary investigation showed that the circumstances were not likely to have significant implications for transport safety. Consistent with section 13 of the TAIC Act the Commission discontinued the investigation and no report was published.]

At approximately 1100 on Thursday, 27 April 2000, the Lyttelton shunt was operating in Woolston yard when wagon LPA 5218 loaded with scrap metal derailed due to the track condition. The wagon overturned and fell on the rail operator who had been riding on the shunt. His injuries were fatal. The safety issues identified included actioning of identified track gauge exceedances and the factors which contributed to the wagon overturning. Two safety recommendations were made to Tranz Rail Limited, to address these issues.

[A preliminary investigation showed that the circumstances were not likely to have significant implications for transport safety. Consistent with section 13 of the TAIC Act the Commission discontinued the investigation and no report was published.]

On Saturday 3 April 1999, Train 1613, the southbound Masterton to Wellington passenger service, departed from Featherston while a scout party and an adult passenger were still loading their gear into the van. Three scouts were left on the platform and a fourth scout and the adult travelled to Upper Hutt in the unlit van. The scouts were at risk as they either alighted from, or attempted to board, the moving train during departure. The guard was unaware of the scouts' presence in the van. The incident occurred due to a failure to ensure passenger safety prior to the departure of the train.

On Thursday 22 February 2007 at about 2200, the passenger vessel Cruise Cat collided with the outer starboard-hand light beacon at the entrance to the Waikato River at the northern end of Lake Taupo when returning from an evening dinner cruise with 90 passengers and 4 crew on board. After the skipper had checked the watertight integrity of the vessel and the passengers for injuries the Cruise Cat was returned to its berth at Taupo Marina where all the passengers were discharged without further incident.

On Thursday 9 June 2005 at about 2011, the passenger freight ferry "Santa Regina" was entering Cook Strait from the Tory Channel when the ship departed from the designated passage plan, coming close to grounding on the rocks and islets at East Head. Avoidance action taken by the Mate/Master, who had the con of the ship, prevented the ship grounding and brought it back onto the designated course. Safety issues identified included: • bridge resource management • training and use of modern retro-fitted bridge equipment.

On Friday 2 September 2005 at about 1600, the locomotive engineer of express freight Train 354 reported to train control that a school bus had passed over Caverhill Road level crossing, Awakaponga, immediately in front of his train. The level crossing had passive protection that included limit line road markings and compulsory stop signs on both sides of the crossing. The incident was caused by the bus driver not stopping at the level crossing. No safety deficiencies were identified in the level crossing layout or in the rail system.

[A preliminary investigation showed that the circumstances were not likely to have significant implications for transport safety. Consistent with section 13 of the TAIC Act the Commission discontinued the investigation and no report was published.]

On Wednesday, 4 October 2000, Train 225, an Auckland to Wellington express freight service, was permitted to depart from Te Kauwhata on the North Island Main Trunk and enter the down main line that was already occupied by an authorised hi-rail vehicle movement. No collision resulted, as the four occupants of the hi-rail vehicle became aware of Train 225’s approach and were able to off-track before the train passed. The safety issues identified included: • a train controller not following procedures for handling track user inquiries

On Friday, 14 September 2001, at about 0325, 2 trans Cook Strait ships, the passenger and freight ferry "Arahura" and the cargo ship "Kent", encountered each other at the eastern entrance to Tory Channel. The outward-bound "Kent" had given the inward-bound "Arahura" permission to enter, in order that they might pass each other inside the entrance. The master of the "Kent" subsequently had difficulty maintaining control at slow speed and ventured into the area of restricted navigation at the entrance to Tory Channel, which hindered the safe navigation of the "Arahura".