Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

They design and construct an underpass in an adjacent but discreet location so that the use of the Heretaunga Street pedestrian level crossings can be discontinued and an effective barrier erected to prevent access to the rail track by young children.

Draw the pilot's attention to the limited circumstances under which low level bad weather routes can be used legally.

Review all relevant safety systems submitted for rail service licences to ensure that they include safety standards covering other rail service operators using the same railway line, and adequate procedures to ensure compliance with such standards.

Forward this report to Panama, the Flag State for the Taharoa Express, and invite its comment on how it will address the safety issue whereby an analysis of the sloshing forces the free water imparts on the structure of the Taharoa Express during loading in the open port was not fully considered by the Classification Society on behalf of Panama when the ship was converted for slurry loading. A formal safety assessment should be undertaken and a special survey programme introduced depending on the results.

He modify the sector of Victor 9 to the south-west of Taieri Aerodrome in terms of its boundaries and altitude to improve separation between uncontrolled VFR traffic and controlled IFR traffic on approach to Dunedin Aerodrome, while facilitating safe operations within the Taieri circuit.

The continuing lack of any formalised aeroplane pilot mountain-flying training, which has not equipped pilots with the requisite skills for sound decision-making for flying in mountainous terrain. This lack of training has been implicit in a number of fatal mountain-flying accidents over the past 15 years with at least 29 lives lost.

After the engine controls, and the engines and propellers are set for optimum performance, should the engines on any of the company’s vessels continue to be susceptible to stalling, determine the course of action that might best prevent further incidences of stalling.

The formation team leader consider including in the briefing prior to formation flying a discussion on the action to take if a pilot, particularly the person flying in the number 4 position, became disoriented.

Initiate a training regime for the crew of the 'Southern Winds' to include, but not be limited to, electronic navigation aids and blind pilotage.

The Commission has determined that some helicopter operations are offered in mountainous terrain by pilots who have insufficient knowledge, experience or currency for those operations. Ensuring that their pilots have adequate role training and supervision can be problematic for smaller scale operators. The Commission recommends that the Director of Civil Aviation addresses this safety issue.

Require Pesbo S.A. to provide a modification for existing synchronous lifeboat release equipment to address the deficiencies identified in this report.

On 25 September 2024, the Commission recommended that KiwiRail implement risk controls with respect to signal 308 to ensure that the hazards that have been identified are adequately mitigated.