Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

They undertake a study of the distance between mainline and loop tracks at crossing loops to determine the risk of recurrence and accordingly whether a programme should be instituted to increase the distance between the mainline and the loops at stations where passenger trains pass freight trains.

reinforce with track users that they request relevant train movement information from the train controller when seeking on-track authorisation, where this information would assist them with the planning of their track occupation.

Review the relevance and accuracy of the RFS information given on each landing chart in the NZAIP.

develop and implement a support programme for newly qualified entrants to jobs in safety-critical areas, such as the shunting environment, focusing on ongoing safety awareness, on-the-job training and ability to perform tasks to include such initiatives as peer review, mentoring and supervisory observation

Arrange that during peak periods ATC be notified if no gates are available for arriving aircraft which normally use the Eastern Apron.

put in place control measures to ensure: • Mini Rosters are controlled within separate defined criteria compatible with the principles used in compiling base rosters • The principles of rostering are applied to the overlapping weeks of consecutive rostered fortnights • defined criteria are met before offering extra shifts to LEs • actual hours are monitored and immediate corrective action taken when late running or other factors increase rostered shifts to defined unacceptable levels.

Promote and include in his operations manual information on the causes, effects and strategies to minimise the effects of fatigue on his crews, particularly the skippers.

In conjunction with Fullers Group Limited, amend the safe ship management manual, section on emergency management procedures throughout the fleet to ensure in the event of an emergency that at least one member of the crew to be positioned on each passenger deck so as to be able to assist passengers

The sighting distance for road users at the Lambert Road level crossing did not meet the minimum standard as set out in the Manual. It was possible that drivers who did stop at the stop sign would not have had sufficient time to clear the level crossing if a train was just out of view.

By the most appropriate means ensure that all marine surveyors employed by safe ship management companies are fully aware of their obligations under Maritime Rules Part 21 Safe Ship Management Systems to carry out work with due care and diligence in accordance with the requirements of the Martime Rules.

On 26 July 2023, the Commission recommended that Maritime New Zealand alert all industry stakeholders to the importance of inspecting a vessel’s complete fuel system to assure its integrity and safety.

The Commission recommended that Swire Shipping (NZ) Limited review their safety management system to ensure that safety leadership is developed at all levels within the organisation to help develop a strong safety culture. 006/23.