Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

Trains passing through or adjacent to work sites in double-line territory can, under some circumstances, do so at maximum line speed, up to 80 km/h in the case of freight trains, and up to 100 km/h in the case of passenger trains, putting track workers at significant risk.

The need for CAA staff to monitor aerodrome operations, particularly at non-certificated aerodromes, to ensure safety efforts are best directed to promote the coordinated safe management of flying activities.

On 27 March 2024 the Commission recommended that KiwiRail review and improve the training given to track workers, to include identification of the risks associated with: 1. operating a HRV unsupervised when travelling to worksites 2. a HRV cab being a safety-critical area, to enable them to operate a HRV safely

Promote the benefits of bridge resource management throughout the navigating officers in the fleet.

On 23 August 2017, the Commission recommended that Maritime New Zealand issue guidance and advice to operators and surveyors about the need to take a risk-based approach when determining the level of surveyor oversight required for changes to critical systems, regardless of whether or not the changes are considered major modifications.

Do not use the locomotive and carriage consist on days when there is a build-up of wet leaf litter on the rails, but instead use the articulated train which has traction on all wheels.

Improve the training programme for tug masters. It addition to the material the programme already contains, it should include: · a more comprehensive training manual · more prescriptive descriptions of the tasks that a tug master must be able to accomplish competently, including emergency and non standard situations · how that competence shall be assessed · information on the handling characteristics of each of the Port Company tugs · general information regarding the safe operation of a tug · an in-depth description of risks that may be encountered during a towage operation.

In conjunction with the engine control manufacturer, ensure that each of the company’s vessels is configured for optimum operation by checking their engine control systems.

undertake a comprehensive zero-based revision of the TWC Regulations (and their associated practices) to ensure that adequate defences are in place to combat foreseeable risks arising out of human error.

ensure inspection requirements included in rail service operation safety systems clearly define: • the type of inspections required • the frequency of each inspection • the persons who can carry out each inspection.

Liaise with Transit New Zealand to urgently review the use of Vickerman Street level crossing and take such steps as are necessary to prohibit the use of the level crossing by vehicles exceeding 9m in length.

Install an emergency sanding system to provide an alternative method of enhancing the wheel/rail adhesion should the normal sanding system fail to work effectively.