Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

Paraparaumu and Feilding mid-air collisions have shown that despite pilots making appropriate radio transmissions, they have failed to actively listen and respond appropriately to the transmissions of others and take action to avoid a collision. The Commission also notes that limitations with the concept of see-and-avoid probably contributed to the Paraparaumu and Fielding mid-air collisions as well as the near miss above New Plymouth.

In conjunction with the safe ship management company include in the safe ship management manuals throughout the fleet a prepared safety briefing to be made immediately before or immediately after sailing on all company vessels to comply with the requirements of Maritime Rules Part 23 section 27

Foster courses in formation flying conducted by pilots experienced in formation flying, from the RNZAF or elsewhere.

In conjunction with the safe ship management company introduce the fire fighting procedures recommended in safety recommendations number 023/03 and 024/03 for all of the group’s vessels.

Ensures that all safe ship management providers meet or exceed the same minimum standards.

Ensure that trackside growth and the location of poles and other structures do not interfere with necessary minimum signal sighting distances

In conjunction with the Safe Ship Management Company, include a section in the Safe Ship Management manual on the signs, symptoms and effects of fatigue and practical methods of managing fatigue.

Maritime Rule Part 80 [Marine Craft Involved In Adventure Tourism] is changed to require mandatory installation of twin propulsion systems in all newly constructed commercial jet boats engaged in high risk adventure operations.

Circulate a memo to all company vessels describing the circumstances of this accident, and the lessons learned as outlined in this report.

Ensure that Council’s planning and consent procedures for future applications involving side roads and exits from private rights-of-way joining public roads in the immediate vicinity of railway level crossings include a requirement for the provision of adequate protection

The Road Accident Investigation Study Team be reconvened as soon as practicable, with representatives of New Zealand Rail Ltd, to review the traffic engineering aspects of the State Highway 1/Kimberly Road intersection and the adjacent railway crossing on Kimberly Road, to determine what practical steps could be taken to reduce the likelihood of accidents.

Prepare a programme to educate builders and prospective builders on: • The need for craftsmanship, access to precision machinery and recognition of jobs which are beyond the builder's skills; • The need to evaluate any proposed changes to drawings to ensure there are no adverse consequences from incorporation of such modifications; • The need for sufficient manpower at critical stages of construction.