Inquiries & Recommendations

Ngā ketuketutanga me ngā tūtohunga

Review procedures to ensure that if clearance to enter controlled airspace is not available then appropriate phraseology that correctly conveys that meaning is used, and that instructions requiring a specific action in uncontrolled airspace are not given by ATC.

Co-operate with Transit New Zealand, New Zealand Rail Limited, and the Land Transport Safety Authority in a review of all level crossings in Mt. Maunganui.

With no calander life but an hour and on-condition limit on the bearings only, their service life limits may need to be examined in conjunction with the aircraft manufacturer to determine if they are satisfactory.

participate with New Zealand Railways Corporation in a review of the Norton Road level crossing in Hamilton to include, but not limited to, the design, layout, signage, road marking, warning devices and the alignment of the road approaches and exit’s to ensure these are appropriate and take steps to rectify any shortcomings identified.

Require Pesbo S.A. to re-design its future synchronous lifeboat release equipment so that it fully complies with the provisions of the LSA Code, and is able to be engaged and checked before the lifeboat is attached to the davit falls.

Ensure that all of the requirements specified by the manufacturer for LTS101 engine maintenance, including the performance trend monitoring procedures, are being carried out.

Embarks on a programme for bridge resource management training for ships officers in their employ.

A culture of poor adherence to safety standards existed on board the Pantas No.1, which possibly extends up through the operator and owner given the design deficiencies for fencing off openings, and the examples of unsafe behaviour exhibited by more than one member of the crew, indicating that this operator might require close regulatory supervision.

Advise that the fire extinguishers which are provided are available to any person in an emergency.

Widen the application of procedures currently in place for radio communications between LEs and gangers working with track maintenance machines under conditional stop board protection conditions to also include track gangs when working under the same conditions.

Ensure that all crews serving on the company’s ferries are aware that, when investigating a suspected or indicated fire within an enclosed space, opening the access may rapidly exacerbate the fire endangering the crew, passengers and the vessel. The procedure in the operations manual should include a caution and a reminder that where a fixed fire fighting system is installed for the engine spaces, its use should be considered as a possible safer alternative to opening the space, especially in vessels with twin-engine spaces.

Prepare and use a comprehensive pilotage passage plan. The plan should be readily understandable and have sufficient detail to inform visiting ship’s masters of procedures and operating criteria, in order that they are able to safety navigate the port. Such a plan should be given to and explained to masters before commencing any transit.