Inquiries & Recommendations

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The Commission has made a recommendation to Wartsila that it take further steps to help ensure users of its RT-Flex engines are fully aware of all the effects of the IMO sulphur cap and its operational effect on ICU performance, maintenance and lifetime service.

Operators and drivers of large road vehicles should have quick access to the emergency telephone number of the National Train Control Centre for alerting the train controller if there is any issue with their vehicles that could compromise the rail corridor. The Commission recommends that the Chief Executive of NZ Transport Agency advise other operators of large road vehicles that their drivers should carry the train control emergency telephone number so that they can alert the train controller in any similar situation

Make it mandatory that instructors exchange relevant information about trainee pilots, in addition to log book entries, before they can continue with the training of a pilot from a different company or school.

Introduce a system on all Sanford vessels for recording on board, all operational, safety and maintenance checks/tasks carried out by the crew or Sanford's shore staff. A work record book with signed entries each time a task or check is completed would serve this purpose.

develop in conjunction with the Christchurch City Council formalised procedures to be followed before a contractor undertakes any work which conflicts with the requirements of the Christchurch Tramway Limited safety system.

On 25 September 2024, the Commission recommended that Transdev Wellington review and improve the training on the application of the in-cab emergency radio button simultaneously with an emergency brake application.

Reviews the adequacy of the elements of the safety system which failed to prevent unsupervised unloading of wagons on a grade in circumstances where no physical protection from any resulting runaways was provided for the adjacent main line, and take appropriate steps to avoid a recurrence.

Renegotiate, as soon as practicable, the pilots' contract with Ansett New Zealand to remove the condition which is intended to prevent Ansett New Zealand from installing Cockpit Voice Recorders in their aircraft.

Review the use of language in such documents as MATS to ensure that ambiguities do not occur.

Circulate a memorandum to reiterate the following points: Masters and crew check their vessels in accordance with the new hand-over system. No-one relies on non-return valves as a stop for water flooding back into bilges. Bilge alarms are maintained and tested regularly and it is a danger to the vessel and her crew to disconnect them. Bilge pumps are not left running continuously on bilge spaces where there is no indication of the pump's running status unless the bilge is under constant surveillance.

On 26 February 2014 the Commission recommended to the Director of Civil Aviation that he apply stricter requirements upon holders of air operator certificates to take effective action to correct identified deficiencies, and that any serious safety issues that are identified with managerial oversight of airline operations always result in findings.

He promulgate a single advisory radio frequency for aircraft in the uncontrolled airspace between Auckland and Whenuapai Control Zones, including Mechanics Bay ATZ.