Inquiries & Recommendations

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Ensure that every vessel operated by the company has appropriately qualified crew in accordance with Maritime Rules Part 31B.

Not authorise any reduction in vertical or longitudinal separation minima in the Auckland FIR unless the positions of the aircraft involved can be monitored on an electronic situation display.

If it is decided that these features [from recommendation 047/90: information on instrument approach plates, relating to navigation lights visible to pilots and the depiction of spot heights] will be depicted amend all approach plates as soon as practicable to: • Delete spot heights from them, other than the boxed height for the highest ground and; • Ensure all navigation lights are depicted or include a notice to pilots on the chart advising which categories of navigation lights are depicted.

Realign the floodlight above the accident area to illuminate the obstructions in that area.

Carry out service load tests on the Type 14 brake beams to confirm that the loading assumptions made to confirm fatigue life are reasonable.

Introduce the use of flashing red lights to identify the rear of all trains, not only those operating under ATC conditions.

Withdraw MSA Circular Letter number 76 and replace it with a notice to surveyors and safe ship management companies, specifying which standards for extra-low-voltage electrical equipment installations are accepted by MSA, and stipulating that surveyors should apply a single such standard in its entirety to each vessel, rather than mixing standards.

When liaising with Transit New Zealand regarding alternative proposals to overcome the problems associated with access from SH2 to Victoria Street that priority consideration be given to options that include improved view lines in the south-east quadrant of the Victoria Street level crossing, either at its present site or by relocating the crossing to the north.

Ensure that the Chief Executive of Air New Zealand and other New Zealand operators of Boeing 737 aircraft review and enhance emergency training procedures. The review should include the positioning of all crew members on board for abnormal landings and possible evacuations, and the associated use of all appropriate emergency exits, the use of hand signals in emergencies and the management of the ground evacuation checklist to ensure that flap has been fully deployed.

Enhance existing procedures to incorporate appropriate actions to enable an effective response to an uncontrolled movement on a main line.

Review the guidance provided for pilots on the control of the Metroliner aircraft during the landing roll.